neuro nbme

Question 1

signs sx of ankylosing spondy

Answer 1

bamboo spine
gi problems
enthesitis --> inflammation at tendon insertion sites, ie achilles
pain with forward flexion
pain that is worse with awakening

Question 2

sydenham chorea

Answer 2

JONES
**joints= migratory

involuntary non repetitive mvmts that can involve limbs, trunk, neck face
-can be unilateral

neuropsych- anxiety, laughter, ocd, etc

occurs 1-8 months after inciting infectin!!

Question 3

s/sx of arnold chiari II malformation

Answer 3

myelomeningocele (spina bifida)
feeding difficulties
breathing difficulties
**presents much earlier than chiari I

Question 4

late sx f acoustic neuromo

Answer 4

Pressure of adjacent structures!
facial nerve: paralysis
trigeminal nerve: facial pain or hypoesthesia
hydrocephalus

***unilateral hearing loss is the most common sx

Question 5

PML on MRI? Who gets PML?

Answer 5

spread out, non enhancing white matter without mass effect

immunosuprresed

Question 6

sensineural hearing loss

Answer 6

AC> BC

weber test lateralizes to GOOD EAR

Question 7

localization of lesion causing amarosis fugax

Answer 7

INTERNAL carotid