High Yield Neurology

Question 1

Unilateral Headaches accompanied by nasak Stuffiness, Conjunctival injection and lacrimation
Treatment?

Answer 1

Dx: Cluster Headache
Tx: Verapamil

CP: Unilateral headache (often occurring at night, retro-orbital headache) + rhinorrhea + lacrimation
treatment:
Verapamil
Methysergide
Lithium and bridging treatment with Prednisolone

100% O2 - inhalation for 15 mins - acute attack of cluster headache
Sumatriptan - second line treatment of a cluster headache

Question 2

Lumpn on her left side of her face
Slowly growing
Displacing earlobe outwards
Dx?

Answer 2

Pleomorphic Adenoma

Question 3

Ptosis and Dilated Pupil

Answer 3

Third Cranial nerve palsy

Question 4

Ptosis and Diplopia with no pupil abnormality

Answer 4

Myasthenia Gravis

Question 5

Associated with Progressive Opthalmoplegia and Limb weakness induced by exercise.
Does not involve the pupils

Answer 5

Mitochondriak Myopathy

Question 6

Ptosis, miosis and ipsilateral loss of sweating

Answer 6

Horner’s Syndrome

Question 7

Weak ankle and Pain in the lateral shin and dorsum of the foot 3 daays after a bowel resection for colon cancer
Weakness in eversion and dorsiflexion of the foot is noted.
Inversion of the ankle is preserved.
dX?

Answer 7

Common Peroneal Damage

Question 8

What is the typical clinical presention of common peroneal neuropathy and where is the site

Answer 8

Acute Foot drop at the Fibular Neck - Foot limp

Question 9

Ankle reflezes and senses at the posterior calf and lateral foot.

Answer 9

s1 nerve root

s1 radiculopathy may cause weakness of the plantar flexion

Question 10

Ankle and great toe dorsiflexion

Answer 10

L5 motor nerve

Question 11

Numbness in the medial foot and the webspace between the first and the second toe

Answer 11

L5 sensory nerve

Question 12

Features of dementia of Lewy bodies

Answer 12

Rapidly fluctuating cognition
Visual Hallucinations
Spontaneous motor parkisonism

Question 13

Serotonin Syndrome features

Answer 13

Hyprerreflexia
Dilated pupils
Hyperactive Bowel sounds

Question 14

Hyporeflezia
Normal Pupil
decreased bowel sounds

Answer 14

Neuroleptic malignant Sydnrome

Question 15

What is true regarding the clock drawing test?

Answer 15

Measure of severity of dementia

Question 16

What is the surgical procedure for an alleviation of symptoms like tremor and rigidity

Answer 16

Palliodotomy

Question 17

Gold standard for Parkinson’s disease

Answer 17

Levodopa

Question 18

3 -4 attacks of Migraine
Prevention?

Answer 18

Tx:
Amitriptylline
Pizotifen
Propanolol
Sodium valproate

Question 19

Asial Rigidity, dysphagia and vetical gaze abnormality

Answer 19

Supranculear Palsy

Question 20

Does not cause Stiffness on the neck

Answer 20

Botulism

Question 21

Progressive weakness of the left arm
kept dropping objects from his right hands
Sensations are intact
reduced power and tone in the elft arm
dx?

Answer 21

Motor Neuron Disease

Question 22

Which of the ff degenerative disease of the cNS is caused by infectious proteins

Answer 22

Creutzfedlt Jkob disease

Question 23

Treatment of Migraine in children

Answer 23

1st line - Ibuprofen
Second line - Paracetamol

Question 24

Worst headache of his life

Answer 24

Subarachnoid Hemorrhage

Question 25

Unable to tell whetehre they are standing on the right or left side during the assessment

Answer 25

Left parietal lobe

Question 26

Most significant risk facor for falls in elderly

Answer 26

Visual Impairment

Question 27

Seizure patient and who is on medication for 12 months how long can he drive again

Answer 27

3 months

Question 28

Acute onset of vertigo without hearing loss or tinnitus An absence of tinnitus and hearing loss Symptoms follow an immune mediated sequel following a viral illness leading to inlammation of the Vestibular nerve Dix-Hallpike is negative Change in head position aggravates vertigo

Answer 28

Vestibular neuritis

Question 29

Mild tremor worsening using her hands

Answer 29

Essential Tremor

Question 30

Treatment of Essential Tremors

Answer 30

Propanolol and Primidone

Question 31

Characterized by wing-beating tremor Signs of hepatic failure, rigidity, clumsy gait and dysarthria

Answer 31

Wilson's disease

Question 32

Most approp way to monitor the resp status of GBS

Answer 32

Forced Vital Capacity

Question 33

Sixth nerve palsy is rarely caused by which one of the ff

Answer 33

Low CSF pressure after lumbar puncture

Question 34

Inability to see in the right halves of the both eyes Hypertension, hyperlipidemia, obesity, smoking and atrial fibrillation Possible location of the lesion

Answer 34

Left Occipital Lobe - Homonymous Hemianopia

Question 35

Racoon eyes

Answer 35

Basilar Skull Fracture

Question 36

History of strpke with meory impairment

Answer 36

Vascular dementia

Question 37

Muscle weakness with myasthenia gravis

Answer 37

Ocular muscle weakness

Question 38

Stroke is localize to the broder of the somatosensory and association aread in the posterior parietal lobe Symptoms ?

Answer 38

Loss of the ability to recognise items based on touch (Tactile Agnosia)

Question 39

Early, insidiouus short term memory loss Language deficits and spatial disorientation Personality changes

Answer 39

Alzheimer Disease

Question 40

Cerebral Infarction and Deeo or White Matter changes on Neuroimaging

Answer 40

Vascular dementia

Question 41

Apathy, disinhibition and compulsive behavior

Answer 41

Frontotemporal Dementia

Question 42

Visual hallucinations

Answer 42

Dementia With lewy bodies

Question 43

Ataxia and urinary incontinence

Answer 43

Normal Hydrocephalus

Question 44

Rapod progession Myoclonus with or without seizures

Answer 44

Prion Disease

Question 45

Most common infection in the GBS

Answer 45

Campylobacter jejuni

Question 46

brain of Down syndrome will have the features of

Answer 46

Alzheimers disease

Question 47

Which of the ff test will best assess this patient's risk of foot ulcers

Answer 47

Monofilament testing

Question 48

hit on the head by a ball while playing cricket able to continue but 1 hr later become drowsy and went into coma Dx?

Answer 48

Extradural Hematoma

Question 49

Which of the medication may result to coginitive improvement in Alzheimer disease

Answer 49

Donepezil

Question 50

Bilateral Spastic paraparesis and urinary urgency pain and thermal sensation loss on part of his left body and proprioception loss on his R foot

Answer 50

Brown Sequard (hemisection) Syndrome