Neuro Computer Exam 2 Flashcards Preview

6th Year > Neuro Computer Exam 2 > Flashcards

Flashcards in Neuro Computer Exam 2 Deck (155):
1

1. which is of the following is NOT caused by a virus

Herpes encephalitis

* Lyme disease

2

2. which method cannot treat meningioma

,* Irradiation* Operation* Chemotherapy* Mannitol

3

3. which of the following is true regarding Rinne test

,* 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

4. which of the following is not producing CSF

,* Choroids plexus* Pia matter* Fornix* Sub arachnoid region

5

5. which is the most common symptome of SAH (answer is OK- Q may be different)

,* No symptoms* Diarrhea* Subendocardial infarct

6

6. which is the normal level for urea in the serum

,* 3.6- 7.2 mmol/L

7

7. which is not useful for examination of blood vessels

,* DSA* CTA* TCD* Brain X- ray

8

8. what are the side effects of valporic acid

,* Alopecia* Weight gain* Vomiting* All of the above

9

9. what is the treatment for tardive dyskinesia

,* Haloperidol* Pipolphen* Reserpin

10

10. treatment for acute migrane

,* Amytriptilin* Sumatriptan

11

11. treatment for progressive stroke

,* High dose heparin* Normal dose heparin- if there's no blood on CT

12

12. what is false about prions

,* 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

13. which is the largest nerve in the human body

,* Sciatic n* Dorsal pedis n.* Lumbar n.

14

14. which of the following is not useful for examination of extra cranial blood vessels

,* MRA* DSA CTA* Color Doppler

15

15. which doesn't cause dementia

,* Deafness

16

16.which is false regarding cerebellar and vertebrobasilar occlusion

,* Aphasia* Ataxia* Dizziness

17

17. which is true

,"* Heroin causes thrombotic stroke* Amphetamine, cocaine cause hemorrhagic stroke* both"

18

18. treatment for acute cervical spondylosis

,* bed rest

19

19. which is not the treatment of chronic cervical spondylosis

,* bed rest

20

20. which of the following is the least probable to cause stroke

,* mitral valve prolapse

21

21. what can cause hypertension

,* lacunar stroke* hemorrhagic stroke* ischemic stroke* all of the above

22

22. what is false regarding Crutzfeld Jakob disease

,* vacuolization* chronic inflammation* spongiform encephalopaty

23

23. what is not suitable for the dg of Alzheimer Disease

,* ENG

24

24. What is not true for Dementia

,* 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 -Thymectomy (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