Clin Med - Exam 1 Flashcards
(50 cards)
1
Q
- Which of the following is a descending tract?
A
Lateral corticospinal tract
2
Q
- Radial nerve palsy with Saturday night palsy
A
Triceps is in tact
3
Q
- Pathophysiology of MS
A
Multifocal lesions & inflammation in 2 parts of CNS
4
Q
- Pathophysiology of MS
A
Multifocal lesions & inflammation in 2 parts of CNS
5
Q
- Gbs- be able to recognize it and differentiate between this and MS
A
GBS –> Hyporeflexia
- Rapid, Areflexic, Ascending motor paralysis
MS –> Hyperreflexia
- Multifocal lesions & inflammation in 2 parts of CNS
6
Q
- What is not a SXS of Parkinson’s. Which is not Parkinsonian sx
A
Ans – Cognitive
7
Q
- MC Intercranial aneurysm
A
AVM
8
Q
- MC cause of intracerebral hemorrhage?
A
HTN
9
Q
- A guy has MVA, and can’t move/feel hand
A
Cervical neck injury/palsy
10
Q
- A guy has MVA, and can’t move/feel hand
A
Cervical neck injury/palsy
11
Q
- Carpal tunnel syndrome is
A
Nnumbness in fingers 1-4
12
Q
- MC cause of Wericis insufficiency
A
Thiamine deficiency d/t Alcohol
13
Q
- Uni-lat HA, w/conjustivitis & runny nose
A
Cluster headache
14
Q
- Case - w/ pt can’t Adduct eye, and Naystagmas on contralateral eye
A
INO - Intraocular opthalmaplegia
15
Q
- Myesthenia Gravis lab for Dx?
A
2-Tenselon Test
16
Q
- Duration of Status epileptics
A
> 5 minutes
17
Q
- When does onset of huntingtons chorea start?
A
3 - 80 yo
18
Q
- Asked about sleep apnea and what does it cause
A
Decrease in O2 level
19
Q
- What part of sleep is considered dreaming:
A
REM Sleep.
20
Q
- Severe headache, stiff neck, Lumbar puncture Had blood in CSF
A
Subarachnoid hemorrhage
21
Q
- Tx for MG and GBS
A
Immunoglobulin
22
Q
- Case – Girls passes out with her her eyes closed for 2 secs. No other sx’s. no seizure…..
A
Syncope
23
Q
- Case – A guy used to be a Chronic Alcohol & drug abuser. Than has a seizure, but was not drunk or in drugs.
A
Hyponutremia due to Alcohol withdrawal
24
Q
- 1st line tx for status epileptics
A
Lorazepam
25
24. Case – pt w/ s/s of GBS, IGG was gin w/o success. What the next step
Plasmapheresis
26
25. 1st line tx for Parkinson's
levadopa/carbadopa
27
26. MS presentation/cause
Multifocal demyelation, in more than one region of CNS
28
27. Case – kid in school, teacher complains he does’t pay attention. She claims he stares, and does not respond
Absence seizure
29
28. Pt has ALS and many other condition, but was experiencing Peripheral neuropathy. Which test should be done
Fasting blood glucose, CBC….
30
29. Tx for MS was
IV methylprednisone
31
30. According to Harrison’s – a pt w/ Migraine headache. Which med, should you not give.
Narcotics
32
31. Case – Pt with Myasthenia gravis has Thymoma. Ho do you tx it.
Thymectomy
33
32. Case – Pt has Tension HA headaches (Generalized pain in the head, and back of the eye(retroorbital)). According to Harrison’s what’s the best tx for it?
Beta adrenergic blockers
34
33. Case – Apt (Older Woman) has new seizure. What is the most likely cause for the seizure
FHx, Prodrome, Tumor, Drugs
35
34. Case – pt has sustained muscle contraction. What is the reason. What condition
Dystonia
36
35. Case – Pt has restless leg syndrome. Which of the fallowing is not the defining presentation of it?
Paristhesia's in legs
37
36. Case – pt presents with S/Sx of Complex focal seizures (Loss of Conscious → W/Aura)..
Complex Focal Seizures
38
37. Case – If a pt has brown Secard syndrome. What is the presentation
Contralateral pain and temp loss
39
38. Whis of the fallowing is the descending track
Lateral Corticospinal
40
39. Case – Pt has foot drop. What is the DDx
L5-Radiculopathy (foot drop & loss of Ankle reflex)
41
41. Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
Ocular pharyngeal Dystrophy
42
41. Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
Ocular pharyngeal Dystrophy
43
42. Case – pt presents w/ ptosis, Ataxia, dysphagia & proximal weakness. What is the most likely Dx?
Ocular Pharyngeal dystrophy
44
43. Case – A pt is drooling, proximal neck extensor weakness, sensory EOM & Bladder in tack. What is the cause?
Upper & lower neurons (UMN & LMN Issues) & cognitive fnx is spared.
45
44. A pt whom has presentation of that of migraines. What are the trigger points
Estrogen or hormones, light or noise, stress, sleep deprivation, etc...
46
45. Case – Pt has optic nerve blurring, macula enlargement, & 50/50 vision, you believe it is optic nerve lesion.
Blind spot got bigger
47
46. Case – Pt’s blood results show Campylobacter infection. What condition is associated with it?
GBS
48
48. Case - pt suddenly a sleep, directly into of REM sleep. What is the most likely cause?
Narcolepsy
49
49. What is the most common cause of Spinal Epidual Abscess?
Staph Aureus
50
50. Case – A pt presents w/ Left uni-lateral facial weaknes. She was unable to wrinkle forehead, can’t shut the eye & can’t smile. What is the most likely Dx?
Bell’s Palsy
