Neuro

Question 1

Midline defect of vertebral bodies

Answer 1

Spina bifida occulta

Question 2

Hair patch, dermal sinus

Answer 2

Spina bifida occulta

Question 3

Spina bifida occulta typically involves what vertebra

Answer 3

L5-S1

Question 4

Protrusion of the meningeal sac plus cerebral cortex, cerebellum, or brainstem through a midline skull defect called cranium bifidum

Answer 4

Encephalocoele

Question 5

MC location of encephalocele worldwide

Answer 5

Occipital

Question 6

MC location of encephalocoele in asians

Answer 6

Nasofrontal

Question 7

Most common form of dysraphism inv vertebral column

Answer 7

Myelomeningocele

Question 8

MC location Myelomeningocele

Answer 8

Lumbosacral region

Question 9

Dysraphism associated with Arnold Chiari syndrome

Answer 9

Myelomeningocele

Question 10

Most common seizure disorder in childhood

Answer 10

Febrile seizures

Rare before 9 months and after 5 years

Question 11

EEG for febrile seizure

Answer 11

Normal

Question 12

Seizure >15 min
Repeats within 24 hrs
+ focal findings post-ictal

Answer 12

Complex febrile seizure

Question 13

Sudden cessation of motor activity or speech with a blank stare

Answer 13

Absence seizures (petit mal)

Question 14

EEG of Absence seizures

Answer 14

Typical 3/sec spike with generalized wave discharge

Question 15

Absence seizures rarely persists more than ___ seconds

Answer 15

3 seconds

Question 16

DOC for Absence seizure

Answer 16

Ethosuximide

Back up: valproic acid

Question 17

Neurocutaneous syndrome
Autosomal dominant
Presents as infantile spasms and ash leaf lesions (hypopigmented macules and patches)

Answer 17

Tuberous sclerosis

Question 18

Brain lesion of Tuberous sclerosis

Answer 18

Tubers

Question 19

Sebaceous adenoma at 4-6 yp
Shagreen patch at lumbosacral region
Mulberry tumors at the retina
Cardiac rhabdomyomas

Answer 19

Tuberous sclerosis

Question 20

Facial nevus, seizures, hemiparesis, intracranial calcifications (serpentine or railroad tract appearance)

Answer 20

Sturge weber

Question 21

Most common type of Cerebral palsy

Answer 21

Spastic

Question 22

MC acquired chorea of childhood

Answer 22

Sydenham chorea

Question 23

Symmetric chorea, disappears during sleep.

Answer 23

Sydenham chorea

Question 24

Sydenham chorea is the only neurologic manifestation of what disease

Answer 24

Rheumatic fever