Neuro Computer Exam 2 Flashcards
(155 cards)
1
Q
- which is of the following is NOT caused by a virus
A
Herpes encephalitis
* Lyme disease
2
Q
- which method cannot treat meningioma
A
,* Irradiation* Operation* Chemotherapy* Mannitol
3
Q
- which of the following is true regarding Rinne test
A
,* Tuning fork is placed on the vertex* Compare bone and air conduction* Air conduction is better than bone conduction in case of neural damage
4
Q
- which of the following is not producing CSF
A
,* Choroids plexus* Pia matter* Fornix* Sub arachnoid region
5
Q
- which is the most common symptome of SAH (answer is OK- Q may be different)
A
,* No symptoms* Diarrhea* Subendocardial infarct
6
Q
- which is the normal level for urea in the serum
A
,* 3.6- 7.2 mmol/L
7
Q
- which is not useful for examination of blood vessels
A
,* DSA* CTA* TCD* Brain X- ray
8
Q
- what are the side effects of valporic acid
A
,* Alopecia* Weight gain* Vomiting* All of the above
9
Q
- what is the treatment for tardive dyskinesia
A
,* Haloperidol* Pipolphen* Reserpin
10
Q
- treatment for acute migrane
A
,* Amytriptilin* Sumatriptan
11
Q
- treatment for progressive stroke
A
,* High dose heparin* Normal dose heparin- if there’s no blood on CT
12
Q
- what is false about prions
A
,* It needs RNA* It changes the structure of other proteins* The prion is resistant to drugs that damage nucleic acids* It’s a protein like infectious agent
13
Q
- which is the largest nerve in the human body
A
,* Sciatic n* Dorsal pedis n.* Lumbar n.
14
Q
- which of the following is not useful for examination of extra cranial blood vessels
A
,* MRA* DSA CTA* Color Doppler
15
Q
- which doesn’t cause dementia
A
,* Deafness
16
Q
16.which is false regarding cerebellar and vertebrobasilar occlusion
A
,* Aphasia* Ataxia* Dizziness
17
Q
- which is true
A
,”* Heroin causes thrombotic stroke* Amphetamine, cocaine cause hemorrhagic stroke* both”
18
Q
- treatment for acute cervical spondylosis
A
,* bed rest
19
Q
- which is not the treatment of chronic cervical spondylosis
A
,* bed rest
20
Q
- which of the following is the least probable to cause stroke
A
,* mitral valve prolapse
21
Q
- what can cause hypertension
A
,* lacunar stroke* hemorrhagic stroke* ischemic stroke* all of the above
22
Q
- what is false regarding Crutzfeld Jakob disease
A
,* vacuolization* chronic inflammation* spongiform encephalopaty
23
Q
- what is not suitable for the dg of Alzheimer Disease
A
,* ENG
24
Q
- What is not true for Dementia
A
,* Depression
25
25. what does not cause personality changes (Q may be different- marked A is true)
,\* Disturbed function of frontal lobe\* Tumor in the brain\* ??
26
26. in which case there is no spastic paraparesis
,\* Lumbar root compression
27
27. which is not true regarding Parkinson
,\* Intension tremor
28
28. which method is not useful for examination of intra cranial blood vessels
,\* MRA\* DSA\* **CT**
29
29. where does the spinothalamic tract cross
,\* Level of entry to the spinal cord
30
30. which does not take part in the superficial sensation pathway
,\* Internal capsule\* **MLF**\* Rexed 1-2 (substantia gelatinosa)\* spinothalamic tract
31
31. side effect of steroid
,\* **myopathy**\* polyneuropathy
32
32. which is not a sensory pathway
,\* **ataxia**\* visual\* auditory\* tactile
33
34. typical signs of MS
,\* L1 radiculopathy\* **Occulomotor palsy**\* Leg drop\* All
34
35. which has no effect on BP
,\* **Caudate nucleus**\* Thalamus\* Medulla oblongata
35
37. what test is not needed in acute stroke
,\* Glucose\* Ions\* **Albumin**\* Lipids
36
38. not true for characteristic EEG waves
,\* **Delta: \<2 Hz**\* Theta: 4-7 Hz\* Alfa: 8- 13 Hz\* Beta: \>13 Hz
37
40. NSAIDs side effects:
,\* Gastric ulcer
38
41. which is not a harmonic vestibular sign
,"\* Tinnitus, reduced hearing threshold"
39
42. which is not found in Lambert Eaton (LE) disease
,\* myotonia
40
43. which type of stroke is often seen with HTN
,\* hemorrhagic\* ischemic\* lacunar\* **all**
41
44. what does not cause chest pain (the Q is stupid- accept the answer as it is)
,\* heart disease\* lung disease\* neither of the above causes chest pain\* **both of them cause chest pain**
42
45. what treatment you don’t use in chronic back pain
,\* bed rest
43
46. how common is stroke
,\* 3rd MC cause of death
44
47. which is not a sign of meningeal carcinomatosis
,\* Stiff neck
45
48. which tumor causes cerebellar neoplasm
,\* SCLC
46
49. which tumor is most common together with LE
,\* SCLC
47
50. which sign is not seen in SC compression
,\* Hemiparesis
48
51. which vertebrae are most susceptible for spondylosis
,\* Occipital opening – C1\* C2- C3\* C4- C5\* **C5- C6**
49
52. in case of headache what is not a too dangerous sign
,\* Vomit
50
53. in case of insular lesion what heart effect do you see
,\* Arrhythmia
51
54. which is not a side effect of steroids
,\* Miosittis
52
55. what is not a sign of Parkinson
,\* Intention tremor
53
56. which tumor do not metastasize to the brain
,\* Lung\* Breast\* Colon\* **Something else…?!**
54
57. side effect of valporic acid
,\* Alopecia\* Vomit\* Weight gain\* **All**
55
58. what is the function of the occipital lobe
,\* Involuntary smooth pursuit eye movements
56
59. when you don’t treat with baclophen
,\* MS\* Spasticity\* Lower back pain\* **Something else… ?!**
57
60. when you don’t treat with TCA
,\* Depression\* Migrane prophylaxis\* Neuralgia\* **Epilepsy**
58
61. what is not dg in MS
,\* MRI\* VEP\* CSF\* **EMG**
59
62. in which stage of syphilis there are neurological signs
,\* Any of the stages
60
63. which does not increase BP
,\* Brain tumor in the post cranial fossa\* Cerebellar tumor\* **Basal ganglia infarct**
61
64. which is not true for meningitis and encephalitis
,\* Both are easily differentiated (check minimals # 310)
62
65. in which headache the risk for serious neurological disease is the lowest
,\* Headache with aura
63
66. which is false
,\* There is no connection between carotid stenosis and carotid bruit
64
67. what is non communicating hydrocephalus
,\* **Occlusion is proximal to foramen of Magendi\*** Occlusion is distal to foramen of Magendi
65
68. which does not cause epilepsy
,\* Polyneuropathy
66
69. when you shouldn’t do sural n. biopsy
,\* Toxic neuropathy
67
70. what is not used in Parkinson
,\* Levotiracetam
68
71. what has no role in deep sensation
,\* MLF
69
74. gamma efferent neuron is innervating the…
,\* Interfusal fibres
70
75. 1st dg tool in stroke
,\* CT
71
76. most of the afferent fibers to the basal ganglia are from
,\* Cortex
72
78. how would you treat an epileptic pregnant woman
,\* Monotherapy
73
80. what exam you don’t do in MS
,\* EEG
74
82. what is a prion
,\* Protein like agent
75
83. EEG delta waves
,\* \<4 Hz
76
84. where does the corticospinal tract travel
,\* in the anterior part of the post limb of the internal capsule
77
85. in secondary stroke what you should not give for prevention
,\* clopidogrel
78
86. what is not causing temporal arteritis
,\* incontinence
79
87. what is not a part of the visual pathway
,\* MGB
80
88. what is the treatment for myasthenic crisis
,\* Mestinon
81
89. where is the lesion that causes amnestic aphasia
,\* Angular gyrus
82
90. normal protein count in the CSF
,\* 0.2- 0.4 g/L
83
91. what may be the cause of SAH
,\* Aneurism
84
92. deficiency of which- will cause neurological symptoms
,\* Vit B12\* Tiamin\* Folic acid\* **All**
85
93. which of the following causes distal pain with thermohyperestesia
,\* **Polyneuropathy**\* MS\* Cerebellar ataxia
86
94. what is a wrong treatment for myasthenic crisis
,\* Plasmapheresis -T**hymectomy** (this is the correct answer though it can be done when pt able to tolerate the op.)\* Steroid\* Immunoglobulins
87
95. which of the following causes carpal tunnel sy.
**,\* Median n.**\* Ulnar n\* Radial n\* Peroneal n
88
96. which is true
,\* Peroneal n paresis is associated with lateral foot drop
89
97. what is not true for ALS
**,\* Sensory loss**\* Spastic paresis\* Bulbar palsy\* Pyramidal signs
90
98. when it is not indicated to do CT
,\* Sudden strong headache\* Pt is \>70 y.o.\* Focal signs\* **Pt see fleshing lights and vomits**
91
99. which is not true
,\* Pregnancy with epilepsy you use monotherapy\* For pregnancy we give lowest dose of treatment\* During the pregnancy we must increase the dose\* **After the pregnancy we don’t need to decrease the dose**
92
100. what is not seen in MLF lesion
,\* Hertwig Magendie\* Intranuclear ophthalmoplegia\* No Oculocephalic reflex\* **Ataxia**
93
101. which is supplied by PCA
**,\* Occipital lobe**\* The other lobes…J
94
102. what can cause new epilepsy in HIV patients
,\* Encephalopathy\* **Toxoplasma**\* Contusion\* Lymphoma
95
103. why do we use the sural n for biopsy
,\* Easy to find\* **It can cause no harm**\* It is simply motor
96
104. which is not an antithrombotic drug
,\* Aspirin\* **Carbamazepin**\* Clopidogrel\* Dypiridamol
97
105. which is not a sign of Parkinson
,\* **Intention tremor**\* Resting tremor\* bradykinesis
98
106. which is mostly affected in Gullian Bare
**,\* facial n**\* occulomotor n\* optic n
99
107. sign of cortical damage
**,\* sensory/ motor aphasia**\* personality changes\* tremor\* bradykinesis
100
109. sign of R occipital lobe infarct
**,\* L sided homonimus hemianopia**\* R sided homonimus hemianopia\* Ipsilateral amaurosis fugax\* Bitemporal heteronimus hemianopia
101
110. when do you operate due to lumbosacral pain
,\* In case of sensory changes\* **In case of paresis**
102
112. not good treatment for MS
,\* Muscle relaxants for spasticity\* **Piracetam for aphasia\*** Oxibutinin for incontinence\* Diazepam/ betta blockers for tremor
103
113. indication for levodopa treatment in Parkinson
,\* 8-10 years after the disease onset\* Now\* If tremor appears\* **Depending on patients clinical status**
104
114. most important sign of MS
**,\* Intranuclear ophthalmoplegia**\* S1 hyperesthesia\* Leg drop\* All
105
115. which is not in the visual pathway
,\* Optic n\* **MGB**\* LGB\* Optic tract
106
116. which is the central motor area for speaking
**,\* Lower frontal gyrus**\* Temporal lobe\* Angular gyrus
107
117. which is the central sensory speaking area
**,\* Br 22**\* Br 44\* Br 45\* Br 29
108
118. what area is not supplied by ACA
,\* Medial part of hemispheres\* Upper part of parietal lobe\* **Lower part of temporal lobe**\* Upper part of frontal lobe
109
119. which is not a part of Willis circle
,\* ACA\* PCA\* PCommunA\* Anonimus aa
110
120. when MRI is not indicated
,\* Repeated grand mal seizures\* Focal epileptic seizures\* Complex seizures\* **Alcohol withdrawal grand mal seizures**
111
121. internal carotid stenosis signs
,\* Diplopia\* Dysarthria\* Dizziness\* **Hemiparesis**
112
122. which is not typical for Gullian Bare
,\* CSF Protein count increased\* Protein count can be \>1gr/L\* Conduction velocity is reduced in ENG\* **CSF cell count increased**
113
123. what cannot cause thrombotic stroke
,\* Haemophilia
114
125. which can dilate the pupil
,\* Edinger Westphal nucleus\* PNS\* Sphincter pupillae muscle\* **Centrum ciliospinale**
115
126. not a sign of lumbar compression
,\* Constant pain\* **Increase spastic tone\*** Pain increases when straining
116
127. afferent pathway for papillary reflex
,\* **Optic n**\* Optic radiation\* LGB
117
128. which heart disease is not a risk for stroke
**,\* Pericarditis**\* Dilatative CMP\* AMI
118
131. Wernicke encephalopathy
,\* Thiamine deficiency
119
132. which is associated with SAH
,\* Diarrhea\* **Subendocardial infarct**
120
134. for which problem MRI is useful
,\* Localization of an epileptic focus
121
135. most common cause of epilepsy in HIV
,\* Toxoplasma
122
138. responsible for pupillary constriction
,\* Edinger Westphal nucleus
123
139. which is not an epilepsy provocating test
,\* Tensilon test
124
140. estrogen effect of Ocs
,\* Increases the stroke risk in woman \> 35 y.o.
125
141. in secondary stroke prevention you use
,\* 75 mg clopidogrel
126
142. Autonomic dysfunction in DM
,\* Change of body posture does not changes the pulse rate
127
143. what don’t cause epilepsy
,\* Distal neuropathy
128
144. what is true for the vestibulocochlear system
,\* The 3 semicircular canals feel rotatory acceleration
129
145. early sign of brain involvement in increased ICP
,\* Anisocoria
130
146. Brocca's aphasia
,\* Br 44
131
148. most common problem \>45 y.o.
,\* Lumbosacral herniation
132
149. which is not given for migrane prophylaxis
,\* Sumatriptan
133
150. what is TENS
,\* Treatment for ch. Pain
134
151. giant cell arteritis treatment
,\* Prednisolone
135
153. treatment for tension headache
,\* Amitryptilin
136
154. hemorrhagic stroke risk factor
,\* Low blood cholesterol level
137
155. Which vegetative function is damaged in DM
,\* Orthostatic hypotension
138
156. Why MRI is better than CT
,"No ionizing radiation, no bone artifacts, small changes in tissue water content are detected before seen on CT, any plane can be selected, better specific resolution, some disease are easier to detect (MS, encephalitis)"
139
157. What does not prove that MS is immune mediated
,
140
159. Which of the following is not associated with ataxic breathing (in the exam it says breading- don't get confused)
,\* Mesencephalon\* Medulla\* Slowing of respiratory rate\* Deep and shallow respiration
141
164. What is not a cause of anosmia?
,\* Lymphoma
142
165. What is being treated with pyridostigmine?
,\* MG
143
166. What is true concerning facial palsy?
,\* The perioral part is being innervated exclusively contralaterally
144
167. What is a typical/sterotipical jerk movement that can be controlled by the patient?
,\* Tic
145
169. What is quada equine?
,\* Roots after L1 – L2
146
170. gullian bar synd is caused by:
,\* viral infection\* tumor
147
171. parietal lobe lesion except:
,\* aphasia\* agraphy\* apraxia\* gait disturbances
148
172. Brodmann's area for Wernicke
,\* 21/22
149
173. what is not antiepileptic
,\* valporic acid\* lamotrigine\* haloperidol
150
174. what in incorrect regarding ENG
,\* to find the exact cause.
151
175. What does not affect nerve conduction?
,"\* Cold tempreatue,\* blood cholesterol,\* sensory or motor conduction,\* arm or leg"
152
176. What does the facial nerve not innervate?
,\* Masticatory muscles.
153
177. What is dysarthria?
,\* A deficit of articulation
154
178. After MI How will you decrease the stroke risk?
,\* Anti platelet drug
155
Cholseterol: 7.2 mmol/L : Normal/Abnormal
Abnormal
Normal = \<5.2 mmol/L
