Master the Boards

Question 1

Which stroke artery presents with weakness/sensory loss on one side, homonymous hemianopsia, and aphasia?

Answer 1

MCA

Question 2

Which stroke artery presents with personality/cognitive defects, urinary incontinence, and leg>arm weakness?

Answer 2

ACA

Question 3

Which stroke artery presents with sensory loss of half of face, 9th and 10th CN involvement, and sensory loss and ataxia of the limbs?

Answer 3

PCA

Question 4

If the patient is already on aspirin at the time of the stroke, what should you do (2 options)?

Answer 4

1. Add dipyridamole
   or
2. Switch to clopidogrel

Question 5

Below or equal to what age do you fix a PFO in context of a stroke?

Answer 5

60

Question 6

What commonly used meds can increase the metabolism of lamotrigine to ineffective levels?

Answer 6

Estrogens/OCPs

Question 7

What medication should you give for subarachnoid hemorrhage to prevent stroke?

Answer 7

Nimodipine

Question 8

What dx presents with loss of all function except for position and vibratory sense, paralysis an dloss of DTRs at the level of infarction?

Answer 8

ASA infarction

Question 9

What dx presents with loss of position and vibratory sensation?

Answer 9

B12 deficiency or neurosyphilis

Question 10

What dx presents with contralateral/ipsilateral?

Answer 10

Brown-Sequard

Question 11

What dx presents with loss of pain and temperature across upper back and both arms (cape-like distribution)?

Answer 11

Syringomyelia

Question 12

T/F: antiparkinson drugs can cause psychosis?

Answer 12

True

Question 13

What do you add if a patient with Parkinson’s on tx becomes psychotic?

Answer 13

Add clozapine or an atypical antipsychotic

Question 14

What’s the tx for restless leg syndrome?

Answer 14

Pramipexole (DA agonist)

Question 15

Which trinucleotide repeat is present in Huntington’s?

Answer 15

CAG trinucleotide on chromosome 4

Question 16

How is ALS diagnosed?

Answer 16

Electromyography

Question 17

What does electromyography show in ALS?

Answer 17

Loss of neural innervation in multiple muscle groups

Question 18

How are CK levels changed in ALS?

Answer 18

Elevated

Question 19

What’s the most common cause of death in ALS?

Answer 19

Respiratory failure

Question 20

What are 2 drugs that delay ALS progression?

Answer 20

1. Edaravone

2. Riluzole

Question 21

What is “pseudobulbar affect?”

Answer 21

Emotional lability in ALS, stroke, and MS

Question 22

What’s the best treatment for pseudobulbar affect?

Answer 22

Dextromethorphan plus quinidine

Question 23

What dx presents with distal weakness and sensory loss, wasting in the legs, tremor, and foot deformity with a high arch?

Answer 23

Charcot-Marie-Tooth

Question 24

What’s the test for Charcot-Marie-Tooth?

Answer 24

Electromyography

Question 25

Is there a treatment for Charcot-Marie-Tooth?

Answer 25

No

Question 26

Which nerve palsy presents with wrist drop?

Answer 26

Radial "Radial Rist"

Question 27

What nerve is "Saturday night palsy?"

Answer 27

Radial

Question 28

Which nerve palsy presents with pain/numbness on outer aspect of one thigh, often from obesity, pregnancy, or sitting with crossed legs?

Answer 28

Lateral cutaneous nerve of thigh

Question 29

Which nerve palsy presents with pain/numbness in the ankle and sole of foot?

Answer 29

Tarsal tunnel

Question 30

Which nerve is involved in tarsal tunnel?

Answer 30

Tibial

Question 31

What's the tx for Bell's palsy?

Answer 31

Prednisone

Question 32

Why does corneal ulceration occur with 7th CN palsy?

Answer 32

Because of difficulty closing the eye at night

Question 33

What's the direction of paralysis in Guillain-Barre?

Answer 33

Ascending from the legs

Question 34

What's the tx for Guillain-Barre?

Answer 34

IVIg or plasmapharesis (not combined)

Question 35

What's a variant of Guillain-Barre syndrome that involves the oculomotor nerve?

Answer 35

Miller-Fisher Syndrome

Question 36

Which antibody tests Lambert-Eaton Myasthenic Syndrome?

Answer 36

Anti-P/Q-type voltage-gated calcium channel antibody

Question 37

Lambert-Eaton vs MG pathophysiology?

Answer 37

Ab's against presynaptic Ca channels vs. post-synaptic ACh channels

Question 38

What's the best tx for MG?

Answer 38

Pyridostigmine or neostigmine

Question 39

What's the first line treatment for AD?

Answer 39

Donepazil, rivastigmine, galantamine

Question 40

Do you treat Lewy Body Dementia with Carbidopa/Levodopa?

Answer 40

Yes

Question 41

Which dementia is rapidly progressive and involves myoclonic jerks?

Answer 41

Creutzfeldt-Jakob