Phys Vivas · neurological
Neurological Investigation LP EMG NCS EEG Neuroimaging — Viva Defence
DCE viva defence for Neurological Investigation LP EMG NCS EEG Neuroimaging.
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Target exams
Neurological Investigation LP EMG NCS EEG Neuroimaging Viva
Long Case Viva Defence
Opening statement
"This patient presents with a problem best framed as Neurological Investigation LP EMG NCS EEG Neuroimaging. My priorities are to identify red flags, confirm the mechanism with purposeful investigations, start a sequenced management plan, and integrate multimorbidity and follow-up." [1] [2]
Examiner questions
Q1: "What makes this urgent?" [1]
"I look for threats to airway, perfusion, neurology, metabolism, infection or bleeding, and I escalate those before elective work-up." [1] [2]
Q2: "What is your first investigation package?" [2]
"I order tests that change management now, not a scattergun panel." [1] [2]
Q3: "Walk me through treatment." [1]
"Stabilise, treat the mechanism, prevent complications, and plan monitoring." [1] [2] [3]
Q4: "What is the classic trap?" [2]
"Treating a label without confirming the discriminating mechanism, or delaying escalation." [1] [2]
Short case
Counsel the patient on the plan, risks and warning symptoms in plain language. [1] [2]
References
- [1]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [2]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005
- [3]Osborne AK, Brown RD, Sillence E Effects of Social Media Narratives on Affective and Behavioral Responses to Menopause Content: Randomized Online Experimental Study JMIR Form Res, 2026.PMID 42467962
- [4]Wolfenson Z, Grois G, Hailemeskel RF, Sabaii M, et al. Clinical and Genetic Characteristics of Free Sialic Acid Storage Disorder J Inherit Metab Dis, 2026.PMID 41879269
- [5]Luth S, Birklein F, Schramm C, Herkel J, et al. Multiplex neuritis in a patient with autoimmune hepatitis: a case report World J Gastroenterol, 2006.PMID 16981276
- [6]Kristeva-Feige R, Fritsch C, Timmer J, Lücking CH Effects of attention and precision of exerted force on beta range EEG-EMG synchronization during a maintained motor contraction task Clin Neurophysiol, 2002.PMID 11801434
- [7]Sun N, He Y, Xiong J, Xie F, et al. Six rehabilitation methods with acupuncture on consciousness in patients with traumatic brain injury: protocol for a network meta-analysis Front Neurol, 2026.PMID 42440755
- [8]de la Vega SAF, Abat MEM, Garcia AP, Dimatatac BM, et al. Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Mental Health and Addiction Acta Med Philipp, 2026.PMID 42382930