Neurology

Question 1

Best initial Test for stroke

Answer 1

Head CT without contrast

Question 2

profound upper extremity weakness
Aphasia
Apraxia/neglect
Eyes deviate toward the side of the lesion

Answer 2

Middle cerebral artery stroke

Question 3

Profound lower extremity weakness
Mild upper extremity weakness
Personality changes or psychiatric disturbance
urinary incontinence

Answer 3

Anterior cerebral artery stroke

Question 4

Inability to recognize faces(Prosopagnosia)

Answer 4

Posterior cerebral artery

Question 5

vertigo 
nausea
Loss of consciousness
vertical nystagmus
ataxia
bilateral findings

Answer 5

Vertebrobasilar artery stroke

Question 6

Absolute contraindications for thrombolytics

Always withing 3 hours.

Answer 6

• History of hemorrhagic stroke
• Presence of intracranial mass/neoplasm
• Active bleeding or surgery within 6 weeks
• Presence of bleeding disorder
• CPR within 3 weeks that was traumatic
• Suspicion of aortic dissection
• Stroke within 1 year
• Cerebral trauma or brain surgery within 6 months

Question 7

Best initial therapy for those coming too late for thrombolytics

Answer 7

ASA

Question 8

Acute treatment for Seizures

Answer 8

1-.Benzodiazepines
2-.add Phosphenytoin
3-.Add Phenobarbital
4-.Add general anesthesia(pentobarbital,thiopental,midazolam or propofol)

Question 9

Best initial therapy for seizures

Answer 9

• Valproic acid
• Carbamazepine
• Phenytoin
• Levetiracepam

Question 10

Treatment for levodopa psycosis

Answer 10

Quetiapine

Question 11

Treatment for Parkinsons´s< age 60

Answer 11

Anticholinergics

• Benztropine
• Hydroxyzine

Question 12

Treatment for Parkinson´s> age 60

Answer 12

Amantadine very good for resting tremor

Question 13

Treatment for Parkinson´s with severe symptoms

Answer 13

• Carvidopa,Levodopa

- (pramipexole,ropinirole,cabergoline)

Question 14

Besti initial test for MS

Answer 14

MRI

Best initial therapy:STEROIDS

Question 15

Dementia workup

Answer 15

• Head CT
• B12 level
• T4/TSH
• RPR or VDRL

Question 16

Alzheimer Treatment

Answer 16

Anticholinesterase Medications

• Donepezilo
• Rivastigmine
• Galantamine

Question 17

Creutzfeldt-Jakob disease
Most accurate test:
CSF findings:

Answer 17

Most accurate test: Brain biopsy

CSF findings:14-3-3 protein

Question 18

Indications for CT or MRI for migraine

Answer 18

• Sudden or severe
• Onset after age 40
• Nuerological findings

Question 19

Indications for CT before LP in CNS infections

Answer 19

• History of central nervous system disease
• Focal neurologic deficit
• Papilledema
• Seizures
• Altered consciousness
• Significant delay in the ability to perform an LP

Question 20

Treatment for lyme disease

Answer 20

IV ceftriaxone or penicillin

Question 21

Rocky mountain spotted fever treatmetn

Answer 21

Doxycycline

Question 22

Most acurate diagnosis for TB meningintis

Answer 22

PCR of CSF

Question 23

Treatment of listeria meningitis
Neutrophils in CNS
Gram stain may be normal

Answer 23

Ceftriaxone,vanco Add Ampicillin

Question 24

-pCO goal in intracraneal Hemorrhage hyperventilation

Answer 24

-pCO2 to 28-32

Question 25

Treatment for ALS

Answer 25

Riluzole

Question 26

treatment for Restless syndrome

Answer 26

-Pramipexole or ropinirole

Question 27

best initial test for Myasthglyenia Gravis

Answer 27

ACHR

Question 28

Glycopyrrolate

Answer 28

Decreasing drooling and diarrhea

Question 29

Dopamine agonist

Answer 29

- Pramipexole - Ropinirole - Cabergoline

Question 30

best prophylactic therapy for Cluster headaches

Answer 30

CCBs | VERAPAMIL

Question 31

indication for migraine prophylaxis

Answer 31

4 or more headaches occur per month

Question 32

Neisseria meningitidis meningitis

Answer 32

-Enforce respiratory isolation and precribe rifampin/cirpro or ceftriaxone for close contacs(house hold and saliva-type contact)

Question 33

Treatment for naegleria

Answer 33

Miltefosine and storiod | FATAL 95%

Question 34

best predictgor for respiratory failure in myastenia gravis

Answer 34

Peak inspiratory pressure

Question 35

best initial treatment for Myasthenia grvis

Answer 35

-Pyridostigmine or neostigmine

Question 36

dopamin agonist(for parkinson)

Answer 36

pramipexole ropinirole cabergoline

Question 37

The goal of PCO2 in heat trauma

Answer 37

Respiratory alkalosis | PCO2 to 28-32