neuro

Question 1

most common eye CN palsy - causes, work up,

Answer 1

abducens nerve palsy

Question 2

Bells palsy

Answer 2

unilateral facial MUSCLE weakness without other focol neuro defecits

primarily idiopathic, also seen in pregnancy, diabetes, infection

most resolve w/out tx, prednisone + valacyclovir/acyclovir

*corneal abrasion is a complication if eye closure is effected –> nighttime taping

Question 3

what is the most common site for ischemic stroke

Answer 3

MCA

Question 4

artery involved + stroke sx

anterior cerebral artery (ACA)

Question 5

artery involved + stroke sx

MCA

Question 6

PCA

Question 7

basilar

Question 8

vertebral

Question 9

carotid

Question 10

what are the main risk factor for cerebral artery aneurysm? what is the most modifiable risk factor?

Question 11

3 types of aneurysm? what is the most common

Question 12

dx gold stanfard for aneurysm?

Question 13

aneurysm - tx, risk for rupture

Question 14

SAH - presentation, dx, tx

Question 15

high suspiscion for SAH, imaging is negative, what is your next step?

Answer 15

LP –> xanthrochromia

Question 16

stroke, TIA

Question 17

how do we risk stratify TIA

Answer 17

ABCD2 ……

Question 18

stroke managment + timing

Question 19

TPA contraindications

Question 20

subdural vs epidural hematoma

Question 21

coup/countercoup injury

Question 22

at what GCS score do you intubate

Answer 22

**less than 8 **–> intubate

Question 23

coma

Question 24

describe battle’s sign and raccoon eyes on PE. what are they significant for?

Answer 24

Battle’s sign - post-auricular ecchymosis
Raccoon eyes - periorbital ecchymosis

indicate Basilar skull fracture

other findings: CSF otorrhea/rhinorrhea, blood in external ear cancal

concern for CN injury (I, II, VI, VII or VIII)

Question 25

concussion and post-concussion syndrome

Question 26

migraine HA - describe presentation, triggers, tx, ppx

Question 27

cluster HA - presentation/sx, freq, tx, prevention

Question 28

tension HA

Question 29

HA redflags

Question 30

how to diff. central vs peripheral vertigo ddx for both

Question 31

encephalitis - common causes, s/sx, LP findings

Question 32

PE signs testing for meningeal irritation

Question 33

meningitis + petechiae rash concerning for what?

Answer 33

meningococcal

Question 34

meningitis - empiric tx + for specific organisms and who gets it

Question 35

meningitis CSF findings - bacterial vs viral

Question 36

dementia vs delirium

Question 37

partial/focal seizures - simple vs complex

Question 38

describe Jacksonian march

Question 39

generalized siezures

Question 40

define status epilepticus

Question 41

status epilepticus management

Question 42

ascending vs descending nerve tracts

Question 43

brown sequard syndrome

Question 44

central cord syndrome/injury

Question 45

anterior cord syndrome/injury

Question 46

posterior cord syndrome/injury

Question 47

conus medullaris syndrome vs cauda equina syndrome

Question 48

cervical myelopathy

Question 49

lumbar radiculopathy

Question 50

epidural abscess

Question 51

CRPS - dystropic vs atropic

Question 52

nerve palsies .....

Question 53

trigeminal neuralgia

Question 54

deficiency of what neurotransmitter is associated with Parkinson's disease

Question 55

parkinson sx

Question 56

what is the heritance pattern of essential tremor

Answer 56

autosomal dominance

Question 57

what improves essential tremor? makes it worse? tx?

Question 58

inheritance pattern and chromosome involved in huntingtons dz

Question 59

what is characterized as a fatiguable weakness improved with rest?

Answer 59

Myasthenia gravis

Question 60

myasthenia gravis

Question 61

guillane-barre presentation, w/u, tx

Question 62

ALS

Question 63

ms

Question 64

ICP