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Flashcards in Neuro Comp exam Deck (159):
1

what are the "bad aspects" of carotid
endarterectomy, all except:
1. Mortality
2. Morbidity
3. Complication
4. Left or Right Carotid

1. Mortality
2. Morbidity
3. Complication
4. Left or Right Carotid (Answer)

2

How does ischemic lesion looks like on CT without contrast in the early phase

Hypo/hyper dense

3

in which situation there is a cardiovascular impairment choose the wrong ans

a lesion in the basal ganglia

4

1. Time window for iv thrombolysis in MCA?
a)1hr
b)16
c) 12
d) 3 (4.5)hrs.

a)1hr
b)16
c) 12
d) 3 (4.5)hrs. - Correct

5

TIA
Last for minutes.
Last for days
Is not an medical emergency
ECG is enough to perform


Last for minutes. Correct
Last for days
Is not an medical emergency
ECG is enough to perform

6

Diagnostic test before epileptic surgery except
BAEP.
EEG
MRI
PET

BAEP. Correct
EEG
MRI
PET

7

Can cause/predispose for epilepsy except
Poliomyelitis.
SAH
Contusion
Head injury

Poliomyelitis. Correct
SAH
Contusion
Head injury

8

Caused by virus except
Lyme disease.
Rabies
Morbilli
Herpes zoster

Lyme disease. Correct
Rabies
Morbilli
Herpes zoster

9

Pyridostigmine useful to treat
MG.
Parkinson
MS
Restless leg syndrome

MG. Correct
Parkinson
MS
Restless leg syndrome

10

PCA supplies
Occipital lobe.
Inferior/Lateral Temporal lobe
Parietal lobe
Frontal lobe

Occipital lobe. Correct
Inferior/Lateral Temporal lobe
Parietal lobe
Frontal lobe

11

Used to treat TD
Reserpine.
Haloperidol

Reserpine. Correct
Haloperidol
Don't remember the last two

12

Posterior columns contain:
Sensory pathways.
Motor pathways
Blood vessels
Lymphatics and autonomic pathways

Sensory pathways. Correct
Motor pathways
Blood vessels
Lymphatics and autonomic pathways

13

acute hemorrhage on CT?

Hyperdense

14

acute complications of brain radiation?

edema

15

not true for tardive dyskinesia?

60-70% of patients

16

6.7G/L Wbc abnormal or normal.

Normal - 4,8-10,8 G/L

17

Is the color of normal CSF clear or yellow?

clear

18

Urea lab value:

3,6-7,2 mmol/L

19

In patients with carotid bruits

we should think about carotid stenosis and exclude it.

20

Typical signs of Multiple sclerosis?

oculomotor palsy

21

What is a non-communicating hydrocephalus?

Occlusion is proximal to foramen of Magendie

22

How would you treat an epileptic pregnant woman?

Monotherapy

23

Superficial peroneal nerve paresis is associated with?

lateral foot drop

24

in acute migraine treatment, triptans can be helpful (y/n)

Yes

25

why do we use steroids in brain metastases?
immunesuppression,
to decrease the edema,
to increase the glucose concentration,
all of the above

immunesuppression, to decrease the edema, to
increase the glucose concentration, all of the above (answer is edema)

26

Where is substantia nigra?

answer:
anterior to tegmentum in mecencephalon, and its lesion causes Parkinson's disease

27

1.where is choroid plexus
A)lateral vetricle
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum

A)lateral vetricle(right choice)
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum

28

1.where is choroid plexus
A)lateral vetricle
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum

A)lateral vetricle(right choice)
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum

29

Lower motor neuron lesions cause decreased deep reflexes – True or False?

true

30

When should we operate an internal carotid artery stenosis?

if morbidity and mortality due to angiography and endarterectomy < 5-6% and stenois is 70% or greater

31

What would you do in case of internal carotid bruit?

Exclude internal carotid artery stenosis.

32

Best way to examine extracranial vessels?

Doppler US.

33

False about thrombotic stroke?

Preceded by palpitations

34

Which is NOT a symptom of increased cranial pressure ?

(headache/vomiting/atrophy of the thenar muscle (Right answer))

35

Which is NOT the symptom of
vegetative system ?

(constipation/orthostatic hypotension/incontinence/ paraparesis (right answer))

36

is chronic headache sign of tumor?

no

37

pseudobulbar palsy-

can elicit gag and palatal reflex

38

decerebrate position (the wrong one)

flexed arms and wrists

39

risk factors for stroke (the incorrect)-

MG

40

Spastic paresis is always central in origin

yes

41

Neurological complication of CNS tumors except one? Brain metastases,
Paraneoplastic polyneuropathy, GBS, LEMS

GBS

42

where does in the internal
capsule the corticospinal tract travels?'

post part of post limb

43

'in which abnormalities we can see ecg like changes caused by the nervous system'?

-subendocardial infraction.

44

Na 80 mmol/l abnormal or normal

abnormal

45

Weber test, incorrect ans

incorrect-in conduction, better on the affected ear

46

Which test you should do before epilepsy surgery, except

-BAEP

47

Brain abscess, except in:

LEMG

48

when should you send a patient with low back
pain to the hospital?

something with vegetative signs nd paresis

49

which nerve is destroyed in appendectomy

iliohypogastric n

50

erb's palsy...

answer (injury to brachial plexus)...

51

maysthenia crisis what is not correct? 1.plasmapheresis 2.ivig 3. steroids 4. acute theymectomy.

acute thymectomy

52

Emboli stroke (pick the correct option):maysthenia crisis what is not correct? 1.plasmapheresis 2.ivig 3. steroids 4. acute theymectomy.

acute thymectomy

53

Most comon site for generalized seizures -->

temporal lobe

54

n syncope, the patient recovers consciousness fast? Yes or No?

yes

55

WBC value.

4.8 - 10.8 G/L

56

Emboli stroke (pick the correct option):

onset of symptoms is associated
with palpitation.

57

Which of these is NOT a type of agnosia. Ataxic, auditory, tactile, visual.

Ans: Ataxic

58

How do you diagnose for leptomeningeal carcinomatosis,

LP

59

Which is not a symptom of giant cell arteritis?

urinary incontinence

60

What drug is used in convulsive epilepsy status

The answer was diazepam

61

In acute stroke

hypotonicity will develop first and than spasticity

62

What is not a symptom of pseudotumor cerebri?

polyneuropathy

63

Medication That not used for burning sensation of neuropathy?

Morphine

64

What is the difference btw orthostatic hypotension caused by autonomic dysfct and that
caused by hypovolemia?

the Hypovolemia still can provoke the reflex tachycardia.

65

Treatment for temporal arteritis ?

prednisone

66

NOT TRUE for lumbar root compression:

Positive Chaddock and babinski

67

In upper motor neuron lesion, there is reduced deep reflexes?

No

68

in acute stroke

hypotonicity will develop first and than spasticity

69

best exam for MS

MRI

70

mri is better diagnostic tool of the spinal cord. except:

good for abnormal bone lesion

71

can syncope present with jerky movement??

yes

72

which one is write about coma patient

you can not wake him up

73

what is the diagnosis for leptomeningeal carcinoma

LP and CSF sampling

74

ESR value 6mm/hr. Normal or abnormal?

normal

75

?

a) Increased number of cigarettes increases risk of stroke
b) Increased years of smoking increases risk of stroke
c) Smoking cessation decreases risk of stroke
d) All of the above (answer)

76

false answer regarding Lyme disease and MS

symptomology between
the 2 can easily be distinguished

77

signs of MS

INO

78

PCA supplies?

Occipital lobe

79

How many times do attacks of MS occur?

1 time every one year and half

80

Incorrect one for MS

Treat aphasia with [some drug]

81

Incorrect one for MS

Treat aphasia with [some drug]

82

Wernicke area options

41 (22 wasn't mentioned)

83

Most common cause of leptomeningeal carcinoma in children

Leukemia

84

Characteristics of Parkinsons

Rigidity

85

Leftsided homonymous hemianopia can be found, except

Left side

86

Which is not a secondary prevention of stoke?

2x75mg clopidogrel

87

Largest nerve of body

Sciatic

88

Which is not useful for examination of extracranial vessels?

CTA

89

Treatment for acute cervical spondylosis

bed rest

90

What do you do first in acute stroke?

CT

91

What is not part of visual pathway?

MGB

92

In right/left facial palsy the peri-oral part is exclusively innervated contralaterally (true/false) - I
was kinda confused trying to figure out if it was central or peripheral, but it was irrelevant to the
question

True

93

Which tract is a descending tract?

- Spinothalamic
- Dorsal Spinocerebellar
- Dorsal root column
- Rubrospinal tract - correct answer

94

Amitrityline is not used in following conditions:

- Chronic Pain
- Chronic Tension headaches
- Depression
- Migraines (I think it said migraines, anyways this is the correct answer)

95

In case of cerebellopontine angle tumor you can see:

- diminished corneal reflex
- ipsilateral palsy of the whole face
- tinnitus
- all of the above (correct answer)

96

Glucose

4.8 mmol/L = normal

97

the difference in orthostatic hypotension caused by autonomic dysfct and that caused by
hypovolemia?

the hypovolemia still can provoke the reflex tachycardia.

98

the function of frontal lobe

urination

99

which intervention cannot be used before epilepsy surgery?

auditory brainstem evoked
potential.

100

which intervention cannot be used before epilepsy surgery?

auditory brainstem evoked
potential.

101

csf leukocytes 23000 ^3 / ul.

Abnormal

102

most common parkinsonism.

Parkinson disease

103

how often does Ms attack occur.

1 or 2 spur in one and half years.

104

What do you do first in a Coma/ unconscious patient.

basic life support.

105

Abruptive jerks can be present in case of syncope

Yes

106

ARTERIAL cerebral thrombosis is more likely to occur in:

The 2nd/3rd trimester of pregnancy

107

stroke on CT looks...

hypodense!

108

stroke on CT looks...

hypodense!

109

Which one is not a sign of
leptomeningeal carcinomatosis?

pyramidal signs

110

Time window for i.v. Thrombolysis of MCA

3-4.5h

111

Area that MCA DOES NOT supply

medial aspect hemispheres

112

Velocity of the nerve conduction what is NOT true:

A. Is faster in the upper extremity.
B. depends on the location you measure.
C. Is lower if a patient has a high serum cholesterol. (The answer)
D. Is depend on the outside temperature

113

What is the different between meningitis and encephalopathy? (Choose the wrong answer)


A. Can always be differentiate easily. (The answer)
B. encephalopathy damage the brain parenchyma and cognetive is declining.
C. Meningitis is with neck stiffness, headache.
D. Bacteria cause mainly meningitis where virus is mainly encephalopathy.

114

What nerve can damage from fracture of the humerus?

(Axilliary)

115

What is part of the striatum

(putamen)

116

What is part of the striatum

(putamen)

117

Spasticity is always central

Yes

118

Decortication WRONG answer

hands are extended and hyper pronated

119

Decerebration positive answer

hands are extended and hyper pronated

120

Posterior spinal artery supplies

posterior 1/3 of the spinal cord

121

Insular lesion will cause which cardiac problem

arrhythmia

122

Diabetes mellitus autonomic problem

pulse don't change in change body position

123

In case of increased ICP what would u do first ?

CT

124

INR 6.5

Abnormal

125

WBC 5.6 G/L

Normal

126

Medication NOT used for burning sensation of neuropathy

Morphin

127

Treatment used for migraine prophylaxis EXCEPT

Sumatriptan

128

Symptoms of posterior circulation occlusion EXCEPT

aphasia

129

Treatment for tension type headache

Amitryptiline

130

Management of hepatic encephalopathy

Reduce ammonia levels + administer GABA antagonists at the central level

131

which is NOT a secondary pervention of stroke

(clopidogrel 2x75mg) ... clopidogrel would be a
secondary pervention but the dose is wrong, careful

132

treatment for temporal arteritis

prednisone

133

What is NOT a cause of hypertension

lacunar infarcts in the basal ganglia

134

what is the treatment after an MI in order to prevent stroke

antiplatelets

135

Where do motor neurons start from

prefrontal cortex

136

What is an example of somnolence

Patient is woken and returns to sleep

137

What is an incorrect treatment for carpal tunnel syndrome?

Palmarflected stint

138

What is true regarding Rinne test?

Compare bone and air conduction

139

Which is the most common hemorrhagic stroke?

Ischemia

140

Which of the following is least likely to cause stroke?

Mitral valve prolapse

141

Which is not affected in leptomeningeal carcinomatosis

Pyramidal tract

142

Which best describes a lesion on the facial nerve?

Palsy of the whole ipsilateral face

143

EMG choose the wrong:

something like "nowadays we dont use blablab" --> Right answer
other options was
-test while muscle relaxed
-while contracted
-amplifier and preamplifier and the output equipment.

144

substania nigra location:

-diencephalon and causes parkinson
-midbrain and causes parkinson--> Right answer
-and 2 totally unrelated locations and diseases..

145

ESR 6 mm/h

Normal

146

The patients with carotid bruits

We should think about carotid stenosis and should exclude it

147

What is a wrong statement about diabetic neuropathy

Hemiparesthesia

148

Which of these is NOT a sign of poly neuropathy?

UMN signs

149

Not characteristic for trigeminal neuralgia

constant pain for hours

150

something not characteristic neurological symptoms of SLE patients

Myotonia

151

Signs of vestibular lesions except

Fast component of nystagmus toward same side

152

true of iv thrombolysis except

it is intra arterial type

153

dopamine rec blockers better because of, except

does not cause peripheral edema

154

Treatment of trigeminal neuralgia

carbamazepine

155

all of the following cause dementia except

AVM

156

after operation for disc herniation - choose incorrect ans

always a permanent improvement

157

side effects of levodopa except

nausea
orthostatic HTN
Sweating **
vomiting

158

Possible neuro effects of b12 def except

never positive pyramidal signs

159

Horner triad except

exophthalmus