Neurology

Question 1

4 deadly D´s

Answer 1

Diplopia
Dizziness
Dysphagia
Dysarthria

Question 2

single greatest rick factor for stroke

Answer 2

Hypertension

Question 3

carotid endarterectomy indication

Answer 3

> 60% in symptomatic patients

>70% in asymptomatic patients

Question 4

SHE tx

Answer 4

CX
blood control(BP

Question 5

Cushing herniation tria

Answer 5

hypertention
bradycardia
irregular respirations

Question 6

partial and tonic-clonic seizures treatment

Answer 6

levetiracetam,phenyon, phenobarbital(first line in children) or valproic acid.

Question 7

estatus epilepticus

Answer 7

IV benzodiazepine(lorazepam or diazepam)

• ->5min anther dose
• ->10 min FOSPHENYTOIN,valproate sodiumPHENOBARBITALlevetiracepam or continuus of midazolam
• • > General anestesia

Question 8

Charcot´s Classic(neurology) Triad

Answer 8

MS
scanning speech
internuclear ophthlamoplegia
bystagmus

Question 9

MS treatment

Answer 9

corticosteroids, plasma exchange for those not responding to to steroid

interferon B
copolymer

Question 10

guillian barre tx

Answer 10

plasmaferesis or IVIG

Question 11

Dementia diferential diagnosis

Answer 11

neuroDegenerative diseases
Endocrine
Metabolic
Exogenous
Neoplasm
Trauma
Infection
Affective disorders
Stroke/Structural

Question 12

mini-mental state examination

Answer 12

normal people>24

Alzheimer

Question 13

dopamine agonist

Answer 13

ropinirole
pramipexole
bromocriptine

Question 14

Tuberous Sclerosis is related with

Answer 14

rhabdomyoma
astrocytoma
renal disease( cyst, angiolipoma, and carcinoma)

Question 15

headaches triggered by darksness

Answer 15

closed angle glaucoma

give pilocarpine

Question 16

ischemic stroke treatment

Answer 16

3h=ASA

if already in ASA add dypiradamol pr switch to clopidogrel

Question 17

best sigle prophilaxis therapy for migraine

Answer 17

propanolol

Question 18

trigeminal neuralgia treatment

Answer 18

oxcarbamazepine or carbamazepine

Question 19

best test to se seizure possibility of recurrence

Answer 19

sleep deprivationEEG

Question 20

how long is ok for withdraw seizure medication

Answer 20

2 years seisuze free

Question 21

most acurate test for SAH

Answer 21

lumbar puncture

Question 22

enticholinergic medications in parkinson are best for=?

Answer 22

tremor and rigidity

Question 23

amantadine indication

Answer 23

> 60 who cannot tolerate anticholinergics

Question 24

BEST initial therapy in severe parkinson

Answer 24

Pramipexole and ropinirole

Question 25

monst effective medication in parkinson

Answer 25

levodopa/carvidopa | -associated with on/off( use tolcapone and entacapone)

Question 26

only medication that retard the progression of parkinsonism

Answer 26

MAO inhibitors( rasagiline,selegiline)

Question 27

huntington treatment for dyskinesia

Answer 27

tetrabenazine

Question 28

natalizumab adverse effect

Answer 28

progressive multiocal leukoencephalopahy

Question 29

acute MS tretment

Answer 29

hig dose stereoids

Question 30

most common cause of dead in ALS

Answer 30

respiratory failure

Question 31

best initial treatment for peripheral neuropathy

Answer 31

pregabaline or gabapentine

Question 32

best initial therapy for myastenia gravis

Answer 32

neostigmine and pyridostigmine

Question 33

cluster headache prophylaxis

Answer 33

Verapamil

Question 34

best treatment for trigeminal neuralgia

Answer 34

oxcarba or carbamazepine if do not improve gamma knife

Question 35

best choice for prevention of acute atack in MS

Answer 35

gratiramer(copolymer1) and B-interferon

Question 36

oligoclonal bands

Answer 36

MS

Question 37

albuminocytoloic dissosiation

Answer 37

guillian-barre

Question 38

the four A´s of DEMENTIA

Answer 38

- Amnesia - Aphasia(lenguage impairment) - Apraxia(inability to perform motor activities) - Agnosia(inability to recognize previously known objects/places/people)

Question 39

huntintongton disease

Answer 39

atrophy of the CAUDATE

Question 40

wilsons disaese

Answer 40

atrophy of the Lenticular nuclei

Question 41

deep intracraneal hemorrage

Answer 41

tipially due hypertensive vasculopathy - basal ganglia - pons - thalamus

Question 42

single greatest risk factor for STROKE

Answer 42

HYPERTENSION