AAN stuff

Question 1

Tic doloureux =

Answer 1

Trigeminal neurlagia

Question 2

MS CSF finding, other than IgG and oligoclonal bands

Answer 2

pleocytosis, w/o elev PMNs, normal glucose, slightly elevated protein

Question 3

When should concussed athlete play again?

Answer 3

when all sx abate at rest without meds

Question 4

Semantic problems , i.e. unable to tell difference between things - area of brain?

Answer 4

dominant lateral temporal

Question 5

Visuospatial problems - area of brain?

Answer 5

nondominant parietal

Question 6

AED for generalized seizure with least risk of teratogenic effects?

Answer 6

lamotrigine

Question 7

meds that put at risk for ICP/IIH/pesudotumor cerbri?

Answer 7

TCNs
OCPs
Vit A
steroids

Question 8

stroke with horner’s syndrome in setting of trauma to head or neck - think?

Answer 8

carotid dissection

Question 9

affective sx to seizure suggest what brain location?

Answer 9

temporal lobe

Question 10

qudarantopia - pie in the sky visual loss - where in brain?

Answer 10

meyer loop in temporal lobe

Question 11

foot drop and wekaness on eversion of foot - nerve affected?

Answer 11

peroneal (likley at fibular head)

Question 12

REM sleep disorder and acting out dreams can occur before wich disorders? and how long before?

Answer 12

PD and LB, >10 years before

Question 13

bradycardia in treated Alzheimer patients likley due to ?

Answer 13

side effect of cholinesterase inhibs

Question 14

first line for diabetic neuropathy pain?

Answer 14

pregabalin

Question 15

BP cutoff for tPA? ie don;t give if higher than?

Answer 15

185/110

Question 16

If it looks like MS but no Llhermittes, clean MRI, etc. consider what?

Answer 16

b12 defic

Question 17

sudden praaysis in young people, check what?

Answer 17

potassium - can be hypo or hyper

Question 18

unilateral down and out eye is what nerve palsy?

Answer 18

3rd

Question 19

red, beefy tongue indicates (with neuro sx)?

Answer 19

B12 defic

Question 20

weakness in supination, elbow flexion, sensation loss over radial forearm - nerve involveed?

Answer 20

musculocutaneous

Question 21

acute optic neuritis in young man - cause? and cells responsible?

Answer 21

demyleination of optic nerver, oligodendrocytes

Question 22

Neuromyelitis optica immune treatment depends on presence/absence of what?

Answer 22

anti-aquaporin-4 Ab

Question 23

Acute/severe shoulder pain unilateral or bilateral progressing to weakness and atrophy of arms (poss sensory deficits too)?

Answer 23

idiopathic brachial plexopathy aka Parsonage-Turner syndrome

Question 24

dysarthria with limb ataxia (clumsy hand)? type/location of stroke?

Answer 24

lacunar in pons (or internal capsule)

Question 25

opthalmic artery is branch of ?

Answer 25

internal carotid

Question 26

median nerve compression: carpal tunnel vs forearm?

Answer 26

CT: thumb abduction weakness forearm: thumb flexion and abduction weakness, thenar eminence numbness (as does NOT go through CT)

Question 27

acute onset big flailing movements - name for this and likley infarct location?

Answer 27

hemiballismus, infarct in contralateral subthalamic nuclei (part of basal ganglionic pathway)

Question 28

TGA therapy (transient global amnesia)?

Answer 28

none/reassurance, even if punctuate foci seen on MRI

Question 29

myoclonus in someone recovering from cardiac arrest, likely due to?

Answer 29

cerebral anoxia

Question 30

loss of vertical gaze, loss of pupillary light reflex, nystagmus triggered by upward gaze, lid retraction? likely diagnosis

Answer 30

Parinaud syndrome due to pineal gland tumor (pineocytoma) - usually benign

Question 31

secondary stroke prevention med for patients with hypercoagulable risk factors (eg a-fib)?

Answer 31

warfarin rather than ASA

Question 32

acute post stroke care - what to do with blood pressure?

Answer 32

do not adjust to normotensive

Question 33

Restless Leg Treatment?

Answer 33

It's a momvemnt prob so dopamine agonists like pramiprexole, then gabapentin

Question 34

contralalteral motor/sensory deficits, worse in LE than UE, possivle urinary incontinence - stroke location?

Answer 34

ACA