Neurology

Question 1

defn of epilepsy

Answer 1

2 or more unprovoked seizures occurring in a time frame of > 24 hrs

Question 2

EEG: broad-based centrotemporal spikes

Answer 2

Benign rolandic epilepsy

outgrown during adolescence

Question 3

EEG: high voltage, slow, chaotic background with multifocal spikes

Answer 3

West syndrome

Question 4

Triad of West syndrome

Answer 4

infantile epileptic spasms
developmental regression
EEG: hypsarrythmia

Question 5

MC seizure DO during childhood

Answer 5

Simple febrile seizure

<15 min

Question 6

seizure > 15 min

Answer 6

Complex/ Complicated FS

Question 7

Status epilepticus is defined as

Answer 7

continuous seizure activity lasting more than 5 min

Question 8

refractory status epilepticus

Answer 8

failed to respond to therapy usually with at least 2 medications

Question 9

viral infections most commonly assoc with febrile status epilepticus

Answer 9

HHV-6 and HHV-7

Question 10

Triad of imaging findings in TB meningitis

Answer 10

hydrocephalus, basal enhancements, infarcts

Question 11

absolute CI to a lumbar puncture

Answer 11

1. Cushing’s triad (inc ICP)
2. local infection at desired puncture site
3. radiologic signs of obstructive hydrocephalus and intracranial mass

Question 12

indications for brain abscess surgery

Answer 12

1. (+) gas in abscess
2. multiloculated abscesses
3. posterior fossa location
4. fungal cause
5. assoc infections like mastoiditis, periorbital abscess, sinusitis

Question 13

candle dripping appearance

Answer 13

Tuberous sclerosis

Question 14

infantile spasms, ash leaf hypopigmented skin lesion, shagreen patch, periungual fibromas

Answer 14

Tuberous sclerosis

Question 15

chr Von Recklinghausen

Answer 15

chr 17

it has 17 letters

Question 16

Criteria for NF1

Answer 16

2/7

1. cafe au lait spots
2. axillary/ inguinal LN
3. Lisch nodules
4. neurofibromas
5. osseous lesion
6. optic glioma
7. relative with NF-1

Question 17

Criteria for NF-2

Answer 17

1. acoustic neuroma

2. relative with NF-2