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  1. INSTRUCTIONS READ EACH QUESTION GIVE IT YOUR BEST SHOT GO TO THE NEXT SLIDE OR SLIDES FOR CLUES THEN, GO ON TO THE NEXT SLIDE FOR THE CORRECT ANSWER GOOD LUCK! Israel Alfonso. MD

  2. 1. THE MOST IMPORTANT COMPONENT OF THE NEUROLOGICAL EVALUATION IS: A. HISTORY B. PHYSICAL EXAMINATION C. EEG INTERPRETATION D. MRI INTERPRETATION

  3. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  4. THE PHYSICAL EXAMINATION REVEALS WHAT IS PRESENT AT THE TIME AND DURING (SHORT TIME) THE EXAMINATION. THE PHYSICAL EXAMINATION REVEALS MORE INFORMATION PER TIME UNIT THAN THE HISTORY BUT LESS OVER ALL INFORMATION. HISTORY REVEALS WHAT WAS PRESENT DURING A PROLONGED PERIOD OF TIME. PE (20%) HISTORY (80%) TIME VALUE % 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 20

  5. 1. THE MOST IMPORTANT COMPONENT OF THE NEUROLOGICAL EVALUATION IS: A. HISTORY B. PHYSICAL EXAMINATION C. EEG INTERPRETATION D. MRI FINDINGS

  6. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  7. 2. MOST CHILDREN CONTRIBUTE TO THEIR OWN MEDICAL HISTORY BY: A. 6-12 MONTHS B. 12-18 MONTHS C. 2 YEARS D. 3-4 YEARS

  8. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  9. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  10. NEUROLOGICAL EXAMINATION AGE THAT A CHILD STARTS CONTRIBUTING TO HIS OWN MEDICAL HISTORICAL 0 1 2 3 4 5 6 Y 1/4 1/2 3/4 OBSERVATION REFLEX & REACTION PLAYING COMMANDS & IMITATING

  11. 2. MOST CHILDREN CONTRIBUTE TO THEIR OWN MEDICAL HISTORY BY: A. 6-12 MONTHS B. 12-18 MONTHS C. 2 YEARS D. 3-4 YEARS

  12. 3. REGRESSION OVER A LONG TIME (MORE THAN 1 YEAR) MOST LIKELY INDICATES: A. A DEGENERATIVE DISORDER B. A TUMOR C. TRAUMA D. VASCULAR ACCIDENT

  13. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  14. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  15. WHICH PATHOLOGICAL PROCESS IS MORE COMPATIBLE WITH THE CLINICAL COURSE ? ♣♦♠ ♣ ♦♠♥ ♥♪♫ ♪♫■▼ ♫■▼ ♫ ■ ♫ ■ * DEFICIT 1 min 1 h 1 d 1 w 1 mo 1 y ♣ SEIZURES ♥ VASCULAR ■ INFECTIOUS ♦ TRAUMA ♪ TOXINS ▼ DEMYELINATION ♠ ♫ INBORN ERROR OF METABOLISM TUMOR O & GLUCOSE * 2 DEGENERATIVE

  16. 3. REGRESSION OVER A LONG TIME (MORE THAN 1 YEAR) MUST LIKELY INDICATES: A. A DEGENERATIVE DISORDER B. A TUMOR C. TRAUMA D. VASCULAR ACCIDENT

  17. 4. A 3 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. SHOWS LIKES AND DISLIKES

  18. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  19. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  20. COOS BABBLES LAUGHS 3 6 MA…PA MA…PA PA… MA PA… MA 9

  21. 4. A 3 MONTHS OLD SHOULD BE EXPECTED (UPPER RANGE OF NORMAL) TO DO ALL OF THE FOLLOWING, EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. SHOWS LIKES AND DISLIKES

  22. 5. A 3 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. PLAY PAT-A-CAKE, PEEK-A-BOO

  23. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  24. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  25. COOS BABBLES LAUGHS 3 6 MA…PA MA…PA PA… MA PA… MA 9

  26. 5. A 3 MONTHS OLD SHOULD BE EXPECTED (UPPER RANGE OF NORMAL)TO DO ALL OF THE FOLLOWING, EXCEPT: A. SUPPORT WEIGHT ON FOREARMS B. OPENS HANDS SPONTANEOUSLY C. COOS AND LAUGHS D. PLAY PAT-A-CAKE, PEEK-A-BOO

  27. 6. AN INFANT WHO IS ABLE TO SUPPORT WEIGHT ON FOREARMS, OPENS HANDS SPONTANEOUSLY, COOS AND LAUGHS, AND SMILES APPROPRIATELY BUT IS UNABLE TO TRANSFER OBJECTS OR SHOW LIKES AND DISLIKES SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  28. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  29. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  30. COOS BABBLES LAUGHS 3 6 MA…PA MA…PA PA… MA PA… MA 9

  31. 6. AN INFANT WHO IS ABLE TO SUPPORT WEIGHT ON FOREARMS, OPENS HANDS SPONTANEOUSLY, COOS AND LAUGHS, AND SMILES APPROPRIATELY BUT IS UNABLE TO TRANSFER OBJECTS OR TO SHOW LIKES AND DISLIKES SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  32. 7. A 6 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING, EXCEPT: A. SIT MOMENTARILY B. TRANSFERS OBJECTS C. IMITATE SOUNDS D. SHOWS LIKES AND DISLIKES

  33. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  34. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  35. COOS BABBLES LAUGHS 3 6 MA…PA MA…PA PA… MA PA… MA 9

  36. 7. A 6 MONTHS OLD SHOULD BE EXPECTED TO DO ALL OF THE FOLLOWING EXCEPT: A. SIT MOMENTARILY B. TRANSFERS OBJECTS C. IMITATE SOUNDS D. SHOWS LIKES AND DISLIKES

  37. 8. AN INFANT WHO IS ABLE TO PULL TO STAND, USE PINCER GRASP, PLAY PAT-A-CAKE AND PEEK-A-BOO, IMITATES SOUNDS AND SMILE APPROPRIATELY BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  38. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  39. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  40. MA…PA MA…PA PA… MA PA… MA 9 MOMMY 12 GIVE TO MOMMY ! PAPA COME TO MOMMY !

  41. 8. AN INFANT WHO IS ABLE TO PULL TO STAND, USE PINCER GRASP, PLAY PAT-A-CAKE AND PEEK-A-BOO, IMITATES SOUNDS AND SMILE APPROPRIATELY BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  42. 9. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO RUN SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  43. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  44. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  45. MA…PA MA…PA PA… MA PA… MA 9 MOMMY 12 GIVE TO MOMMY ! PAPA COME TO MOMMY !

  46. 9. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO RUN SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  47. 10. AN INFANT WHO IS ABLE TO SMILE SPONTANEOUSLY, USE PINCER GRASP, COOS AND LAUGH, PLAY PAT-A-CAKE AND PEEK-A-BOO, AND IMITATES SOUNDS BUT IS UNABLE TO RELEASE AN OBJECTS ON COMMANDS OR TO COME WHEN CALLED SHOULD BE: A. 3 MONTHS OF AGE B. 6 MONTHS OF AGE C. 9 MONTHS OF AGE D. 12 MONTHS OF AGE

  48. RIGHT! SHOW ME THE QUESTION AGAIN I WANT TO SEE A CLUE, ANYWAY GO TO THE NEXT QUESTION

  49. WRONG! I WANT TO TRY AGAIN GIVE ME A CLUE JUST GIVE ME THE ANSWER

  50. MA…PA MA…PA PA… MA PA… MA 9 MAMMY 12 GIVE TO MAMMY ! PAPA COME TO MAMMY !