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Question 1

Which type of hemorrhage is associated with a lucid interval?

Answer 1

Epidural

Question 2

Best method of investigation of a CNS neoplasm?

Answer 2

MRI WITH CONTRAST

Question 3

What do we give to decrease vasogenic oedema due to a brain tumor?

Answer 3

Dexamethasone

Question 4

Management of acute onset optic neuritis?

Answer 4

Pulse steroids

Question 5

Name 3 potentially epileptogenic drugs

Answer 5

ciprofloxacin
tramadol
anti malarial.

Question 6

Drugs w/ important AED interactions

Answer 6

warfarin / digoxin/ oral ontraceptive / antibiotics

Question 7

Gold standard investigation for the diagnosis of PNES?

Answer 7

Video EEG

Question 8

Most important investigation for epilepsy

Answer 8

EEG + brain MRI

Question 9

the single most useful laboratory study for the evaluation of patients with a suspected myopathy?

Answer 9

CK.

Question 10

When taking muscle biopsies, which muscles should we choose?

Answer 10

UPPER EXTREMITIES: biceps
LOWER EXTREMITIES : vastus lateralis.

Question 11

Most diagnostic investigations of DM?

Answer 11

Myositis specific autoantibodies
Muscle biopsy

Question 12

Most diagnostic investigations of DM?

Answer 12

DermatoMyositis specific autoantibodies
Muscle biopsy

Question 13

What muscle biopsy findings are diagnostic for dermatomyositis?

Answer 13

Atrophy in the perifasicular area.

Question 14

Why is it important to differentiate immune mediated necrotizing myopathies from LGMD?

Answer 14

LMGD: non treatable/ non painful
immune mediated necrotizing myopathies: treatable/ painful

Question 15

Autoantibodies in IMNM?

Answer 15

SRP + HMG-CoA reductase autoantibodies

Question 16

Management of autoimmune myopathies? (DM/ anti syntehatse/ IMNM)

Answer 16

• mild weakness: prednisone
• moderate weakness: prednisone + Immunotherapy (methotrexate/ azathioprine/ microphrnylate mofetil) etc
• cancer screening since they are common paraneoplastic syndromes.

Question 17

Diagnostic investigation of IBM?

Answer 17

MRI, shows asymmetrical muscle affection.

Question 18

Treatment of MG

Answer 18

• Pyridostigmine (if AChR autoantibodies)
• Plasma exchange + IVIg for exacerbation
• PREDNISONE FIRST LINE mmunosuppressant
• thymectomy
• Rituximab for refractory disease

Question 19

Symptoms of Lambert Elton and its association with/ lung cancer?

Answer 19

• gait dysfunction/lower extremity weakness,
• areflexia or hyporeflexia
• autonomic dysfunction.
  Associated with good prognosis is present w/ SCC.

Question 20

Inheritance pattern of dystrophinopathies?

Answer 20

X linked.

Question 21

US findings of CMT?

Answer 21

Nerve thickening

Question 22

What investigation can we use to screen asymptomatic relatives of patients of CMT

Answer 22

NC

Question 23

Is CMT demyelinating or axonal?

Answer 23

Could be both.

Question 24

Management of CMT?

Answer 24

rehabilitative and symptomatic

Question 25

Management of chronic carpal tunnel syndrome

Answer 25

Rest and splints may help. • Diureticsandanti-inflammatorydrugs • Steroids injection into the carpal tunnel • Incise the transverse carpal ligament to decompress the tunnel.

Question 26

Antibodies present in MMN?

Answer 26

anti-GM1

Question 27

Management of MMN?

Answer 27

Favorable response to IVIg

Question 28

“Cytoalbuminous dissociation “ is a finding in which comditons?

Answer 28

Aseptic meningitis GBS

Question 29

Important findings in viral meningitis?

Answer 29

Temporal love enhancement on MRI Focal seizures (commonly of temporal lobe)

Question 30

Important findings in viral meningitis?

Answer 30

Temporal love enhancement on MRI Focal seizures (commonly of temporal lobe)

Question 31

Important findings in viral meningitis?

Answer 31

Temporal love enhancement on MRI Focal seizures (commonly of temporal lobe)

Question 32

What investigation should be done for suspected fungal meningitis

Answer 32

Inidia ink test

Question 33

MRI findings in bacterial meningitis?

Answer 33

Leptomeningel enhancement

Question 34

Difference in treatments of CIDP vs GBS?

Answer 34

Gbs: Plasma exchange + IVIg. DO NOT GIVE STEROIDS!!! CIDP: - PREDNISOLONE - Plasma exchange + IVIg

Question 35

What is titubation a sign of?

Answer 35

Cerebellar dysfunction

Question 36

Triggers of a seizure

Answer 36

MISSED ANTIEPILEPTIC DOSE ALCOHOL/ DRUGS SLEEP DEPRIVATION HYPOGLYCEMIA (skipping meals) PHOTOSENSITIVITY ( flashing lights) DEHYDRATION MENSES IN SOME WOMEN

Question 37

Most important location of intra cerebral hematoma on top of hypertension?

Answer 37

Lenticulostriate arteries which supply the BG and internal Capsul The largest medial one (Recurrent artery of H𝑒ubner) is known as the artery of internal hemorrhage M.)