CNS

Question 1

After sinus surgery ptn feels numbness in lower lid and upper lip, what nerve is injured?

Answer 1

Infraorbital

Question 2

Can’t close one eye what the affected nerve

Answer 2

Facial

Question 3

Treatment for acute migraine attack

Answer 3

Aspirin

Question 4

Nausea and vomiting, bilateral cranial nerve pulses , bilateral symmetrical descending weekness, ptn didn’t urinate for 4 hours , no fever

Answer 4

Botulism

Question 5

Female with MG presented with dyspnea, weakness, fatigue, she’s on pyridostegmine, how to manage

Answer 5

IV immunoglobulin and plasma pharesis

Question 6

What medications to give for Mg

Answer 6

Pyridostigmen

Question 7

Old ptn with poorly controlled DM ,HTN , she complains of dizziness when she stands and her BP drops as well but her HR stays the same what the cause

Answer 7

Autonomic neuropathy

Question 8

DM Ptn complaining of ptosis, double vision when looking lateral ( 3rd nerve palsy ) with intact and reactive pupils.what’s the cause

Answer 8

DM 3rd nerve neuropathy

Question 9

After having car accident ptn cannot put fork in his mouth , where is the lesion

Answer 9

Cerebellum

Question 10

Ptn is complaining of dizziness , spinning sensation and sense of falling forward, what’s this called

Answer 10

Vertigo

Question 11

Ptn complaining of sever headache ( triggered by alcohol) , typically involve one eye .that occurs on the same time for few days before remitting.how to prevent it and how to treat an acute case

Answer 11

Verapamil but if acute presentation first thing give 100%

Question 12

Ptn known to have epilepsy brought to the ER with 25 minutes seizure. with 2 days missing treatment, in the ER he was given diazepam but no improvement what to add?

Answer 12

Phenytoin

Question 13

Female present with headache on temporal lobe , there is tenderness on palpation temporal lobe what is she at risk for ( diagnosis is giant cell arthritis)

Answer 13

Blindness

Question 14

Old ptn on allopurinol for gout is having tinnitus in his both ears for few years, what’s the cause?

Answer 14

Medication

Question 15

Ptn with tremor that increases with activity as writing, what’s the medication

Answer 15

Propranolol, if resting tremor give levodopa

Question 16

Acetaminophen is given for ….

Answer 16

Chronic infection

Question 17

What’s the nerve supplies ear pinna of external ear

Answer 17

Great auricular nerve

Question 18

Ptn presented with ascending lower limb weakness, with history of gastrointestinal infection or vaccine 3 weeks ago = GBS, what’s the outcome

Answer 18

Full recovery

Question 19

Female had gastroenteritis she took mitochlopramide after that she started having involuntary facial muscle contractions with protruding tongue, how to manage

Answer 19

Diphenhydramine

Question 20

Adenoma that is found accidentally on ptn who complain of recurrent headache, what’s the management?

Answer 20

Neurosurgery referral

Question 21

Old ptn with HTN and loss of cognitive function, what’s your diagnosis

Answer 21

Vascular dementia

Question 22

Young ptn develops sudden facial nerve palsy what the management

Answer 22

Steroids, antiviral

Question 23

Ptn with status epilepticus for 5 minutes , he already has IV access, what’s the first thing to give? And what if she still didn’t respond

Answer 23

IV lorazepam/ then give IV phenytoin

Question 24

Old ptn have have sleeping pb ( can’t sleep ) what to give

Answer 24

Zolpidem or benzodiazepines

Question 25

Old ptn with Parkinsonism and visual hallucinations , diagnosis

Answer 25

Lewy bodies dementia

Question 26

Ptn with HTN has progressive loss of memory and impaired cognitive function, MRI shows hyperintense lesion what’s the diagnosis

Answer 26

Vascular dementia

Question 27

Ptn lost sensation on the medial side of the leg but motor function remains intact, which nerve is injured?

Answer 27

Saphenous

Question 28

Sharp , shooting pain in the neck radiating to shoulder and jaw, what’s the diagnosis

Answer 28

Cervical disc prolapse

Question 29

Ptn had thenar muscle atrophy with intact sensation, what nerve is injured

Answer 29

Median nerve

Question 30

Ptn with multiple sclerosis develops diplopia, what to give in acute exacerbation

Answer 30

IV steroids

Question 31

Ptn with band like headache with throbbing pain behind the eyes with history of school stress, what type of headache?

Answer 31

Tension headache

Question 32

Old ptn has pain in her legs especially when going down the stairs, but she can go up the stairs while bending her back. Diagnosis

Answer 32

Lumbar stenosis

Question 33

Ptn with MS is complaining of loss of vision and worsening of lower limb weakness, MRI shows enlargement in the sclerotic area, she’s now in active phase, what to give her

Answer 33

IV corticosteroids

Question 34

Ptn presented with bilateral ptosis , lower and upper limb weakness, Simpson test was positive, and after doing edrophonium test there was rapid improvement, treatment

Answer 34

Pyridostigmine

Question 35

Ptn with meningitis her CasC shows gram negative bacilli, what prophylactic treatment you should give to her contacts?

Answer 35

Rifampicin

Question 36

What’s the cause of Mg

Answer 36

Autoantibodies against acetylcholine receptors

Question 37

Site of Parkinson’s disease

Answer 37

Substentia negra

Question 38

Limited adduction of eye with ptosis, which nerve is injured

Answer 38

3rd nerve palsy

Question 39

Ptn complaining of headache with red eye and increased lacrimation, prevention

Answer 39

Verapamil

Question 40

History of head trauma, came with polyuria, polydepsia, diagnosis

Answer 40

Central Diabetes insipidus