Neuro 5

Question 1

CN 4?

Answer 1

Lateral rectus

Question 2

Optic tract lesion on the left?

Answer 2

Causes right homonymous hemianopsia

Question 3

Temporal lobe interference with vision?

Answer 3

Upper quadrantic anopia

Question 4

Parietal lobe lesion?

Answer 4

Loss of lower quadratic

Question 5

lesion prior to pretectal nucleus?

Answer 5

Afferent defect. Doesn’t constrict. But still sees light

Question 6

Type of cancer in pan coast?

Answer 6

Non small cell

Question 7

Near sighted is focused close

Answer 7

amypia

Question 8

Ambluiopia is from what

tx?

Answer 8

Strabismus. Tx is vision training

Question 9

Common cause of blindness in black?

Answer 9

Glaucoma

Question 10

Tx bacterial conjunctivitis?

Answer 10

Erythromycin

Question 11

Most common conjunctivits in first 24 hours of life?

Answer 11

CHEMICAL FROM ANTIBIOTIC EYE DROPS

Question 12

B27 are seronegative arthritis. Whats the mnemonic?

TX?

Answer 12

PAIR

Psoriatic
Ankylosin spondylitis
IBD arthritis
Reactive arthritis

STEROIDS

Question 13

CORNEAL ulcer think what?

Answer 13

Painful. HSV!!

Question 14

Orbital cellulitis vs peri?

Answer 14

Orbital involved things in orbit like muscles

SO THINK ptosis. Think PAIN with movement. Unable to move eye.

RISK OF BLINDNESS OR DEATH

Question 15

Chalazion

Hordeolum

Anterior blephartis

Answer 15

Submucosal in eye lids. Tx self limiting or excision if need be

Hordeolum is a stye and sebacias gland infected. Hot compress

Anterior blepharitis Eye lids infected with seborrhea. Wash with shampoo

Question 16

Cataract treatment?

Answer 16

Lens replacement

Question 17

Closed angle glaucoma symptoms?

Answer 17

PAIN unilateral HALOS!! IT LOOKS WEIRD TO SEE AN EYE WITH IT

Question 18

Symptom of open angle glaucomea?

Answer 18

Gradual loss of peripheral vision and is permanent

Question 19

Dx of glaucoma? KNOW!

Answer 19

Tenometry

Optic cup is more than half of optic disk

Question 20

Open angle tx?

Answer 20

Prostoglandins, Timolol, Alpha 2 agonists (clonidine), pilocarpine is cholinergic agonist to close it!

Question 21

What symptoms in most common cause of blindness in elderly?

Answer 21

macular degeneration. 2 types

lose middle of vision

dry has drusen

wet has neovascularization

Question 22

Risk factor for mac degen?

Answer 22

SMOKING

Question 23

Tx mac degen?

Answer 23

Antioxidents like beta carotene, vit C and E

AntiVegF ranibizumab

Question 24

Cherry red spot in adult?

Answer 24

Think retinal vessel occlusion!!!!

Question 25

Tx retinal artery occlusion?

Answer 25

Throbolytics, acetazolamid or mannitol, OXYGEN

Question 26

What is bullous myringitis? What causes it? Tx?

Answer 26

Vesicle on tympanic membrane and painful ear infection Mycoplasma pneumoniae is cause, GIVE MACROLIDE for Myringitis

Question 27

Otitis externa tx if worried about pseudo or invasion into skull?

Answer 27

FLUOROQUINOLONE

Question 28

Vertigo, nausea and vomiting?

Answer 28

Vestibular neuritis. IF HEARING LOSS IT IS LABYRINTHITIS

Question 29

Tx for acute labyrinthitis?

Answer 29

SUBSIDES IN A FEW WEEKs, steroids might help.

Question 30

What is Meniere disease? Mnemonic?

Answer 30

Meniere is MANY-EAR symptoms. INCLUDES TINITIS Distention of endolymphatic compartment of the ear causing vertigo ACITE with nausea, vomigting, decreased hearing, tinnitus!!! LOW FREQUENCY HEARING LOSS

Question 31

Meniere history?

Answer 31

MANY EAR symptoms lasting several hours with exacerbations from nowhere. Thiazides might help anticholinerics and antiemetics and antihistamines improve exacerbation

Question 32

Diffinitive tx of meniere??

Answer 32

Surgical decompression and destroy ear

Question 33

What is symptoms and what is acoustic neuroma?

Answer 33

Schwannoma of CN VIII Hearing loss secondary to nerve conduction. Unilateral facial palsy, Dizziness. Decreased sensation SENSORINEURAL HEARING LOSS

Question 34

Conductive hearing loss in adults most common cause? Sensorineural hearing loss in adults most common cause?

Answer 34

Conductive: otosclerosis Sensorineural: presbycusus

Question 35

Ramsay hunt tx?

Answer 35

Narcotic for pain Steroids for inflammation Valacyclovir (b/c it is zoster)