All

Question 1

Behavioral changes, chorea, and dementia prior to 50 y/o. Disease?

Answer 1

Hungtington

CT scan shows ccerebral and caudate nucelus atrophy

Question 2

Idiopathic dopmaine depletion with Lewy bodies. Condition?

Answer 2

Parkinson

Question 3

Signs of Parkinsons

Answer 3

1. Resting tremor-pill rolling that is lessened with ovluntary activity
2. Bradykinesia
3. Rigidity
4. Fixed facial expressions
5. Shuffling gait

Question 4

Treatment of Parkinsons

Answer 4

Levodopa/Carbidopa

Question 5

What type of weakness pattern do patients with Guillain Barre Syndrome show?

Answer 5

Ascending weakness and presthesias that are usually symmetric-decreased DTR

Question 6

CSF shows high protein with normal WBC count. Recent infection with Campylobacter. Treatment?

Answer 6

Plasmophresis or IVIG

*Prednisone contraindicated

Question 7

Autoimmne antibodies againist acetylcholice postsynaptic receptor

Answer 7

Myastehnia gravis

Question 8

Pt comes in ocular weakness, seeing double, inability to look up w/ eyes. Pupil response is normal. Muscle weakness worse with movement. What do you order?

Answer 8

1. Acetylcholine receptor antiboides
2. Tensilon test-improvement
3. Ice pack test shows improvement after ten mins of ocular sx

Question 9

Management of MG?

Answer 9

1. Acetycholinesterase inhibitors: Pyridostigmine or Neostigmine

Question 10

Cholingergic crisis

Answer 10

Weakness, miosis, diarrhea, seating, vomiting, salivation

Question 11

Defect of what cranial nerve in Bells palsy?

Answer 11

CN 7

Question 12

Pt presents with facial weakness. Upon evaluation of forehead, you notice wrinkling of both sides with downward slanting of mouth. Dx?

Answer 12

CVA

Question 13

Trigeminal neuralgia affects what nerve?

Answer 13

CN 5

Question 14

Trigeminal neuralgia in young patient should make you think of what dx?

Answer 14

MS

Question 15

Prophylactic tx in cluster HA

Answer 15

Verapamil

Question 16

First line treatment for cluster HA

Answer 16

O2

Question 17

Dilation of the cerebral ventricles with normal opening pressure on LP

Answer 17

Normal pressure hydrocephalus

Question 18

What treatment should patients with hx of TIA have?

Answer 18

1. Aspirin

2. Plavix

Question 19

Trauma to the temporal area with brief LOC. CT shows hyperechoic area that does not cross suture line. D?

Answer 19

Epidural hematoma- Middle meningeal artery

Question 20

Venous bleed with tearing of briding veins.

Answer 20

Subdural hematoma- MC in older patients

Question 21

CP shows xanthochromia, and increased CSF

Answer 21

Subarchnoid hemorrhage

Question 22

Management of SAH

Answer 22

1. Supporitive-bed rest, stool softner to ower icp
2. surgical coilingor cliniping
3. lower bp gradually with Nicardipine

Question 23

Pte has petecehial rash with meningeal irritation. What organism do you suspect?

Answer 23

N. meningitidis

Question 24

Prophylaxis for contact exposure

Answer 24

Cipro or Rifampin

Question 25

CN

Answer 25

2. Optic- light reflex 3. Oculomotor-check eye movement 4. same as above 5. Close jaw, grind teeth, touch face 6. gaze 7. facial expression 8. hearing 9. gag 10. 10 11. shoulder shrug

Question 26

Bilateral fracture of anterior and posterior arches of C1

Answer 26

Atlas

Question 27

Bilateral fracture of vehicles or pars of c2

Answer 27

Hangman caused by hyperextension

Question 28

Ruinous process allusion fracture due to forced flexion after MVA

Answer 28

Clay shovlers Put in hard collar

Question 29

Central cord syndrome

Answer 29

1. Extension injury causing loss of pain and temp

Question 30

Anterior Cord Syndrome

Answer 30

Caused by flexion compression injuries | Lower extremity deficit with bladder dysfunction

Question 31

What is tv for increased ICP

Answer 31

IF mannitok and elevated head of bed