Disease = Tx

Question 1

Huntington Dz

Answer 1

Nothing - fatal 15-20 yrs

• Chorea = dopa blocker
• Cognitivive = AchE inhibitors

Question 2

Essential Familial Tremor

Answer 2

Propranolol

*behavioral mods (caffeine, assistve devices)

Question 3

Parkinson’s Dz

Answer 3

• Levodopa/Cardidopa
• DOPA AGS = (Pramiprexole, Bromocriptine
• ANTICHOL = (Trihexyphenidyl, Benztropine)
• Amantadine
• MAOb BLOCKER = (Selegiline, Rasagiline)

Question 4

Tourette’s Syndrome

Answer 4

• CBT
• Dopa Blocker = (Haloperidol, Risperidone)
• Clonazepam

Question 5

ALS

Answer 5

Riluzole

Question 6

Cerebral Palsy

Answer 6

Diazepam/Baclofen

SEIZURES = Anti-epileptics

Question 7

Restless Leg Syndrome

Answer 7

• 1st DOPA AGS = (Pramiprexole, Ropinirole)
• Levodopa, Gabapentin
• benzos/opiates
• IRON supplements

Question 8

Guillan Barre

Answer 8

*Plasmapheresis
*IVIG
*Prednisone
+/- mechanical ventilation

Question 9

Myesthenia Gravis

Answer 9

• AchE BLOCKERS = (Pyrostigmine/Mestinon) + PREDNISONE
• ACUTE = IMMUNOSUPPRESSION Rx (cancer risk), Plasmapheresis, IVIG,
• THYMECTOMY

Question 10

Multiple Sclerosis

Acute + Relapse/remitt/progressive

Answer 10

• *Acute**
• IV corticosteroids
• IF NO BETTER THEN: Plasmpheresis
• *RELAPSE/REMIT, PROGRESSIVE DZ**
• Immunomodulating Rxs
• B - Interferon
• Natalizumab - (JC Virus -> PML!!!)

Question 11

Bell’s Palsy

Answer 11

• Prednisone (w/in 72 hrs onset)
• Acyclovir
• artificial tears/patch/pain control

Question 12

Tension HA

Answer 12

• NSAID/Aspirin/Aceta
• Combos w/ Caffeine
• Heat/warm bath
• TCAs (Amitriptyline)

Question 13

Migraine HA

Answer 13

• *S/s**
• *Triptans (BEST)
• *Ergtamines (5HT1ags)

::EXTRA::
Dopa blockers = Metoclopramide

Long-term
Anti HTN = B-blocker, CCB
Anticonvulsant

Question 14

Trigeminal Neuralgiia

Answer 14

Carbamazepine
gabapentin

Glycerol injection

Question 15

Cluster HA

Answer 15

ACUTE = 100% O2
*Triptan/ergot/opiate

PROPHYLAXIS = Verapamil

Question 16

Idiopathic Intracranial HTN

Answer 16

Acetazolamide

Question 17

Normal Pressure Hydrocephalic

Answer 17

Ventriculoperitoneal shunt

*shunt revisions w/ time

Question 18

Concussion

Answer 18

Rest

Question 19

Alzheimer’s

Answer 19

• MILD : Donepezil, Galantamine, Rivastigmine = AchE BLOCKER
• SEVERE : Memantine = NMDA BLOCKER

Question 20

Benign Meningioma

Answer 20

NO SURGERY (watch + wait)

Question 21

NML

Answer 21

• Discontinue Rx
• dopa ags
• Muscle relax = Dantrolene

Question 22

Serotonin Syndrome

Answer 22

• Discontinue Rx
• Hyperthermia = Benzo
• LAST RESORT = Serotonin blockers

Question 23

Ischemic Stroke

Answer 23

*rT-Pa w/in 3-4.5 hrs
3-4.5 hour no elderly
*lower BP
*Dysphagia
*Aspirin, long-term anticoag = DVT/PE/Future stroke

Question 24

Intraparanchymal Hemorrhage

Answer 24

• Hemostasis
• BP Management
• Seizure prophylaxis
• Surgery = (hydrocephalus, compression, herniation)

Question 25

Aneurysmal SubArach Hemorrhage

Answer 25

* early prevention of bleed | * Clipping/Coiling aneurysm

Question 26

Bacterial Meningitis

Answer 26

IV Vanc + Ceftriaxone * elderly? --> +Ampicillin (listeria) * NO steroids in USA

Question 27

Fungal Meningitis

Answer 27

* IV antifungal (monitor Hepatic) * ICP? Shunt * Fluconazole (life-time)

Question 28

Creutzfeldt-Jakob dz

Answer 28

Nothing | *Hugs

Question 29

Subarachnoid Hemorrhage

Answer 29

* Neurosurgery = decompression | * Watch ICP = anti-emetics, Anti-HTN

Question 30

AVM

Answer 30

Excision | Cauterization

Question 31

Aneurysm

Answer 31

Clipping | Coiling (only if neck)

Question 32

Dystonia

Answer 32

* Chemodenervation | * Rx = Dopaminergic, Dopa depleting Antichol

Question 33

Tardive Dstkinesia

Answer 33

STOP Rx

Question 34

Peripheral Sensory Neuropathy PSN

Answer 34

* Gabapentin = (ANTI-CONVULSANT) * TCA/SNRI = (ADD) * Tramadol = (WEAK MU OPIOID) * Lidocaine patches * alpha lipoic acid * healthy lifestyle

Question 35

Carpal Tunnel Syndrome

Answer 35

Night splint NSAID Surgery PT

Question 36

Herpes Zoster Tx w/in (time)

Answer 36

72 hours

Question 37

Post-Herpetic Neuralgia

Answer 37

*Gabapentin ANTICONVULSANTS *ADD

Question 38

PT Goals

Answer 38

Recover vs. Compensation | Prevention

Question 39

Vascular Dementia

Answer 39

* Memantine = (AchE Blocker) | * PT/OT

Question 40

Frontotemporal dementia

Answer 40

* SSRI - (decrease disinhibition) | * Olanzapine - ATYTPICAL ANTI-PSYC

Question 41

Epilepsy

Answer 41

* Phenytoin, Vaproate, Carbamazepine - ANTI-SEIZURE * Epilepsy Surgery * Neuromodulation = Vagal N stimulation, Responsive Neurostim * Diet = Keto, atkins

Question 42

Most Seizures

Answer 42

Phenytoin Valproate Carbamazepine

Question 43

Generalized, Non-Convulsive Seizures

Answer 43

Ethosuximide | Valproate

Question 44

Status Epilepticus

Answer 44

* airway * Lorazepam * iF NO : Phenytoin * IF NO: Phenobarbetal + general anesth * if need = glucose * if alcoholic = thiamine + magn

Question 45

Syncope

Answer 45

* Underlying cause * Glucose + Hydration * Rx Dose decrease