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Flashcards in FARR Neurology Deck (28):
1

Unilateral, severe periorbital headache with tearing and conjunctival erythema.

Cluster headache.

2

Prophylactic treatment for migraine.

Antihypertensives, antidepressants, anticonvulsants.

3

The most common pituitary tumor. Treatment?

Prolactinoma. Dopamine agonists (e.g., bromocriptine).

4

A 55-year-old patient presents with acute “broken speech.” What type of aphasia? What lobe and vascular distribution?

Broca’s aphasia. Frontal lobe, left MCA distribution.

5

The most common cause of SAH.

Trauma; the second most common is berry aneurysm.

6

A crescent-shaped hyperdensity on CT that does not cross the midline.

Subdural hematoma—bridging veins torn.

7

A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely source? Treatment?

Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation.

8

CSF findings with SAH.

Elevated ICP, RBCs, xanthochromia.

9

Albuminocytologic dissociation.

Guillain-Barré syndrome (↑ protein in CSF without a significant ↑ in cell count).

10

Cold water is flushed into a patient’s ear, and the fast phase of the nystagmus is toward the opposite side. Normal or pathologic?

Normal.

11

The most common 1° sources of metastases to the brain.

Lung, breast, skin (melanoma), kidney, GI tract.

12

May be seen in children who are accused of inattention in class and confused with ADHD.

Absence seizures.

13

The most frequent presentation of intracranial neoplasm.

Headache.

14

he most common cause of seizures in children (2–10 years).

Infection, febrile seizures, trauma, idiopathic.

15

The most common cause of seizures in young adults (18–35 years).

Trauma, alcohol withdrawal, brain tumor.

16

First-line medication for status epilepticus.

IV benzodiazepine.

17

Confusion, confabulation, ophthalmoplegia, ataxia.

Wernicke’s encephalopathy due to a deficiency of thiamine.

18

What % lesion is an indication for carotid endarterectomy?

Seventy percent if the stenosis is symptomatic.

19

The most common causes of dementia.

Alzheimer’s and multi-infarct.

20

Combined UMN and LMN disorder.

ALS.

21

Rigidity and stiffness with resting tremor and masked facies.

Parkinson’s disease.

22

The mainstay of Parkinson’s therapy.

Levodopa/carbidopa.

23

Treatment for Guillain-Barré syndrome.

IVIG or plasmapheresis.

24

Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior.

Huntington’s disease.

25

A six-year-old girl presents with a port-wine stain in the V2 distribution as well as with mental retardation, seizures, and ipsilateral leptomeningeal angioma.

Sturge-Weber syndrome. Treat symptomatically. Possible focal cerebral resection of the affected lobe.

26

Café au lait spots on skin.

Neurofibromatosis type 1.

27

Hyperphagia, hypersexuality, hyperorality, and hyperdocility.

Klüver-Bucy syndrome (amygdala).

28

May be administered to a symptomatic patient to diagnose myasthenia gravis.

Edrophonium.