Neuro

Question 1

Which CN palsy is most common with intracranial hypertension?

Answer 1

CN6

Question 2

C/I to triptans

Answer 2

ischemic vascular disease, uncontrolled HTN

Question 3

Tx cluster headache

Answer 3

oxygen (abortive), verapamil (ppx)

Question 4

Which diagnosis? summer/early fall, most common aseptic meningitis

Answer 4

Enteroviral meningitis (echovirus, coxsackie virus)

Question 5

Dx enteroviral meningitis

Answer 5

PCR

Question 6

Dx arboviral meningitis

Answer 6

ELISA

Question 7

Tx bacterial meningitis

Answer 7

vancomycin + ceftriaxone (age>50 add ampicillin); dexamethasone prior to abx

Question 8

Tx bacterial meningitis in trauma/CSF shunt

Answer 8

Vancomycin + 4th generation cephalosporin

Question 9

Tx HTN in stroke indications

Answer 9

> 220/120 or for tPA

Question 10

Tx HTN in stroke agents (2)

Answer 10

Nicardipine, labetalol

Question 11

Absolute C/I to tPA (4)

Answer 11

recent surgery, hemorrhage, prior hemorrhagic stroke, coagulopathy

Question 12

F/U Tx stroke ppx

Answer 12

aspirin or DAPT x1-6months

Question 13

Which dementia? cognitive decline, gait impairment, urinary incontinence

Answer 13

Normal Pressure Hydrocephalus

Question 14

Which dementia? associated with visual hallucinations

Answer 14

Lewy Body

Question 15

Which dementia? personality and behavioral changes

Answer 15

Fronto-Temporal Dementia

Question 16

Tx mild Alzheimer

Answer 16

Cholinesterase Inhibitor

Question 17

Tx mod-severe Alzheimer

Answer 17

Memantine

Question 18

Tx agitation in delirium

Answer 18

Low dose anti-psychotic

Question 19

Tx Guillain-Barre Syndrome

Answer 19

IVIG or plasmapheresis

Question 20

Which dementia? ataxia, dysautonomia

Answer 20

Multiple System Atrophy

Question 21

Inheritance Essential Tremor

Answer 21

AD

Question 22

Tx Essential Tremor (2)

Answer 22

Propranolol, Primidone

Question 23

Tx Dystonia (2)

Answer 23

Diphenhydramine, benztropine

Question 24

Tx Cervical Dystonia

Answer 24

Botox

Question 25

Which epilepsy syndrome? onset 10-30, focal +/- generalization, temporal spikes on EEG

Answer 25

Temporal Lobe Epilepsy

Question 26

Which epilepsy syndrome? onset 12-18, myoclonic/GTC, 4.5Hz multiple spike and wave

Answer 26

Juvenile Myoclonic Epilepsy

Question 27

Which epilepsy syndrome? onset 4-10, 3Hz generalized spike and wave

Answer 27

Absence

Question 28

Which epilepsy syndrome? Onset 2-adult, difficult to control, generalized slow spike and wave

Answer 28

Lennox-Gastaut

Question 29

Which AED? Hyponatremia, aplastic anemia, agranulocytosis, AV block

Answer 29

Carbamazepine

Question 30

Which AED? CYP inducers (4)

Answer 30

Carbamazepine, oxcarbazepine, phenytoin, topiramate

Question 31

Which AED? Only effective for absence seizures

Answer 31

Ethosuximide

Question 32

Which AED? sedation, DRESS syndrome, SJS

Answer 32

Gabapentin

Question 33

Which AED? AV block, cardiac arrhythmias, depression its suicidality

Answer 33

Lacosamide

Question 34

Which AED? Agranulocytosis, abdominal pain, hyponatremia, anaphylaxis

Answer 34

Oxcarbazepine

Question 35

Which AED? Gingival hyperplasia, drug-induced lupus, hepatotoxicity

Answer 35

Phenytoin

Question 36

Which AED? edema, jaundice, increased CK, sedation

Answer 36

Pregabalin

Question 37

Which AED? Diarrhea, tremor, SJS

Answer 37

Lamotrigine

Question 38

Which AED? SJS, psychosis, depression, few drug interactions

Answer 38

Levetiracetam

Question 39

Which AED? metabolic acidosis, glaucoma, hepatotoxicity, nephrolithiasis

Answer 39

Topiramate

Question 40

Which AED? edema, alopecia, weight gain, diarrhea, ototoxicity, pancreatitis

Answer 40

Valproic Acid

Question 41

Which diagnosis? antibody to muscle-specific tyrosine kinase

Answer 41

Myasthenia gravis

Question 42

Tx severe myasthenia gravis

Answer 42

IVIG, plasmapheresis

Question 43

Which antibodies in Lambert-Eaton?

Answer 43

Presynaptic voltage-gated calcium channels

Question 44

Tx Lambert-Eaton

Answer 44

3,4-diaminopyridine

Question 45

Tx ALS

Answer 45

riluzole