FARR Neurology

Question 1

Unilateral, severe periorbital headache with tearing and conjunctival erythema.

Answer 1

Cluster headache.

Question 2

Prophylactic treatment for migraine.

Answer 2

Antihypertensives, antidepressants, anticonvulsants.

Question 3

The most common pituitary tumor. Treatment?

Answer 3

Prolactinoma. Dopamine agonists (e.g., bromocriptine).

Question 4

A 55-year-old patient presents with acute “broken speech.” What type of aphasia? What lobe and vascular distribution?

Answer 4

Broca’s aphasia. Frontal lobe, left MCA distribution.

Question 5

The most common cause of SAH.

Answer 5

Trauma; the second most common is berry aneurysm.

Question 6

A crescent-shaped hyperdensity on CT that does not cross the midline.

Answer 6

Subdural hematoma—bridging veins torn.

Question 7

A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely source? Treatment?

Answer 7

Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation.

Question 8

CSF findings with SAH.

Answer 8

Elevated ICP, RBCs, xanthochromia.

Question 9

Albuminocytologic dissociation.

Answer 9

Guillain-Barré syndrome (↑ protein in CSF without a significant ↑ in cell count).

Question 10

Cold water is flushed into a patient’s ear, and the fast phase of the nystagmus is toward the opposite side. Normal or pathologic?

Answer 10

Normal.

Question 11

The most common 1° sources of metastases to the brain.

Answer 11

Lung, breast, skin (melanoma), kidney, GI tract.

Question 12

May be seen in children who are accused of inattention in class and confused with ADHD.

Answer 12

Absence seizures.

Question 13

The most frequent presentation of intracranial neoplasm.

Answer 13

Headache.

Question 14

he most common cause of seizures in children (2–10 years).

Answer 14

Infection, febrile seizures, trauma, idiopathic.

Question 15

The most common cause of seizures in young adults (18–35 years).

Answer 15

Trauma, alcohol withdrawal, brain tumor.

Question 16

First-line medication for status epilepticus.

Answer 16

IV benzodiazepine.

Question 17

Confusion, confabulation, ophthalmoplegia, ataxia.

Answer 17

Wernicke’s encephalopathy due to a deficiency of thiamine.

Question 18

What % lesion is an indication for carotid endarterectomy?

Answer 18

Seventy percent if the stenosis is symptomatic.

Question 19

The most common causes of dementia.

Answer 19

Alzheimer’s and multi-infarct.

Question 20

Combined UMN and LMN disorder.

Answer 20

ALS.

Question 21

Rigidity and stiffness with resting tremor and masked facies.

Answer 21

Parkinson’s disease.

Question 22

The mainstay of Parkinson’s therapy.

Answer 22

Levodopa/carbidopa.

Question 23

Treatment for Guillain-Barré syndrome.

Answer 23

IVIG or plasmapheresis.

Question 24

Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior.

Answer 24

Huntington’s disease.

Question 25

A six-year-old girl presents with a port-wine stain in the V2 distribution as well as with mental retardation, seizures, and ipsilateral leptomeningeal angioma.

Answer 25

Sturge-Weber syndrome. Treat symptomatically. Possible focal cerebral resection of the affected lobe.

Question 26

Café au lait spots on skin.

Answer 26

Neurofibromatosis type 1.

Question 27

Hyperphagia, hypersexuality, hyperorality, and hyperdocility.

Answer 27

Klüver-Bucy syndrome (amygdala).

Question 28

May be administered to a symptomatic patient to diagnose myasthenia gravis.

Answer 28

Edrophonium.