2014

Question 1

types of common tremors

cause per type`

Answer 1

rest - parkinson, wilson
postural - physiologic, essential
intention - essential, cerabelar

Question 2

drug MOA

XXXXXX PONE

Answer 2

COMT

Question 3

drug MOA

XXXXXX GILINE

Answer 3

MOA B INHIBITORS

Question 4

ropinirole

Answer 4

dopamin agonist

parkinson

Question 5

clozapine

Answer 5

schisophrenia

dopamin ANTAGONIST

Question 6

טיפול לטרשת נפוצה - היפר רפלקסיה של שלפוחית

Answer 6

inoxybutin

Question 7

diagnosis method for first seizure after the age of 25

Answer 7

MRI

Question 8

seizure tretment strategy

Answer 8

1 new seizures - (more then one) - 1 drug with loading dose
2 recuurent under therapy - 
  # drug blood levels 
  # consider slight dose increase
  # changing drug - after maximum theraputic benefit with the first drug
 # surgery - if everything failed for 2 years

Question 9

ptc signs

Answer 9

headache, vomiting, naussa
vision bluring - can develope into vision loss
diplopia
papiledema

Question 10

migrane treatment

Answer 10

simple analgestics
triptans
ergot alkaloids

Question 11

migrane

age

Answer 11

55% before age 20. 90% before 40

Question 12

migrane with aura (classic)

Answer 12

visual aura - scotoma and flickerings
usually not more than 1 attack/week
2-24 hours
remission - 2,3 trimesters, after menapause
classic - unilateral fronatal pain.
occasionally produces neurologic deficits

Question 13

migrane without aura (common)

Answer 13

bilateral periorbital pain
4-72 hours!!! terminated by vomiting
carotid compression reduce the sevirety

Question 14

CLUSTER HEADACHE

CLINICAL FINDINGS

Answer 14

very severe, unilateral, constant, nonthrobbing
15 minfrom to 3 hours.

always unilateral and usually recur on the same side
commonly at night, awakening the patient from sleep, and recur daily, often at nearly the same time of day (circadian periodicity),
for a cluster period of weeks to months.

hypothalamic activation.
Horner syndrome
alcohol or vasodilating drugs,

Question 15

TENSION HEADACHE

Answer 15

after 20
bilateral occipital without nausea, vomiting or visual disturbance. tight band around the head.
hours to days

treatment:
acute - nsaid and same…
prophylactic - amitriptyline or impramine

Question 16

HIV-associated dementia

Answer 16

HIV 1 related
cognitive, behavioral, and motor deficits.
primitive reflexes,
hyperreflexia, extensor plantar responses, and cerebellar ataxia.

Question 17

brain death criteria

Answer 17

unresponsive +
Pupillary, corneal, and oropharyngeal responses are absent,
negative doll’s-head and cold-water caloric test.
negative apnea test
cause of coma must be known!

Question 18

situations that produce brain death clinical picture (without true one)

Answer 18

hypothermia (32.2)
drug intoxication
neuromuscular blockage
shock

Question 19

time needed for brain death criteria

Answer 19

6 hours - flat EEG
12 hours without EEG
24 hours anoxic brain without EEG
0 hours - absence of blood flow on angio or doppler