Neuro 1

Question 1

biggest risk factor of lacunar strokes

Answer 1

HTN

Question 2

tx of parkinson’s tremor

Answer 2

benztropine

Question 3

tx of huntington’s chorea

Answer 3

haldol

Question 4

parkinsonism, autonomic dysfunction, widespread neurological signs

• dx
• tx

Answer 4

Shy Drager / multiple system atrophy

intravasc volume expansion with fludricortisone, salt, alpha agonist, compression stockings

Question 5

sxs of shy dragger / multiple system atrophy

Answer 5

parkinsonism
autonomic dysfunction
widespread neurological signs

Question 6

characteristics of riley day / familial dysautonomia

Answer 6

Ashkenazi jew
dysfunction of autonomic NS
orthostatic hypotension

Question 7

tx Lewy body dementia

Answer 7

acetylcholenesterase inhibitors (rivastigmine)
if that doesn't work and still hallucinations, atypical antipsychotics

Question 8

after fibrinolytics

• goal BP
• use what med to bring down BP

Answer 8

less than 185/110 24 hours after

labetalol

Question 9

seizure in child that’s similar to absence, but isn’t affected by hyperventilation

Answer 9

focal seizures

Question 10

sxs of lateral cerebellar infarction

Answer 10

dizzy
ataxia
weakness
tendency to sway to side of lesion

Question 11

brown sequard IL and CL sxs

Answer 11

IL: motor (weakness), vibration, proprioception
CL: temp, pain

Question 12

MC site of hypertensive hemorrhage

Answer 12

putamen, which is part of basal ganglia (and usually involves internal capsule, which causes hemiparesis)

Question 13

eye deviation with thalamus

Answer 13

eye deviates Toward HEMIPARESIS

Question 14

complications of subarachnoid hemorrhage and timing

Answer 14

within 1 hour: rebreeding

after 3 hours: vasospasm

Question 15

cerebral vasospasm after SAH

• how to diagnose
• what to prevent

Answer 15

CTA

nimodipine

Question 16

Uthoff and Lhermitte sign of MS

Answer 16

Uthoff: increase sxs in heat
Lhermitte: electric sensation down spine or limbs with neck flexion

Question 17

most common brain tumor in kids

Answer 17

astrocytoma

Question 18

syringomyelia associated with

Answer 18

arnold chiari malformation type 1 (brain tissue extends into spinal cord)

Question 19

management of brain mets, single vs multiple

Answer 19

single and accessible and good functioning person: surgery followed by stereotactic or whole brain radiation
single, nonsurg cand, small less than 3 cm, or inaccessible lesion: sterotactic radiation
multiple: whole brain radiation

Question 20

cauda equina syndrome involves compression of

Answer 20

spinal nerve roots

Question 21

clinical indications for craniotomy

Answer 21

GCS less than 8
signs of incr ICP
pupillary abnormalities
hemiparesis
cerebellar signs

Question 22

DOC for partial seizures

Answer 22

phenytoin

Question 23

anterior cord sxs

Answer 23

loss of motor, pain, temp

Question 24

acute disk prolapse sxs

Answer 24

pos straight leg raise

radicular pain

Question 25

tx of myasthenia crisis (respiratory failure)

Answer 25

corticosteroids and IVIG or plasmapharesis

Question 26

ascending paralysis without weakness, and progresses in hours. dx?

Answer 26

tick borne paralysis

Question 27

long term effects of bad meningitis

Answer 27

``` seizures hearing loss loss of cognitive function MR spasticity or paresis ```

Question 28

prophylaxis for cluster headaches

Answer 28

lithium ergotamine verapamil

Question 29

tx for cluster headaches

Answer 29

100% oxygen | IM sumatriptan

Question 30

pronator drift is a sign of

Answer 30

pyramidal tract / corticospinal tract disease | or upper motor neuron disease