2015

Question 1

TRANSIENT GLOBAL AMNESIA

Answer 1

בילבול ופגיעה בזיכרון לטווח קצר- רק קצר ובאנטרוגרדי. שואלים שוב ושוב את אותה השאלה!

Question 2

lacunar stroke

presentation

Answer 2

1 Pure motor stroke/hemiparesis
2 Ataxic hemiparesis - (bailar part of pons, more...)
3 Dysarthria/clumsy hand
4 Pure sensory stroke
5 Mixed sensorimotor stroke

progressive, usually asymptomatic

Question 3

lacunar stroke
causes
asymptomatic present
ct or mri

Answer 3

result from lipohyalinosis of small resistance vessels, usually CHRONIC HYPERTENSION
found in approximately 10% of brains at autopsy

not seen on CT or MRI

Question 4

when will you suspect a lacunar infarct?

Answer 4

solated nature of the neurologic

deficit makes the clinical picture of lacunar infarction distinctive

Question 5

Anosognosia

asomatognosia

Answer 5

types of neglect

Question 6

SAH LAB DIAGNOSIS METHOD

Answer 6

first - CT. sensetive for the first day (90%)

if negative - LP!!! most sensetive!

Question 7

levodopa side effects

Answer 7

nausea, vomiting, hypotension, abnormal movements (dyskinesias), restlessness, and confusion. Cardiac arrhythmias

Question 8

amantadine side effects

Answer 8

for mild parkinsonism

(restlessness, confusion, skin rashes, edema, disturbances of cardiac rhythm

Question 9

when carbamezapine should be discontinued?

Answer 9

total neutrophil count falls

below 1,500/mL or if aplastic anemia is suspected

Question 10

cryptococcal clincal findings

Answer 10

headache, confusion, stiff neck, fever, nausea and vomiting, seizures, and CRANIAL NERVE PALSIES

Question 11

THALAMIC PAIN

Answer 11

כאב שורף בצד קונטרא לטראלי.
מופיע לאחר התאוששות מחסר סנסורי בגלל שבץ.
יכול להיות גם בגלל פגיעה באונה פריאטלית או אחת המסילות הסנסוריות.
טיפול - משככי כאבים, נוגד פרכוס (קרבמזפין/ פניטואין) או נוגדי דיכאון.

Question 12

Dejerine-Roussy syndrome.

Answer 12

sensory loss, spontaneous pain, and perverted cutaneous sensation has

parietal lobe or the sensory
pathways at any point in the cord (posterior columns or
spinothalamic tract) or in the brainstem. Treatment with
analgesics, anticonvulsants (carbamazepine or phenytoin),
or antidepressants and phenothiazines in combination is
occasionally helpful.

Question 13

adies pupil

Answer 13

dilated pupil (mydriasis) which does not constrict in response to light, loss of deep tendon reflexes, and abnormalities of sweating

light-near dissociation (no light reaction but accomadation)

damage to the postganglionic fibers of the parasympathetic innervation of the eye, usually by a viral or bacterial infection

Question 14

status epilepticus treatment

Answer 14

1 diazepam
2 phenytoin
3 more phenytoin
4 phenobarbital
5 phenobarbital - general anesthesia

Question 15

pupil size

pons herniation vs pons lesion

Answer 15

herniation - midsize

lesion - pin point!

Question 16

The most common cause of a fixed, dilated pupil in a comatose patient is

Answer 16

transtentorial herniation of the medial temporal

lobe from a supratentorial mass.