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Index
»
L12 LOCO
»
Chapter 1
»
Level 1
level: Level 1
Questions and Answers List
level questions: Level 1
Question
Answer
Single fibre necrosis, regeneration + Increased central nucleation + type 2 fibre atrophy so Type 1 fibre predominance & moth-eaten’ fibres + – ‘finger-print’, ‘zebra body’
Myopathic
METABOLIC MYOPATHIES :vacuolation at periphery of muscle fibre & prominent subsarcolemmal clumping of abnormal mitochondria &‘Ragged red’ fibres
Mitochondrial myopathies
Symptoms usually < 6 years fatigu ,Mental retardation ,Muscle weakness ,Frequent falls & difficulty in walking Type 1 fibre predominance
Muscular dystrophies
Dysferlinopathy and splitting fibers indicate
Limb girdle muscular dystrophy
Duchenne-Becker dystroph caused by
absence of dystrophin
Benign Tumours of muscle Common in the uterus
leiomyoma
malignant Tumours of muscle Blood stream spread is common &Metastasis to lung
Leiomyosarcoma
localized injury to nerve - Axon distal to the injury will rapidly degenerate & -Proximal segment regenerates
Wallerian degeneration
injury to the myelin sheath with preservation of axons cause
Segmental demyelination
generalized injuries to nerve cell bodies or axons,Axonal degeneration starts in more distal part of the axon and progressively extend to the proximal parts
Distal axonal degeneration
most common hereditary peripheral neuropathy
Charcot-Marie Tooth (CMT) disease
Distal muscle weakness, atrophy of the calf at Childhood & Autosomal dominant
Hereditary Motor and Sensory Neuropathies
caused by Repeated segmental demyelination and remyelination
Schwannian “Onion-Bulb” Proliferation
Benign Neoplasms of peripheral nerves Associated with multiple endocrine neoplasia
neurofibroma
Benign Neoplasms of peripheral nerves + Circumscribed mass attached to the nerve , densely cellular areas with nuclear pallisading & Verocay bodies
schwannoma
Malignant Neoplasms of peripheral nerves composed of spindle shaped cells. Mitosis are increased ,Necrosis of tumour is common
malignant peripheral nerve sheath tumour