Miscellaneous

Question 1

Treatment for spasticity in MS?

Answer 1

Baclofen (GABA-B receptor agonist) and tizanidine (alpha 2 adrenergic agonist)

Question 2

Single episode of delirium increase risk for

Answer 2

Further cognitive decline

Question 3

What is Cushing reflex?

Answer 3

Triad seen with ­increased ICP, where the patient will have: 1) HTN, 2) bradycardia, and 3)
respiratory disturbance (classically decreased RR, but there’s an NBME Q where they don’t give RR as decreased)

Question 4

Key words:
Meningitis vs brain abscess vs encephalitis

Answer 4

Photophobia, nuchal rigidity = meningitis
Focal neurologic deficits = brain abscess
Confusion, altered mental status = encephalitis

Question 5

Presentation Polyarteritis nodosa (PAN)

Answer 5

• Mononeuritis multiplex (a neuropathy of two or more non contiguous peripheral nerves)
• skin, renal, gi manifestations
• Spares the lungs