{"id":4531,"date":"2015-11-08T09:17:17","date_gmt":"2015-11-08T08:17:17","guid":{"rendered":"http:\/\/www.zdravstvena.info\/vsznj\/?p=4531"},"modified":"2015-11-08T09:45:39","modified_gmt":"2015-11-08T08:45:39","slug":"primer-testov-za-nevrologijo-izpit-iz-nevrologije","status":"publish","type":"post","link":"https:\/\/www.zdravstvena.info\/vsznj\/primer-testov-za-nevrologijo-izpit-iz-nevrologije\/","title":{"rendered":"Primer testov za nevrologijo 2015"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0 Med kvantitativne motnje zavesti spadajo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 somnolenca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 sopor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 delirij<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 koma<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zamra\u010denost<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p><!--more--><\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0 Postopek formalnega ugotavljanja mo\u017eganske smrti vsebuje:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 natan\u010dno upo\u0161tevanje izhodi\u0161\u010dnih pogojev<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 ugotovitev klini\u010dnih znamenj mo\u017eganske smrti<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 le ugotavljanje prenehanja delovanja obeh hemisfer velikih mo\u017eganov<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 dopolnilne instrumentalne preiskave<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dokaz ireverzibilnosti prenehanja mo\u017eganskih funkcij<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0 Najhuj\u0161a oblika sekundarne motnje inteligence je:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 idiotija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 demenca<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 oligofrenija<\/p>\n<p>Glavni simptom pri tej obliki je:<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 afazija<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 apraksija<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 amnezija<\/p>\n<p>&nbsp;<\/p>\n<p>b, f<\/p>\n<p>&nbsp;<\/p>\n<p>oligofrenija: intelektualni deficit<\/p>\n<p>afazija: delna ali poplna nezmo\u017enost govorjenja<\/p>\n<p>apraksija: nezmo\u017enost za delo ali za dolo\u010dene telesne gibe<\/p>\n<p>amnezija: oslabljenje ali izguba spomina<\/p>\n<p>&nbsp;<\/p>\n<p>4.\u00a0\u00a0\u00a0\u00a0\u00a0 Desna homonimna hemianopsija ka\u017ee na okvaro:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 desnega vidnega \u017eivca (=nazalni del)<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dne hiazme<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 levega opti\u010dnega traktusa<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 desnega opti\u010dnega traktusa<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 desnega zatilnega re\u017enja<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>hemianopsija: izpada vidnega polja<\/p>\n<p>&nbsp;<\/p>\n<p>5.\u00a0\u00a0\u00a0\u00a0\u00a0 Za Hornerjev sindrom je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 da je o\u010desna re\u017ea raz\u0161irjena<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 da je o\u010desna re\u017ea zo\u017eena (ptoza)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 midriaza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 mioza<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 eksoftalmus (endoftalmus)<\/p>\n<p>In nastane pri okvari:<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 simpati\u010dnih poti oz. vlaken<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 parasimpai\u010dnih vlaken<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 n. okulomotoriusa<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 n. oftalmikusa<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 m. vazokonstriktor pupile (ne vem, da bi obstajal)<\/p>\n<p>&nbsp;<\/p>\n<p>b, d, f, h<\/p>\n<p>&nbsp;<\/p>\n<p>Hornerjev sindrom: ptoza, mioza, endoftalmus<\/p>\n<p>endopftalmus: odsotnost znojenja<\/p>\n<p>ptoza: pove\u0161ena o\u010desna veka<\/p>\n<p>midriaza: raz\u0161irjena zenica<\/p>\n<p>mioza: zo\u017eena zenica<\/p>\n<p>&nbsp;<\/p>\n<p>6.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri popolni okvari III. mo\u017eganskega \u017eivca nastane:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ptoza<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 mioza<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 midriaza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 divergentni strabizem<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 diplopija<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>divergentni strabizem: \u0161kiljenje navznoter<\/p>\n<p>konvergentni strabizem: \u0161kiljenje navzven<\/p>\n<p>&nbsp;<\/p>\n<p>7.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri okvari spodnjega motori\u010dnega nevrona nastane:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 pareza<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 atrofija mi\u0161ic<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hiperrefleksija<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 hiporefleksija, arefleksija<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spasti\u010dnost<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>8.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri okvari spinotalami\u010dne poti v torakalnem segmentu hrbtenja\u010de na desni strani ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetni izpad disociranem tipu na levi spodnji okon\u010dnini<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetni izpad disociranem tipu na desni spodnji okon\u010dnini<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetni izpad disociranem tipu na levi zgornji in spodnji okon\u010dnini<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 izgubo globoke senzibilitete na desni spodnji okon\u010dini<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 izgubo globoke senzibilitete na levi spodnji okon\u010dini<\/p>\n<p>&nbsp;<\/p>\n<p>a, d<\/p>\n<p>&nbsp;<\/p>\n<p>spinotalami\u010dni trakt oz. sistem lateralnega leminiska: povr\u0161inska senzibiliteta: dotik, bole\u010dina, temperatura<\/p>\n<p>sistem zadnjih stebri\u010dkov oz. sistem medialnega leminiska: globoka senzibiliteta + dotik<\/p>\n<p>&nbsp;<\/p>\n<p>9.\u00a0\u00a0\u00a0\u00a0\u00a0 Peronealno hojo vidimo pri okvari:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tibialnega \u017eivca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 peronealnega \u017eivca<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dorzifleksorjev stopal<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 piramidne poti<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bazalnih ganglijev<\/p>\n<p>&nbsp;<\/p>\n<p>b, c<\/p>\n<p>&nbsp;<\/p>\n<p>peronealna hoja: petelinja hoja<\/p>\n<p>&nbsp;<\/p>\n<p>10.\u00a0 Pri Gerstmanovem sindromu ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 agnozijo prstov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 apraksijo levice<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 agrafijo<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 akalkulijo<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dezorietacijo levo-desno<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>agnozija: nezmo\u017enost spoznavanja predmetov ali pojavov<\/p>\n<p>apraksija: nezmo\u017enost za delo ali za dolo\u010dene telesne gibe<\/p>\n<p>agrafija: delna ali poplna nezmo\u017enost za pisanje<\/p>\n<p>akalkulija: delna ali poplna nezmo\u017enost za ra\u010dunanje<\/p>\n<p>&nbsp;<\/p>\n<p>11.\u00a0 Najpomembnej\u0161i dejavniki tveganja za mo\u017egansko kap:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 arterijska hipertenzija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 atrijska fibrilacija<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kroni\u010dna plju\u010dna obstruktivna bolezen<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 sladkorna bolezen<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hiperlipidemija<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d (verjetno)<\/p>\n<p>&nbsp;<\/p>\n<p>12.\u00a0 Tipi\u010dna mesta za hipertenzivno znotrajmo\u017egansko krvavitev so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u017eganski gangliji<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u017eganski re\u017enji<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mali mo\u017egani<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u017egansko deblo<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hipofiza<\/p>\n<p>&nbsp;<\/p>\n<p>a (verjetno), c, d<\/p>\n<p>&nbsp;<\/p>\n<p>13.\u00a0 Tumorji \u017eiv\u010dnih ovojnic so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 astrocitom<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 meningeom<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kraniofaringeom<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 nevrofibrosarkom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nevrinom<\/p>\n<p>&nbsp;<\/p>\n<p>d, e<\/p>\n<p>&nbsp;<\/p>\n<p>14.\u00a0 Simptomi in znaki povi\u0161anega znotrajlobanjskega tlaka so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 glavobol<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 slabost, bruhanje<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hemipareza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 zastojna papila<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ataksija<\/p>\n<p>&nbsp;<\/p>\n<p>ataksija: motnje ravnote\u017eja<\/p>\n<p>&nbsp;<\/p>\n<p>15.\u00a0 Najpomembnej\u0161e diagnosti\u010dne metode pri multipli sklerozi:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 magnetna resonanca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 CT glave<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lumbalna punkcija<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 EEG<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EMG<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>16.\u00a0 Parkinsonovo bolezen zdravimo z:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 preparati L-dope<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 antiepileptiki<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kortikosteroidi<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 MAO-B inhibitorji<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dopaminksimi agonisti<\/p>\n<p>&nbsp;<\/p>\n<p>a, e, (odgovor d ???)<\/p>\n<p>&nbsp;<\/p>\n<p>L-dopa \u2013 levodopa: (Nakom, Madopar)<\/p>\n<p>dopaminski agonist (Bromergon, Pergolid, Ropinirol, Pramipexol)<\/p>\n<p>inhibitor MAO-B: selegilinom (Jumex)<\/p>\n<p>antiholinergik (Akineton)<\/p>\n<p>amantadinom (Symmetrel)<\/p>\n<p>&nbsp;<\/p>\n<p>17.\u00a0 Pri amiotrofi\u010dni lateralni sklerozi pri klini\u010dnem pregledu ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 znake za prizadetost zgornjega motori\u010dnega nevrona<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 znake za prizadetost spodnjega motori\u010dnega nevrona<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 cerebralne znake<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne izpade<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 parkinsonizem<\/p>\n<p>In jo potrdimo z:<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CT glave<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 EMG<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 EEG<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 magnetno resonanco<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 evociranimi potenciali<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, g<\/p>\n<p>&nbsp;<\/p>\n<p>18.\u00a0 Za epiduralno krvavitev je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi rupture srednje meningealne arterije<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 kri se nabira med duro in arhnoideo<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lahko nastane &#8220;lucidni interval&#8221; (kratek)<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 ugotovimo Hutchinsonovo zenico (na isti strani kot epiduralni hematom)<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nastanejo kvalitativne motnje zavesti (predvsem kvantitativne)<\/p>\n<p>&nbsp;<\/p>\n<p>a (?), c, d<\/p>\n<p>&nbsp;<\/p>\n<p>19.\u00a0 Za subaktuno degeneracijo hrbtenja\u010de je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi pomanjkanja vitamina B1<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 okvarjeni so zadnji stebri\u010dki in piramidni progi<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nastane po op. odstranitvi \u017eelodca<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 zdravimo jo z vitaminom B12<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 izmerimo zni\u017eane vrednosti vitamina B1 v serumu<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>20.\u00a0 Pri poliradikulonevritisu Gullian-Barre ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ascedentne proge<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 albumino-citolo\u0161ko disociacijo (\u2191 albumini, \u0161t. celic normalno)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patolo\u0161ki EEG (obi\u010dajno ne)<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 zni\u017eane prevodne hitrosti<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 pleocitozo v likvorju (ne, \u2191 albumini, \u0161t. celic normalno)<\/p>\n<p>In ga zdravimo z:<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 humanimi imunoglobulini<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 kortikosteroidi (niso inducirani, razen pri rekurentnih, pri akutnem kontraindicirani)<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 plazmoferezo (v hudih primerih tudi plazmofereza)<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 antiholinesterazami<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 antiepileptiki<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d, f<\/p>\n<p>&nbsp;<\/p>\n<p>GBS: akutna, vnetna, simetri\u010dna, progresivna, demielinizacijska nevropatija<br \/>\nTest B<\/p>\n<p>&nbsp;<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0 Pod kvalitativne motnje zavesti spadajo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 somnolenca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 sopor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 delirij<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 koma<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zamra\u010denost<\/p>\n<p>&nbsp;<\/p>\n<p>c, e<\/p>\n<p>&nbsp;<\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri apali\u010dnem sindromu je okvarjen del:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u017eganskega debla<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 hemisfer velikih mo\u017eganov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hrbtenja\u010de<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u017eganskih \u017eivcev<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spinalnih \u017eivcev<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri pretresu mo\u017eganov lahko nastane:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 anterogradna amnezija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 demenca<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 retrogradna amnezija<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 amnesti\u010dni sindrom (?)<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 oligofrenija<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d (?)<\/p>\n<p>&nbsp;<\/p>\n<p>4.\u00a0\u00a0\u00a0\u00a0\u00a0 Bitemporalna hemianopsija ka\u017ee na okvaro:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 vidnega \u017eivca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dne hiazme<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 obti\u010dnega traktusa<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 obti\u010dne radiacije<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 primarne vidne skorje<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>5.\u00a0\u00a0\u00a0\u00a0\u00a0 Za Hutchinsonovo zenico je zna\u010dilno, da:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 je zenica na eni strani raz\u0161irjena<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 je zenica na eni strani zo\u017eena<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zenica nima direktne reakcije na osvetlitev<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 zenica nima indirektne reakcije na osvetlitev<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nasprotna zenica ima direktno in indirektno reakcijo na osvetlitev<\/p>\n<p>In nastane pri okvari<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 n. abducensa<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 n. trohlearisa<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 n. okulomotoriusa<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 n. oftalmikusa<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 n. facialisa<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d, h<\/p>\n<p>&nbsp;<\/p>\n<p>6.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri okvari n. abducensa nastane:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 divergentni strabizem<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 konvergentni strabizem<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ptoza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 mioza<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 diplpija<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>divergentni strabizem: \u0161kiljenje navznoter<\/p>\n<p>konvergentni strabizem: \u0161kiljenje navzven<\/p>\n<p>&nbsp;<\/p>\n<p>7.\u00a0\u00a0\u00a0\u00a0\u00a0 Za okvaro zgornjega motori\u010dnega nevrona je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 pareze<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 povi\u0161anje mi\u0161i\u010dnega tonusa<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 znak babinskega<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 atrofija mi\u0161ic<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u017eivahni miotati\u010dni refleksi<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>8.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri okvari desne cerebralne (verjetno je mi\u0161ljeno cerebelarne) hemisfere ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ataksija levih udov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 ataksija desnih udov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne motnje po hemitipu na desni strani<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 motnje ravnote\u017eja pri hoji in stoji<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nistagmus<\/p>\n<p>&nbsp;<\/p>\n<p>(?) a, b, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>9.\u00a0\u00a0\u00a0\u00a0\u00a0 Racajo\u010da hoja pomeni okvaro<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dorzifleksorjev obeh stopal<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 glutealne muskulature<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 obeh peronealnih \u017eivcev<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 piramidne poti<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bazalnih ganglijev<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>10.\u00a0 Pri motori\u010dni afaziji je moteno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 razumevanje govora<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 imenovanje<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 fluentnost govora<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pisanje<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ponavljanje<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>afazija: delna ali poplna nezmo\u017enost govorjenja<\/p>\n<p>&nbsp;<\/p>\n<p>11.\u00a0 Mo\u017egansko kap ugotovimo s:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 klini\u010dnim pregledom<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 lumbalno punkcijo<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CT glave<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 EEG (v pomo\u010d, ni zna\u010dilen)<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 EMG<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>12.\u00a0 Za subarahnoidno krvavitev so zna\u010dilni naslednji znaki in simptomi:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 nenaden mo\u010dan glavobol<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 hemipareza<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 znaki meningealnega dra\u017eenja<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 ataksija okon\u010din<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 motori\u010dna afazija<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>13.\u00a0 Nevroepiteljiski mo\u017eganski tumorji so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 astrocitom<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 oligodendrogliom<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kraniofaringeom<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 glioblastom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nevrinom<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>gliomi: tumor iz podpornih celic (50 %)<\/p>\n<p>meningeomi: tumor mo\u017eganskih, hrbtenja\u010dnih open (25 %)<\/p>\n<p>hipofizni tumorji (10 %)<\/p>\n<p>acousti\u010dni nevrinomi (7,5%)<\/p>\n<p>gliomi:<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 astrocitomi (iz astrocitov)<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ependimomi (ependimske celice)<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 oligodendrogliomi (iz glije, ki obdaja nevrone)<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 me\u0161ani gliomi (oligodendrogliomi in astrocitomi) pogosto kalcifikacije<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 glioblastom multiforme<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 meduloblastom<\/p>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ependimom<\/p>\n<p>&nbsp;<\/p>\n<p>14.\u00a0 Za klini\u010dno zanesljivo obliko multiple skleroze moramo ugotoviti:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 en zagon<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 dva zagona<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dve klini\u010dni \u017eari\u0161\u010di<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 eno klini\u010dno \u017eari\u0161\u010de<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 eno klini\u010dno in eno paraklini\u010dno \u017eari\u0161\u010de<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, e (Poserjevi kriteriji)<\/p>\n<p>&nbsp;<\/p>\n<p>15.\u00a0 Zagone pri multipli sklerozi zdravimo s:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 citostatiki<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 kortikosteroidi<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 antiepileptiki<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 miorelaksansi<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 analgetiki<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>16.\u00a0 Pri Parkinsonovi bolezni ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 tremor<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 rigor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 diskinezije<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 bradikineza<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 dobro odzivnost na dopaminske agoniste<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>17.\u00a0 Najpogostej\u0161a fokalna distonija je:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hemibalizem<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 horea<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spazmodi\u010dni toritkolis<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 atetoza<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 torzijska distonija<\/p>\n<p>In jo zdravimo z:<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 antiholinergiki<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 z botulinovim toksinom<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 nevroleptiki<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 L-dopo<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tricikli\u010dnimi antidepresivi<\/p>\n<p>&nbsp;<\/p>\n<p>c, f, g<\/p>\n<p>&nbsp;<\/p>\n<p>18.\u00a0 Zgodnje komplikacije kraniocerebralnih po\u0161kodb so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 intrakranialni hematomi<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 posttravmatska encefaloatija<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 psevdotumor cerebri<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 po\u0161kodbe mo\u017eganskih \u017eivcev<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 posttravmatska encefalopatija<\/p>\n<p>&nbsp;<\/p>\n<p>a, d<\/p>\n<p>&nbsp;<\/p>\n<p>19.\u00a0 Za Wilsonovo bolezen je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 da je dedna bolezen<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 motena je presnova bakra<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 okvarjeni so bazalni gangliji<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi pomanjkanja vitamina B12<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 okvarjena so jetra<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kayser-Fleischnerjev obor\u010d<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c, e, f<\/p>\n<p>&nbsp;<\/p>\n<p>20.\u00a0 Pri miasteniji gravis ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 hitro utrujanje po mi\u0161i\u010dnem naporu<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne motnje<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 piramidne znake<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pozitiven prostigminski test<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 patolo\u0161ki EMG<\/p>\n<p>&nbsp;<\/p>\n<p>a, d, e<\/p>\n<p>&nbsp;<br \/>\nTest C<\/p>\n<p>&nbsp;<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri vklenjeni zavesti (locked in syndrome) so okvarjene naslednje mo\u017eganske strukture:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 motori\u010dne proge v mo\u017eganskem deblu<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 hemisferi velikih mo\u017eganov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 senzori\u010dne proge<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 hrbtenja\u010da<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mali mo\u017egani<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0 Opti\u010dna agnozija ka\u017ee na okvaro:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dnega traktusa<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 aree parastiate in peristriate dominantne hemisfere<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dnega \u017eivca<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dne radiacije<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dne hiazme<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>agnozija: nezmo\u017enost spoznavanja predmetov ali pojavov<\/p>\n<p>&nbsp;<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0 Za nistagmus velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 so nehoteni ritmi\u010dni gibi o\u010di<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 pojavi se pri okvari ravnote\u017enega aparata<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 pojavi se pri akinetsko-rigidnem sindromu<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pojavi se pri okvari piramidne proge<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 pojavi se pri okvari malih mo\u017eganov<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, e<\/p>\n<p>&nbsp;<\/p>\n<p>4.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri centralni okvari parezi n. facialisa:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bolnik ne more nagubati \u010dela in ima izravnane gube na \u010delu (obratno)<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 ima pove\u0161en ustni kot, ki se pri gibih ne premika<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 slab\u0161e \u010duti polovico obraza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 ima oja\u010dan maseterski refleks<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 slab\u0161e oku\u0161a<\/p>\n<p>Okvarjena pa je<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kortikospinalna proga<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 n. facialis<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 kortikobulbarna proga<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mali mo\u017egani<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 trigeminus<\/p>\n<p>&nbsp;<\/p>\n<p>b, e (? &#8211; n. intermedius, ki spremlja n. facialis), h<\/p>\n<p>&nbsp;<\/p>\n<p>5.\u00a0\u00a0\u00a0\u00a0\u00a0 Za fascikulacije velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 so hitre, nehotene kontrakcije ene motori\u010dne enote<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 so hitre, nehotene kontrakcije enega mi\u0161i\u010dnega vlakna<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 se pojavijo pri okvari zgornjega motori\u010dnega nevrona<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 se pojavijo pri okvari spodnjega motori\u010dnega nevrona<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spremlja jih atrofija mi\u0161ic<\/p>\n<p>&nbsp;<\/p>\n<p>a, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>6.\u00a0\u00a0\u00a0\u00a0\u00a0 Anozognozija je:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost prepoznavanja predmetov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost prepoznavanja obrazov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost izvajanja ve\u0161\u010dih gibov<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost registriranja lastne pareze<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost govora<\/p>\n<p>In nastane pri okvari:<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 desnega parietalnega re\u017enja (nedominantne hemisfere)<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 levega \u010delnega re\u017enja<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 levega temporalnega re\u017enja<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 malih mo\u017eganov<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 primarnega vidnega korteksa<\/p>\n<p>&nbsp;<\/p>\n<p>d, f<\/p>\n<p>&nbsp;<\/p>\n<p>7.\u00a0\u00a0\u00a0\u00a0\u00a0 Za Parkinsonovo hojo je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 trup je nagnjen naprej, vsi sklepi na udih so lahno upognjeni<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 nastane pri okvari bazalnih ganglijev<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 koraki so kratki, drsajo\u010di, brez spremljave rok<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 hoja je \u0161karjasta<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bolnikovo stopalo se med hojo pove\u0161a<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c<\/p>\n<p>&nbsp;<\/p>\n<p>8.\u00a0\u00a0\u00a0\u00a0\u00a0 Med generalizirane epilepti\u010dne napade pri\u0161tevamo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 toni\u010dno-kloni\u010dne napade tip grand mal<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 motori\u010dne Jacksonove napade<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 absence<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 kompleksne \u017eari\u0161\u010dne napade<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 senzori\u010dne Jacksonove napade<\/p>\n<p>&nbsp;<\/p>\n<p>a, c<\/p>\n<p>&nbsp;<\/p>\n<p>9.\u00a0\u00a0\u00a0\u00a0\u00a0 Med primarne glavobole uvr\u0161\u010damo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 migreno<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 glavobol v rafalih<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 glavobol zaradi mo\u017eganskega tumorja<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 glavobol tenzijskega tipa<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 glavobol ob subarahnoidni krvavitvi<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>10.\u00a0 Za polimiozitis velja<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 je dedna miopatija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 je avtoimunska bolezen<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 predvsem so prizadete proksimalne mi\u0161i\u010dne skupine<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pri nevrolo\u0161kem pregledu ugotovimo motnje senzorike<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 v serumu so povi\u0161ani mi\u0161i\u010dni encimi<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>11.\u00a0 Pri polinevropatiji v nevrolo\u0161kem statusu ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 motnje senzibilitete po tipu rokavu in nogavic<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 ugasle distalne miotati\u010dne reflekse (npr. Ahilov refleks)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 piramidne znake<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 znake okvare malih mo\u017eganov<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 te\u017eave pri hoji po prstih in petah<\/p>\n<p>Vzrok za polinevropatijo pa je lahko<\/p>\n<p>f.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 genetski<\/p>\n<p>g.\u00a0\u00a0\u00a0\u00a0\u00a0 sladkorna bolezen<\/p>\n<p>h.\u00a0\u00a0\u00a0\u00a0\u00a0 neoplazma<\/p>\n<p>i.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ledvi\u010dna insuficienca (? uremia \u2013 da)<\/p>\n<p>j.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kroni\u010dne infekcije<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, e, f, g, h, j, i (?)<\/p>\n<p>&nbsp;<\/p>\n<p>12.\u00a0 Pri okvari radialnega \u017eivca ugotovimo<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 vise\u010do roko<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 oslabelost ekstenzorjev zapestja in prstov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne motnje na pal\u010devi strani dlani<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne motnja po pal\u010devi strani hrbti\u0161\u010da roke<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 krempljasto roko<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>13.\u00a0 Za alkoholno encefalopatijo (Wernicke-Korsakow) je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi pomanjkanja vitamina B1<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi pomanjaknja vitamina B12<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 v klini\u010dni sliki prevladujejo: ataksija, akcijski tremor, nistagmus, okvare n. abducensa<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 zdravimo jo z Apaurinom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zdravimo jo z vitaminom B1<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>14.\u00a0 V cerebrospinalnem likvorju pri TBC meningitisu ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 limfocitno pleocitozo<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 pove\u010dane koncentracije glukoze<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zni\u017eane koncentracije glukoze<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 povi\u0161ane beljakovine<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bacile tuberkuloze<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d, e<\/p>\n<p>&nbsp;<\/p>\n<p>15.\u00a0 Za mb. Alzheimer velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 je progresivna demenca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 je dedna bolezen<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CT glave poka\u017ee mo\u017egansko atrofijo<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 lahko jo zdravimo z inhibitorji acetilholinesteraze<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nastane zaradi pomanjaknaj vitamina B12<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>16.\u00a0 Redkej\u0161e demielinizajske bolezni so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Parkinsonova bolezen<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 akutni disemirani encefalomielitis (ADEM)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 multipla skleroza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 akutni hemoragi\u010dni encefalomielitis<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Creutzfeld-Jakobova bolezen<\/p>\n<p>&nbsp;<\/p>\n<p>b, d<\/p>\n<p>&nbsp;<\/p>\n<p>17.\u00a0 Najbolj pogoste mo\u017eganske metastaze so pri:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 karcinom prostate<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 karcinom dojke<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 karcinom bronha<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 hipernefrom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 karcinom glave in zatilja<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>plju\u010da (ca. bronhov)<\/p>\n<p>dojke<\/p>\n<p>\u0161\u010ditnica<\/p>\n<p>ledvica (hipernefrom)<\/p>\n<p>ko\u017ea (melanom)<\/p>\n<p>ca. \u010drevesja<\/p>\n<p>[wp_ad_camp_1]<\/p>\n<p>18.\u00a0 Ishemi\u010dno mo\u017egansko kap lahko zdravimo s:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 trombolizo<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 antiagregacijskimi zdravili<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 antiepileptiki<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 beta interferonom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tricikli\u010dnimi antidepresivi<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c (?)<\/p>\n<p>&nbsp;<\/p>\n<p>19.\u00a0 Pri ishemiji mo\u017eganskega debla ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 motnje koordinacije udov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 okvaro mo\u017eganskih \u017eivcev<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 znake piramidne okvare<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 znake okvare spinotalami\u010dne proge<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 apraksijo<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>apraksija: izguba smotrne dejavnosti, nezmo\u017enost za delo ali za dolo\u010dene telesne gibe<\/p>\n<p>&nbsp;<\/p>\n<p>20.\u00a0 Za psevdotumor mo\u017eganov (benigna intrakranialna hipertenzija) velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ugotovimo znake povi\u0161anega intrakranialnega tlaka<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 ugotovimo okvaro piramidne proge<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ugotovimo okvaro malih mo\u017eganov<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pri lumbalni punkciji ugotovimo povi\u0161an krvni tlak<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CT glave poka\u017ee mo\u017eganski tumor (ne, pri psevdotumorju ni tumorja)<\/p>\n<p>&nbsp;<\/p>\n<p>a<\/p>\n<p>&nbsp;<br \/>\nTest D<\/p>\n<p>&nbsp;<\/p>\n<p>1.\u00a0\u00a0\u00a0\u00a0\u00a0 Kvantitativne motnje zavesti so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 somnolenca<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 zamra\u010denost<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 sopor<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 delirantno skaljena zavest<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 koma<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>2.\u00a0\u00a0\u00a0\u00a0\u00a0 Okvara opti\u010dne hiazme povzro\u010di:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 kontralateralno homonimno hamianopsijo<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 bitemporalno hemianopsijo<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nazalni izpad vidnega polja<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 opti\u010dno agnozijo<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>agnozija: nezmo\u017enost spoznavanja predmetov ali pojavov<\/p>\n<p>&nbsp;<\/p>\n<p>3.\u00a0\u00a0\u00a0\u00a0\u00a0 Za bulbarno paralizo je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 dizartrija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 disfagija<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 homonimna hemianopsija<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 atrofija in fascikulacije jezika<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 okvara n. facialisa po centralnem tipu<\/p>\n<p>&nbsp;<\/p>\n<p>a, b<\/p>\n<p>&nbsp;<\/p>\n<p>bulbarna paraliza: okvara n. glosofaringeusa in n. vagusa<\/p>\n<p>dizartrija:<\/p>\n<p>&nbsp;<\/p>\n<p>4.\u00a0\u00a0\u00a0\u00a0\u00a0 Horeati\u010dni zgibki so:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hitre nehotene kontrakcije mi\u0161i\u010dnih vlaken, ki pripadajo eni motori\u010dni enoti<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 sunkoviti, neritmi\u010dni, asinhroni zgibki udov in telesa<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 mo\u010dne kontrakcije mi\u0161ic trupa in vratu<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 ritmi\u010dni gibi delov telesa<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>5.\u00a0\u00a0\u00a0\u00a0\u00a0 Za okvaro zgornjega motori\u010dnega nevrona je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 izguba mi\u0161i\u010dne mo\u010di z atrofijami in fascikulacijami<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 zni\u017eanje mi\u0161i\u010dnega tonusa<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 oja\u010dani miotati\u010dni refleksi<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pojav patolo\u0161kih refleksov<\/p>\n<p>&nbsp;<\/p>\n<p>c, d<\/p>\n<p>&nbsp;<\/p>\n<p>6.\u00a0\u00a0\u00a0\u00a0\u00a0 Znak Babinskega je:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 plantarni odziv v fleksiji<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 plantarni odziv v ekstenziji<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ni plantarnega odziva<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 refleks prijemanja<\/p>\n<p>&nbsp;<\/p>\n<p>b<\/p>\n<p>&nbsp;<\/p>\n<p>7.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri cerebelarni okvari se pojavi:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ataksija hoje<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 cerebelarni tremor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 pareza<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 disdiadohakineza<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>8.\u00a0\u00a0\u00a0\u00a0\u00a0 Za talami\u010dni sindrom je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hipalgezija<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 hiperpatija<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 disocirano motnjo senzibilitete<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 izguba vseh senzori\u010dnih kvalitet<\/p>\n<p>&nbsp;<\/p>\n<p>b, (d ?)<\/p>\n<p>&nbsp;<\/p>\n<p>9.\u00a0\u00a0\u00a0\u00a0\u00a0 Pri okvari somatosenzori\u010dnega dela mo\u017eganske skorje ugotavljamo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost lokalizacije dra\u017eljaja<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 okvaro pozornosti za dra\u017eljaje<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost razlikovanja dvojnega dra\u017eljaja<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost spoznavanja predmetov s tipom<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spontane bole\u010dine<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d, c (?)<\/p>\n<p>&nbsp;<\/p>\n<p>10.\u00a0 Za Brocovo afazijo je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nesposobnost izgovorjave<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 govor je neteko\u010d<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 razumevanje govora je moteno<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 spremlja ga hemipareza po desni in homonimna hemianopsija<\/p>\n<p>&nbsp;<\/p>\n<p>b, d<\/p>\n<p>&nbsp;<\/p>\n<p>afazija: delna ali poplna nezmo\u017enost govorjenja<\/p>\n<p>&nbsp;<\/p>\n<p>11.\u00a0 Cerebrovaskularni inzult je:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 motnja v delovanju centralnega \u017eiv\u010dnega sistema zaradi bolezni ekstrakranialnega in intrakranialnega cerebralnega \u017eilja<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 lahko posledica ishemije centralnega \u017eiv\u010dnega sistema<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 lahko posledica krvavitve v centralni \u017eiv\u010dni sistem<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 lahko posledica ishemije perifernega \u017eiv\u010dnega sistema<\/p>\n<p>&nbsp;<\/p>\n<p>a, b (?), c<\/p>\n<p>&nbsp;<\/p>\n<p>12.\u00a0 Demenca se lahko razvije pri:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 difuzni mo\u017eganski aterosklerozi<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 normotenzivnem hidrocefalusu<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 funikularni mielozi<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 degenerativnem obolenju mo\u017eganov (Alzheimerjeva bolezen)<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>13.\u00a0 Tumor mo\u017eganskih ovojnic je<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 meningeom<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 primarni melanomski tumor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nevrinom<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 glioblastom<\/p>\n<p>&nbsp;<\/p>\n<p>a, b<\/p>\n<p>&nbsp;<\/p>\n<p>14.\u00a0 Pri klini\u010dno zanesljivi obliki multiple skleroze ugotovimo:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 dva zagona<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 dve \u017eari\u0161\u010di (2 klini\u010dni ali eno klini\u010dno in eno paraklini\u010dno)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 en zagon<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pozitivne oligoklonalne IgG trakove v likvorju<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>15.\u00a0 Za Parkinsonovo bolezen so zna\u010dilni:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 hemipareza<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 rigor<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tremor<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 senzibilitetne motnje<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 bradikineza<\/p>\n<p>&nbsp;<\/p>\n<p>b, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>16.\u00a0 Za amiotrofi\u010dno lateralno sklerozo (ALS) velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 ni senzibilitetnih izpadov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 lahko so prizadeti mo\u017eganski \u017eivci (ne, \u010deprav motori\u010dni del je)<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 je napredujop\u010da degenerativna bolezen<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 okvarjena sta zgornji in spodnji motori\u010dni nevron<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d<\/p>\n<p>&nbsp;<\/p>\n<p>17.\u00a0 Za mo\u017eganski pretres velja:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 je reverzibilna motnja mo\u017eganske funkcije<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 je odprta po\u0161kodba mo\u017eganov<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 spremlja ga lahko retrogradna ali anterogradna amnezija<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 izguba zavesti traja ve\u010d ur<\/p>\n<p>e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 izguba zavesti traja nekaj minut<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, e<\/p>\n<p>&nbsp;<\/p>\n<p>18.\u00a0 Za okvaro radialnega \u017eivca je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 pri visoki okvari ni mogo\u010de iztegniti komolca, zapestja in prstov<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 motnje senzibilitete nastanejo na radialni strani zapestja<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 za lezijo na podlahti je zna\u010dilna pareza iztegovalk prstov in palca brez okvare senzibilnosti<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 je pogosto prizadet pri zastrupitvi s svincem<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d (?)<\/p>\n<p>&nbsp;<\/p>\n<p>19.\u00a0 Za polinevropatijo je zna\u010dilno<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 simetri\u010dni senzibilitetni izpadi na distalnih delih okon\u010din<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 distalni miotati\u010dni refleksi so ugasli<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 vzrok je kompresija spinalne korenine<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 pogost vzrok je sladkorna bolezen<\/p>\n<p>&nbsp;<\/p>\n<p>a, b, d<\/p>\n<p>&nbsp;<\/p>\n<p>20.\u00a0 Za miastenijo gravis je zna\u010dilno:<\/p>\n<p>a.\u00a0\u00a0\u00a0\u00a0\u00a0 hitra utrudljivost ob mi\u0161i\u010dnem naporu<\/p>\n<p>b.\u00a0\u00a0\u00a0\u00a0\u00a0 obse\u017eni senzibilitetni izpadi<\/p>\n<p>c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 pozitivni tenzilonski test<\/p>\n<p>d.\u00a0\u00a0\u00a0\u00a0\u00a0 lahko jo spremlja timom<\/p>\n<p>&nbsp;<\/p>\n<p>a, c, d<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; 1.\u00a0\u00a0\u00a0\u00a0\u00a0 Med kvantitativne motnje zavesti spadajo: a.\u00a0\u00a0\u00a0\u00a0\u00a0 somnolenca b.\u00a0\u00a0\u00a0\u00a0\u00a0 sopor c.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 delirij d.\u00a0\u00a0\u00a0\u00a0\u00a0 koma e.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 zamra\u010denost &nbsp; a, b, d<\/p>\n","protected":false},"author":336,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1086],"tags":[1768,2170,3737,1087,3738],"class_list":["post-4531","post","type-post","status-publish","format-standard","hentry","category-3letnik-nevrologija","tag-gradivo-za-nevrologijo","tag-izpit-iz-nevrologije","tag-izpit-za-nevrologijo","tag-nevrologija","tag-zapiski-za-nevrologijo"],"_links":{"self":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/4531","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/users\/336"}],"replies":[{"embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/comments?post=4531"}],"version-history":[{"count":0,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/posts\/4531\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/media?parent=4531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/categories?post=4531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.zdravstvena.info\/vsznj\/wp-json\/wp\/v2\/tags?post=4531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}