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Question 1

Only drug that can improve PD symptoms without dyskinesia?

Answer 1

Amantidine

Question 2

How many weeks post Surgery and GI bleed is rTPA contraindicated?

Answer 2

MAJOR Surgery - 2weeks
GI bleed - 3 weeks

Question 3

CHADSVASC score

Answer 3

Congestive HF - 1
Hypertension - 1
Age >= 75 - 2
DM - 1
Stroke, TIA - 2
Vascular (MI, PAD, aortic plaque - 1
Age 65-74 - 1
Sex (F) -1

Question 4

Anticoagulation guidelines for stroke

Answer 4

Table 420-3

Question 5

CT finding of normal pressure hydrocephalus

Answer 5

Enlarged lateral ventricles
Mild cortical atrophy
Sylvian fissures may appear propped open (so-called “boxcarring”)

Question 6

ABCD scoring

Answer 6

Age > 60 - 1
BP > 140/90 - 1
Clinical status
-unilateral weakness - 2
-Speech disturbance w/o weakness -1

Duration
> 60 min - 2
10-59 - 1

DM - 1

Question 7

Diagnosis of Delirium

Answer 7

Requirement
“AI- CD”
-Acute or fluctuating
-Inattention

One of those:
-Consciousness altered
-Disorganized thinking

Question 8

Features of nystagmus from central vertigo

Answer 8

Pure Vertical
Pure torsional
Changes direction with gaze
Absence of Head Impulse Test

Question 9

Which of the following has to greatest propensity to cause of hemorrhagic brain metastasis?

Answer 9

Thyroid CA

Question 10

PMN pleocystosis, low glucose, ICC suggests etiology of meningitis

Answer 10

CMV

Question 11

Lymphocytosis with low glucose, high protein suggests what meningitis etiology?

Answer 11

Tuberculosis

Question 12

MC symptom of brain abscess

Answer 12

Headache

Question 13

Symptom triad of brain abscess

Answer 13

Fever, headache, focal neurologic deficit

Question 14

Triad of NP hydrocephalus

Answer 14

Ataxia
Dementia
Urinary urgency

Question 15

If brain abscess is your primary consideration, where is the most likely location?

Answer 15

Frontal lobe

Question 16

Hunt Hess grading for SAH

Answer 16

Features: Headache, deficit, mental status

1- Mild headache only
2- Severe headache, may have cranial deficit
3- Somnolent confused, mild motor deficit
4-Stupor, mod - severe neuro deficit
5 - Coma

Question 17

The primary mechanism of septic encephalopathy involves:

Answer 17

Release of proinflammatory cytokines and their diffuse cerebral effects

Question 18

First tier imaging of choice for delirium

Answer 18

Cranial MRI with GAD

Question 19

In hyperglycemia, the CSF glucose is erroneously elevated or decreased?

Answer 19

Elevated hence use CSF glucose/serum glucose

< 0.6 - low
<0.4 - highly suggestive of bacmen

Question 20

Cranial nerves most commonly involved in subacute meningitis?

Answer 20

Cranial nerves VII and VIII are most frequently involved

Question 21

What drug can be d/c in 8 weeks if good clinical response to HRZE for TB men?

Answer 21

Pyrazinamide

Question 22

T/F: When the antimicrobial sensitivity of the M. tuberculosis isolate is known, ethambutol can be discontinued

Answer 22

True

Question 23

STANDARD CRITERION FOR TREATMENT SUCCESS for TB men?

Answer 23

• Cell count normalizes in 1 year
• VDRL titer to decrease by two dilutions OR revert to non-reactive within 2 years of COMPLETION OF THERAPY

Question 24

Criteria for retreatment of TB meningitis?

Answer 24

FAILURE OF CSF PLEOCYTOSIS TO RESOLVE or INCREASE IN CSF VDRL TITER BY >/ 2 dilutions

Question 25

Prophylaxis for Meningococcemia meningitis?

Answer 25

Rifampicin 600 mg q12 for 2 days Azithromycin 500 mg x 1 dose Ceftriaxone 250 mg IM

Question 26

DOC for Alzheimers