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SMLE QS > Amer's notes > Flashcards

Amer's notes Flashcards

1
Q

Dementia + Abn gait + urinary incont, Dx?

A

Normal pressure hydrocephalus

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2
Q

Muscle rigidity + Dementia + old age + Behaviroal changes + hallucinations, Dx?

A

Lewy body dementia

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3
Q

Muscle rigiditiy + Tremor only

A

Parkinsons

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4
Q

Young male + Weakness in lower extremity + weakness in face + upper extremity nomral + Hx of diarrhea 1 wk ago, dx?

A

GBS “post upper RTI or Diarrhea”

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5
Q

Mx of GBS & Mysthenia in acute attack

A

IVIG or Plasmaphersis “ICU”

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6
Q

Fasiculations in the dominant hand + Sensory normal + Pulmonary failure

A

ALS

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7
Q

Weakness eye & diplopia after exercise + proximal muscle weakness in progressive manner + Repetition causes more weaknes Dx?

A

Myasthenia gravis

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8
Q

Patient w/small lung cancer + proximal muscle weakness + improves with repetition, dx?

A

Lambert syndrome

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9
Q

MS in acute attack (Gait impairement, blurry vision, fatigue) + MRI showed new leison

A

High dose Steroid

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10
Q

GBS pathophysiology

A

Demylinating disorder.

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11
Q

Inv in GBS VS Mysthenia

A

Both LP

  • GBS: NCS “it’s peripheral nerve disease”
  • Mysthenia: MRI + EMG
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12
Q

Mx of mysthenia gravis in chronic

A

pyridostigmine

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13
Q

Inv for MS:

A

MRI will show periventricular plaque

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14
Q

No 1, RF for stroke

A

HTN

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15
Q

No. RF for CKD

A

DM

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16
Q

No1. RF fpr acute coronary syndrome

A

dyslipidemia

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17
Q

60y + Hemiparesis + 10 days post stroke, nxt?

A

Asprin. too late to do any acute mx

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18
Q

80 yrs + DM + HTN + Vision loss for 20min in left eye + resolved before reaching ER, Dx

A

TIA

“Criteria: <1hr, normal CT”

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19
Q

40 year + Demential + personality changes + No tremor or rigidity, Dx

A

Frontrotemproal

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20
Q

Alzehimers dementia diagnosed 1yr, Best inv:

A

MRI

initial is the mini-mental

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21
Q

Chromosome in Alzehimer disease

A

Chromosome 21

“tau, B-amyloid”

22
Q

Elderly + Dementia + Gait changed & slow for 2m. Dx?

A

Normal pressure hydrocephalus..

Urinary incont is only in 20-30% of patients

23
Q

tx of parkinson tremor:

A

Carbidopa/levidopa “it cause reduction in BP so only give in severe”

24
Q

85 + DM & HTN + tremor + Gait abn + Shuffling gat + Mask face

A

Parkinsons

25
Q

Intention tremor VS Resting tremor

A

Intention is cerebllar

Resting is parkinsons

26
Q

Parkinson + low BP, dx?

A

shydragr

27
Q

28 yr + 2d fever & lethargy + developed Seizure, Mx

A

this is Complicated Meningitis

Vancomycin + Ceftriaxone + steroid “reduce the edema in meningitis”

28
Q

old + change level of conciousness + Fever + LP gram +Ve Bacilli +ve catalyse test, Mx?

A

only give ampicillin because it’s confirmed to be listeria monocytogenis
“No need to give vancomycin & ceftriaxone”

29
Q

59yr + LP lymphocyte 90% + No gram stain findings, tx

  • If there’s Photophobia, neck rigidity
  • If there’s Change in mental status
A
  • this is meningitis, so viral meningitis => Supportive

- This is encephalitis, So viral encephalitiy ==> Acyclovir “HSV is MC”

30
Q

Indian + chronic headache + LP showed lymohcytosis, dx?

A

TB meningitis

31
Q

51 Yr, MC organism for bacterial meningitis

A

Strep pneumonia

32
Q

30 Female + Fever + headache + Neck rigidity, what do you expect to see in CSF

A

“Bacterial is the MC”

SO: High protein, Low glucose, & PMN

33
Q

Prevention measure in meningitis & when to stop isolation

A

Droplet

after 24 hrs

34
Q

Prevention measure in Covid:

A

PPE

35
Q

Prevention measure in TB & when to stop isolation

A

airboren

2wk or 72 hours

36
Q

Came from alhaj + Rash + convulsion + fever, organism?

A

nisseria meningitidis

37
Q

Contact prophylaxis in meningitis with gram -ve dipplococci:

A

Ciproflaxocin

38
Q

Pt after neurological intervention+ Fever + LP showed MRSA, Tx?

A

Vancomycin only.

we have the organism no need to add the other agents

39
Q

Generlized seizure + 20mg diazipam (full dose) + still seizing, nxt?

A
  • IV phenytoin

Repeat diazipam if he didn’t take the full dose. “which he took already”

40
Q

prophylactic for cluster & migraine headache

A
  • Verapmil “CCB –> Cluster –> Chronic”

- Betablocker “BB –> Bigraine” واحد بزكب

41
Q

headache + Nasuea + Can’t tolerat noises + Normal vrain, tx?

A

triptan

42
Q

Headache + red eye + unilateral tearing

A

O2

43
Q

bilateral band headache - crushing - behind the eye, dx

A

tension headache

44
Q

man + 2hr stroke w/CT showing ischemia+ hx of ischemic stroke 2m ago, mx?

A

asprin

avoid thrombolytic because recent stroke <3m

45
Q

TB meningitis CSF findings?

A

lymphocyte, high protein, low glucose

46
Q

late complications of meningitis

A

deafness

47
Q

pathophysiology of Mg

A

Ab against Ach receptors

48
Q

30 Female + L eye pain + Decreased direct pupillary reflex + normal indirect pupillary reflex + Decreased sensation in the same side of face + bilateral LL spasticity + loss sensation + povisitve babinski, best test?

A

MS “bizzare sx”: Brain & spinal MRI

49
Q

45male + unilateral facial nerve weakness 1hr + medically free, Mx?

A

this is facial palsy give

steroid

50
Q

Clinical features with abducent nerve palsy

A

Dilopia
nystagmus
esotropia
headache

51
Q

30 yr, throbbing headache + N&V, mx?

A

triptan

SMLE QS (6 decks)

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