Neuro Comp exam Flashcards
(159 cards)
1
Q
what are the "bad aspects" of carotid endarterectomy, all except: 1. Mortality 2. Morbidity 3. Complication 4. Left or Right Carotid
A
- Mortality
- Morbidity
- Complication
- Left or Right Carotid (Answer)
2
Q
How does ischemic lesion looks like on CT without contrast in the early phase
A
Hypo/hyper dense
3
Q
in which situation there is a cardiovascular impairment choose the wrong ans
A
a lesion in the basal ganglia
4
Q
- Time window for iv thrombolysis in MCA?
a) 1hr
b) 16
c) 12
d) 3 (4.5)hrs.
A
a) 1hr
b) 16
c) 12
d) 3 (4.5)hrs. - Correct
5
Q
TIA Last for minutes. Last for days Is not an medical emergency ECG is enough to perform
A
Last for minutes. Correct
Last for days
Is not an medical emergency
ECG is enough to perform
6
Q
Diagnostic test before epileptic surgery except BAEP. EEG MRI PET
A
BAEP. Correct
EEG
MRI
PET
7
Q
Can cause/predispose for epilepsy except Poliomyelitis. SAH Contusion Head injury
A
Poliomyelitis. Correct
SAH
Contusion
Head injury
8
Q
Caused by virus except Lyme disease. Rabies Morbilli Herpes zoster
A
Lyme disease. Correct
Rabies
Morbilli
Herpes zoster
9
Q
Pyridostigmine useful to treat MG. Parkinson MS Restless leg syndrome
A
MG. Correct
Parkinson
MS
Restless leg syndrome
10
Q
PCA supplies Occipital lobe. Inferior/Lateral Temporal lobe Parietal lobe Frontal lobe
A
Occipital lobe. Correct
Inferior/Lateral Temporal lobe
Parietal lobe
Frontal lobe
11
Q
Used to treat TD
Reserpine.
Haloperidol
A
Reserpine. Correct
Haloperidol
Don’t remember the last two
12
Q
Posterior columns contain: Sensory pathways. Motor pathways Blood vessels Lymphatics and autonomic pathways
A
Sensory pathways. Correct
Motor pathways
Blood vessels
Lymphatics and autonomic pathways
13
Q
acute hemorrhage on CT?
A
Hyperdense
14
Q
acute complications of brain radiation?
A
edema
15
Q
not true for tardive dyskinesia?
A
60-70% of patients
16
Q
6.7G/L Wbc abnormal or normal.
A
Normal - 4,8-10,8 G/L
17
Q
Is the color of normal CSF clear or yellow?
A
clear
18
Q
Urea lab value:
A
3,6-7,2 mmol/L
19
Q
In patients with carotid bruits
A
we should think about carotid stenosis and exclude it.
20
Q
Typical signs of Multiple sclerosis?
A
oculomotor palsy
21
Q
What is a non-communicating hydrocephalus?
A
Occlusion is proximal to foramen of Magendie
22
Q
How would you treat an epileptic pregnant woman?
A
Monotherapy
23
Q
Superficial peroneal nerve paresis is associated with?
A
lateral foot drop
24
Q
in acute migraine treatment, triptans can be helpful (y/n)
A
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
