VEM 5384 VETERINARY NEUROLOGY

Final Schedule for Spring, 2006
Instructors: Dr. Roger Clemmons (Coordinator), Dr. Kara Sessums, Dr. Jerry Demuth

 
Monday Tuesday Wednesday Thursday Friday
. January 3

1:00-2:50

lecture 1 & 2

Lecture Hall A 

rmc

 . . January 6

10:30-12:20

lecture 3 & 4

Lecture Hall A 

rmc
.  . January 11

2:00-3:50

discussion 1

Lecture Hall A

rmc

 . January 13 

3:00-3:50 

lecture 5 

Lecture Hall A 

ks
.  . January 18 

3:00-4:50 

lecture 6  & 7

Lecture Hall A 

jd/rmc

 . .
January 23 

3:00-3:50 

lecture 8

Lecture Hall A 

rmc

 January 24 

3:00-3:50 

lecture 9

Lecture Hall A 

rmc

 January 25

1:00-2:50 

discussion 2

Lecture Hall A 

rmc

 . .
. . February 1 

3:00-4:50 

OPTIONAL review

Lecture Hall A 

rmc

 .  February 3 

10:45-12:20

FINAL EXAMINATION

Lecture Hall A 

rmc

Note: All classes and the Final Examination are held in Lecture Hall A of the VAB.

Lectures:

Discussions:
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Final Examination:
 
 

The final examination will be given on February 7, 2003, and cover all the material given during lecture. The format for this examination will be covered in class.
 
 

Grades:
 

As of the beginning of the course, all students have the grade of A. Your grade might fall below an A if you loose points on the final examination. The grading scale is minus 0-10 points=A, minus 11-15 points=B+, minus 16-20 points=B, minus 21-25 points=C+, minus 26-30 points=C, etc. If you feel that you might loose too many points on the final examination, extra credit points can be added to your score to make certain you maintain your A. There will be an extra credit video case on the final whereby you can gain up to 5 more points. Good Luck!!!!
 
 

Dr. Clemmons may be reached at 392-4700 Ex. 5700 or phone mail at 5751 or by email at rmc@ neuro.vetmed.ufl.edu or at his office V2-107.

Course Objectives:

Course Books:

SCAVMA Notes: A, B, C , D, E, & F

Reading Assignments:
 

    Practice Examination:
 
 

Circle the most correct answer. Be certain to put your name on all exam sheets. Use pencil and completely erase any wrong answers before turning in.
 
 

1. Which of the following cell types produces myelin around axons in the peripheral nervous system?

2. The central nervous system is dependent upon a constant supply of which two substances for its energy requirements? 3. Which of the following tracts is important in maintaining extensor (anti-gravity) motor tone? 4. A 4 year old, female domestic short-hair cat presents with signs of acute blindness. Pupillary reflexes are intact, but there is no menace response. The lesion is most likely in the 5. A 1 year old goat is presented with a history of acute onset of a right-sided head tilt and abnormal eye movements of 3 days duration. During the past 24 hours, the goat has also reportedly been having increased difficulty walking and seems to be weak on the right side. On your examination you confirm the above findings. There is vertical nystagmus of the eyes and a right-sided head tilt. There is right-sided weakness and the reflexes in the rear legs are slightly hyperactive. You also notice a diminished palpebral reflex and decreased ear movements on the right side of the head. Based upon the history and clinical signs, where is the most likely location for this lesion? 6. Which of the following mechanisms of disease is the most likely cause of the neurologic disease of the goat in problem 5? 7. The gag reflex tests the integrity of which of the following cranial nerves? 8. A 9 year old Arabian filly has ataxia and hypermetria of all 4 limbs and her head. She has an intention tremor of her head which worsens when she tries to eat. Where is the most likely location of her lesion? 9. The diagnostic plan for lesions in the central nervous system below the foramen magnum usually include all of the following except: CASE # 1:

SIGNALMENT: Equine: 2 year old, Thoroughbred mare

PRIMARY COMPLAINT: Tetraparesis

HISTORY: The horse has been increasingly clumsy over the last six months. The problem was first noticed after a thunderstorm, which the horse seems to be sensitive to. During the last week, the horse has shown a stiff gait in the forelegs and has seemed to stumble when turning to the left.

NEUROLOGIC EXAMINATION: The horse has no evidence of cranial nerve abnormalities, there is no evidence of head tilt or muscle atrophy of the head. The horse is reluctant to move its neck and there appears to be some evidence of kyphosis in the cranial neck. On gait analysis, the horse has ataxia with circumduction in the rear limbs. There is a spastic gait in the forelegs with a shortened stride. There is occasional toe dragging in the rear limbs. The horse can be easily pulled to the side while walking by pulling on her tail to the side. The problem seems worse when the head is elevated and when walking up a slope. The slap test was deficient bilaterally.

QUESTIONS:

10.     Based upon the neurologic examination of Case #1, where is the most likely location of the lesion?

11.     Which of the following diseases should be considered as the four most common diseases to include in your differential diagnosis (the four most likely problems which would cause this problem)? (choose 4) 12.     A CBC, chemistry profile and urinalysis were all run and found to be within normal limits. In order to determine which of the previous problems you included in your differential diagnosis above is the cause of the patients problem, which of the following tests would you ask to be performed? Choose only those which you think will help you handle this case.
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