EMQs in Clinical Medicine.pdf - Peshawar Medical College

82 Neurology
36 Gait
A
B
C
D
E
F
myopathic gait
cerebellar ataxia
femoral nerve injury
sciatic nerve injury
Alzheimer’s dementia
Parkinson’s disease
G
H
I
J
K
L
sensory ataxia
Pick’s dementia
Huntington’s disease
Sydenham’s chorea
psychogenic gait
spastic gait
For each clinical scenario below, give the most likely cause for the gait that is
observed. Each option can be used only once.
1 A 65-year-old man with a festinant, shuffling gait.
2 A 60-year-old woman walks with a drop foot and high-stepping gait shortly
after hip replacement.
3 A 65-year-old man presents after a stroke with a stiff right leg that drags forward
in an arc.
4 A broad-based high-stepping gait in a known alcoholic.
5 A broad-based unstable gait with veering to the right side.
Answers: see page 98.