🎙️ Dr. Robbins Rascals NeuroQuickReels

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MCQ 1

“A 25-year-old has loss of pain/temp on the left from T6 down; fine touch intact. Lesion is?”

A. Left dorsal column T6

B. Right lateral spinothalamic T6

C. Left anterior spinothalamic T6

D. Right dorsal horn T6

Answer: B. Right lateral spinothalamic T6

Pitfall: Don’t swap sides—spinothalamic crosses early, dorsal columns cross in medulla.

MCQ 2

“In early syringomyelia, the first sensory deficit is:”

A. Ipsilateral vibration below lesion

B. Bilateral cape-like loss of pain/temp

C. Contralateral crude touch below lesion

D. Ipsilateral fine touch at lesion level

Answer: B. Bilateral cape-like loss of pain/temp

Pitfall: Avoid confusing segmental motor signs with initial sensory dissociation.

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