Neurology

Question 1

Dose of Ativan?

Answer 1

0.1mg/kg

Question 2

What would happen to the FVC for GBS? and what test are used to test for GBS? how is it presented?

Answer 2

Decrease/CSF first then electromyography

Days or weeks after infection/usually with autonomic dysfunction (tachy/arrhythmia/urinary retention)

Question 3

What kind of protein would you find in the CSF of Creutzfeldt-Jakob disease?

Answer 3

14-3-3 protein

Question 4

Weber and Benedikt syndrome

Answer 4

Posterior cerebral artery—>CN III palsy

Question 5

Young ppl have stroke, what to look for?

Answer 5

Hypercoagulable state/vasculitis

Question 6

Pt has a stroke while on aspirin, come to hospital more than 3 hours, what to add?

Answer 6

Dipyridamole

Question 7

Asymptomatic aneurysm under 5mm?

Answer 7

Leave it alone

Question 8

Pt has a stroke with increased ICP comes in 5 hours after the onset, what to do?

Answer 8

Permissive HTN to perfuse the brain

Question 9

Straight leg raise is testing for myelopathy or radiculopathy

Answer 9

Radiculopathy

Question 10

What to give with acute myelopathy?

Answer 10

Dexamethasone

Question 11

IV drug user with fever and back pain?

Answer 11

Epidural abscess

Question 12

GBS has any sensory loss?

Answer 12

No

Question 13

Age onset for frontaltemporal dementia

Answer 13

40-60

Question 14

Symptoms of medial and lateral cerebella lesions?

Answer 14

Medial—>vertigo and nystagmus

Lateral—>ataxia/dizziness/sway to side of lesion

Question 15

Signs of spinal cord compression?

Answer 15

Lower back pain at night/bilateral weakness and sensory loss

Question 16

Dejerine-Roussy syndrome?

Answer 16

Thalamic pain syndrome—>severe burning pain follow thalamic stroke

Question 17

Mononeuritis multiplex

Answer 17

asymmetric neuropathy with multiple nerves
associated with vasculitis
Low complement/purpura

Question 18

Wallenberg syndrome

Answer 18

Lateral medulla infarction (PICA or vertebral)
Ipsilateral Horner/hoarseness/dysphagia
Ipsilateral loss of pain and temp on face and contra on limbs (similar to PCA)
Dizziness and unsteadiness

Question 19

Hyperostosis of skull, what tumor?

Answer 19

Meningioma

Question 20

Language deficits of Alzheimer’s

Answer 20

Transcortical sensory aphasia—>can’t understand complex linguistic structure
Decrease in fluency

Question 21

Location of Lewy bodies

Answer 21

Intracytoplasmic inclusion bodies

Question 22

Long term tx for MS?

Answer 22

Interferon beta/glatiramer

Question 23

optic neuritis

Answer 23

Demylination of optic nerve 
Unilateral loss of vision/central vision loss or any other kind
eye pain with movement 
Change in color perception 
MS/lupus 
Tx--->IV steroid

Question 24

Vertebrobasilar artery occlusion

Answer 24

Vertigo (dizziness)

Question 25

Straight leg raise test for?

Answer 25

Herniated disc

Question 26

Vegetarian/bowel disease, think?

Answer 26

Subacute combined degeneration | UMN lesion/mental change

Question 27

Lambert Eaton

Answer 27

Proximal muscle weakness/ptosis/diplopia

Question 28

Meds for Meniere disease

Answer 28

Meclizine (1st gen antihistamine) and scopolamine (anti M) | Low salt diet/diuretics

Question 29

Complication of CSF leak

Answer 29

S. pneumoniae meningitis

Question 30

Tethered cord syndrome adult

Answer 30

Back/leg pain/scoliosis

Question 31

Cause of benign paroxysmal positional vertigo

Answer 31

Otolith in semicircular canal

Question 32

Cavernous sinus thrombosis? | Can lead to?

Answer 32

fever/retro-orbital headache/swollen protruding eye/CN346 palsy lead to intracranial HTN (papilledema)

Question 33

Midbrain stroke?

Answer 33

Ipsilateral CN III palsy/ataxia | Contra weakness

Question 34

Subacute combined generation symptoms

Answer 34

progressive symmetrical polyneuropathy more in legs than arms loss of proprioception--->gait ataxia UMN signs

Question 35

Cholesteatoma

Answer 35

Overgrowth of keratinizing squamous epithelium Ear discharge White plaque on tympanic membrane

Question 36

Anterior cord syndrome caused by?

Answer 36

Burst fracture of vertebra

Question 37

What to give with acute migraine pt with nausea and vomiting?

Answer 37

IV antiemetics (chlorpromazine/prochlorperazine/metoclopramide)

Question 38

Pure motor stroke, what kind of stroke is it?

Answer 38

Lacunar stroke of posterior limb of internal capsule from HTN

Question 39

Tx for GBS?

Answer 39

IV immunogloblin and plasmapheresis

Question 40

Difference between seizure and syncope

Answer 40

Syncope has prodrome like lightheadness/weak pulses Seizure has aura (vision usually) Sleep deprivation can cause seizure

Question 41

What is preserved with brain dead pt?

Answer 41

Deep tendon reflexes

Question 42

Headache leaning forward/cough/Valsalva

Answer 42

increase ICP

Question 43

Chronic alcohol abuser

Answer 43

Intention tremor (cerebellar dysfunction)

Question 44

Otosclerosis

Answer 44

Hereditary conductive hearing loss in late teens | Ankylosis of stapedial foot plate

Question 45

How do you know it is spondylosis? use what to image?

Answer 45

Limited ROM/Spurling test/Lhermitte sign | X ray

Question 46

Pt is on anticoagulation, brain bleed, stop anticoagulation, what to do next?

Answer 46

IVC filter to prevent emboli from stopping the anticoagulation

Question 47

Tx for Huntington

Answer 47

Tetrabenazine

Question 48

Tx for intact functional state below or over 60 of age of Parkinson pt

Answer 48

anticholinergic for movement | >60 --->amantadine

Question 49

Parkinson + vertical gaze palsy Parkinson + ataxia Parkinson + orthostatic HoTN

Answer 49

Progressive supranuclear palsy (no tremor) Olivopontocerebellar atrophy Shy-Drager syndrome

Question 50

What drug slow the progression of Alzheimer's disease?

Answer 50

Memantine

Question 51

Does steroid help with GBS?

Answer 51

NOOOOOOOOOO

Question 52

Steroid for ICH?

Answer 52

NOOOOO

Question 53

Tx for Tourette's

Answer 53

Clonidine | 1st gen antipsychotic

Question 54

Antipsychotic makes it worse

Answer 54

Lewy body dementia

Question 55

What drug is for secondary progressive MS?

Answer 55

Mitoxantrone

Question 56

Tx for DMD?

Answer 56

Steroid

Question 57

NF1, you see?

Answer 57

Cafe au lait Cutenaous neurofibroma Lisch Nodules Freckling

Question 58

Tuberous sclerosis, you see?

Answer 58

epilepsy renal angiomyolipoma rhadomyoma of the heart

Question 59

Capillary angiomatoses of pia matter?

Answer 59

Sturge weber syndrome

Question 60

Tx for vasvagal syncope

Answer 60

Beta blocker/disopyramide

Question 61

Difference between partial/generalized | simple/complex

Answer 61

Partial--->one part of brain Generalized--->entire (convulsive) Simple--->no LOC Complex--->LOC

Question 62

Is absence seizure partial or generalized seizure?

Answer 62

Generalized

Question 63

MOA of metoclopramide

Answer 63

D2 antagonist (anti psychotic)

Question 64

Kernig and Brudinski sign?

Answer 64

Kernig-flex thigh 90 degree. Extend of leg cause pain. Inflammation of hamstring Brudinski-neck flexion causes leg flexion Both indicate meningitis

Question 65

What besides GBS causes autonomic dysfunction? And how do you test for it?

Answer 65

Botulism | Mouse bioassay

Question 66

Central cord syndrome

Answer 66

Hyperextension | Affect spinothalamic and corticalspinal tract

Question 67

TIA time limit

Answer 67

24 hours