Neurology/Neurosurgery Final

Question 1

Infants Hydrocephalus Presentation:

Answer 1

Increased Head Circumference
Bulging Fontanelle
Sunsetting of eyes
Impaired Upward Gaze

Question 2

Which Drugs can cause Steven Johnson?

Answer 2

Lamotrigine

Carbamazepine

Question 3

First step in Patients with Raised ICP?

Answer 3

Head Elevation

Question 4

Head Injury + Lucid Interval :

Answer 4

Extradural Hematoma

Question 5

Internuclear Ophthalmoplegia:

Answer 5

One eye fails to adduct and the other undergoes nystagmus with abduction

Question 6

Trigeminal Neuralgia First Line:

Answer 6

Carbamazepine

Question 7

Wet Wobbly Whacky :

Answer 7

Normal Pressure Hydrocephalus

Question 8

Basilar Skull Fracture Presents with:

Answer 8

Periorbital + Post auricular Bruising

Question 9

Temporal Seizure:

Answer 9

Hallucinations
Automatisms
Deja Vu / Dysphagia

Question 10

Automatisms Examples:

Answer 10

Lip smacking
Grabbing
Plucking

Question 11

Frontal Lobe Seizure:

Answer 11

Head /Leg Movements

Jacksonian March

Question 12

Parietal Lobe Seizure

Answer 12

Paresthesia

Question 13

Occipital Lobe Seziure:

Answer 13

Floaters / Flashers

Question 14

TempORAL

Answer 14

ORAL Automatisms

Question 15

Which nerve is responsible for Abducting the eyes:

Answer 15

Abducens (VI)

Lesion has Ipsilateral Effect

Question 16

Which drug prevents Vasospasm in Subarachnoid H?

Answer 16

Nimodipine

Question 17

What to do in a case of SAH if the CT is Normal ?

Answer 17

Lumbar Puncture 12 Hours following onset of symptoms

Question 18

Which tumor is associated with Loss of Corneal Reflex?

Answer 18

Acoustic Neuroma

Question 19

Pituitary Macroadenoma Visual loss;

Answer 19

Bitemporal Hemianopia

Question 20

Broca’s Aphasia

Answer 20

Normal Comprehension

Impaired Speech

Question 21

A Lesion in which lobe causes Broca’s Aphasia?

Answer 21

Dominant Frontal

Question 22

Fluent Speech but impaired repetition (Aphasia )?

Answer 22

Conduction Aphasia

Question 23

Lambert-Eaton is associated with?

Answer 23

Small Cell Lung Cancer

Question 24

Uhthoff’s Phenomenon:

Answer 24

Worsening of Neurological deficits with exercise or hot weather

Question 25

Why does Parkinson lead to Orthostatic Hypotension?

Answer 25

Autonomic Failure

Question 26

Side Effects of Sodium Valproate:

Answer 26

Teratogenic Weight Gain Alopecia Hepatotoxicity

Question 27

What can mimic TIA and needs to be ruled out?

Answer 27

Hypoglycemia in diabetics

Question 28

Which Drugs precipitate Myasthenic Crisis?

Answer 28

Bisoprolol

Question 29

What is spared in ALS?

Answer 29

Eyes

Question 30

Idiopathic Intracranial Hypertension first line:

Answer 30

Weightloss

Question 31

Unilateral tinnitus with deafness is a feature of?

Answer 31

Acoustic Neuroma

Question 32

Acoustic Neuroma Nerves involved:

Answer 32

5/7/8

Question 33

What is given in status Epilepticus?

Answer 33

IV Phenytoin

Question 34

What should you do in status epilepticus?

Answer 34

Rule out hypoxia and Hypoglycemia

Question 35

Weber Syndrome presents with:

Answer 35

Ipsilateral III Palsy | Contralateral Weakness

Question 36

Another name for Wallenberg Syndrome?

Answer 36

Lateral Medullary

Question 37

Lateral Medullary Syndrome presents with:

Answer 37

ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, cranial nerve palsy Contralateral Limb Sensory Loss

Question 38

What is used in Cluster headache:

Answer 38

Oxygen

Question 39

Brain Abscess IV antibiotics:

Answer 39

Ceftriaxone and Metronidazole

Question 40

Cerebellar disease can present with what? (DANISH)

Answer 40

DANISH

Question 41

Is Hypo or Hypertonia associated with Cerebellar disease:

Answer 41

Hypotonia

Question 42

Isolated high protein in CSF is associated with?

Answer 42

GBS

Question 43

What are Jacksonian movements?

Answer 43

Clonic Movements travelling proximally

Question 44

Which lobe is effected when there are Jacksonian Movements?

Answer 44

Frontal Lobe

Question 45

Fluctuating Confusion and Consciousness ?

Answer 45

Subdural Hematoma

Question 46

Raised ICP Triad:

Answer 46

Widening of PP Resp Changed Bradycardia

Question 47

Which electrolyte disorder is common in SAH?

Answer 47

Hyponatremia | SIADH

Question 48

Tests to confirm Brain Death:

Answer 48

pupillary reflex, corneal reflex, oculo-vestibular reflex, cough reflex, absent response to supraorbital pressure, and no spontaneous respiratory effort

Question 49

What does binocular vision post trauma suggest?

Answer 49

Depressed Fracture of Zygoma

Question 50

Long Term prophylaxis of Cluster:

Answer 50

Verampamil

Question 51

Acute Recue therapy for cluster:

Answer 51

Sumatriptan