Surgery Neuro

Question 1

Umbilical hernia associated with

Answer 1

African American
Premature birth
Beckwith wideman
Hypothyroidism

Question 2

Lumbar Puncture or imaging first

Answer 2

Imaging if coma or Hx of neurosurg

Question 3

Cataplexy

Answer 3

Loss of muscle tone with surge of emotion

Question 4

Cataplexy tx

Answer 4

Sodium oxylate (abuse potential)

Question 5

Narcolepsy features

Answer 5

Daytime drowsiness and cataplexy

Question 6

Downs with torticollis and urinary incontinence

Answer 6

Atlanto-axial instability

Question 7

Downs with torticollis and urinary incontinence and Babinski or upper motor neuron findings

Answer 7

Atlanto-axial instability

Question 8

Downs with torticollis and urinary incontinence and Babinski or upper motor neuron findings

Answer 8

Atlanto-axial instability

Question 9

what is conjugate gaze

Answer 9

moving eyes in same direction

Question 10

where do conjugate gaze palsies come from

Answer 10

midbrain or pons stroke

Question 11

where do conjugate gaze palsies come from

Answer 11

midbrain or pons lesion/stroke

Question 12

where do conjugate gaze palsies come from

Answer 12

midbrain or pons lesion/stroke or…. Wernicke’s

Question 13

wernicke’s is from what

Answer 13

from B1 thiamine deficiency

Question 14

wernicke’s is from what

Answer 14

from B1 thiamine deficiency

Question 15

Cerebellar infarction of vermis causes what

Answer 15

severe vertigo and nystagmus

Question 16

cerebellar infarction of lateral cerebellum causes what

Answer 16

dizziness and ataxia

Question 17

B12 deficiency causes what neurologic

Answer 17

impaired vibratory and position sense

Question 18

B12 deficiency causes what neurologic

Answer 18

impaired vibratory and position sense

Question 19

Wernicke’s Triad

Answer 19

1 encephalopathy,
2 oculomotor dysfxn,
3 gait ataxia

Question 20

what is
1 irreversible amnesia,
2 confabulation
3 apathy

Answer 20

Korsakoffs

Question 21

what is Korsakoffs caused by

Answer 21

Chronic thiamine deficiency

Question 22

Anterior Cord Syndrome

Answer 22

Total loss of motor at site of lesion

Loss of pain and temp on both sides below lesion

Normal Proprioception (DCML intact) DCML is posterior

Question 23

Central Cord Syndrome

Answer 23

Burning pain and paralysis in UE/ Sparing of LE

1. Weakness in uppers
2. loss of pain and temp in cape like distribution over neck shoulders upper arms and hands. (Patients may burn hands)

Question 24

Anterior Cord Syndrome with what type of injury

Answer 24

burst fracture of vertebra

Question 25

Central Cord Syndrome common in what injury

Answer 25

Elderly that hyperextend their neck

Question 26

Acute Disk prolapse

Answer 26

severe radicular pain with positive straight leg test

Question 27

Cauda Equina Syndrome

Answer 27

paraplegia, some sensory loss, urinary and fecal incontinence

Question 28

Brown Sequard Syndrome

Answer 28

Acute hemisection of cord and is characterized by ipsilateral motor proprioception loss and contra lateral pain loss below level of lesion

Question 29

Brown Sequard Syndrome from what? what is presentation?

Answer 29

Acute hemisection of cord and is characterized by ipsilateral motor proprioception loss and contra lateral pain loss below level of lesion

Question 30

Syringomyelia

Answer 30

presents with central cord syndrome

Question 31

tabes dorsalis

Answer 31

posterior spinal cord lesion loss of proprioception ataxia paresthesia

Question 32

what causes tabes dorsalis

Answer 32

neurosyphilis

Question 33

Cushings triad

Answer 33

HTN Bradycardia Irregular eespirations From increased ICP

Question 34

Burst fracture of vertebra associated with what

Answer 34

Anterior Cord Syndrome

Question 35

Korsakoffs

Answer 35

1 irreversible amnesia, 2 confabulation 3 apathy chronic (Wernicke's is acute)

Question 36

Cortical Dysplasia

Answer 36

congenital abnormality of neurons common in kids with epilepsy

Question 37

Tic Douloureux

Answer 37

External compression of trigeminal nerve V results in short bursts of pain lasting seconds to minutes

Question 38

Tabes Dorsalis

Answer 38

lesion of posterior spial cord with lost of proprioception, ataxia and paresthesia in Syphillis

Question 39

Cushing Reflex

Answer 39

HTN Bradycardia Respiratory Depression

Question 40

Inability to abduct the eye

Answer 40

CN 6 injury from uncal herniation

Question 41

Jugular Foramen syndrome

Answer 41

damage/compression to CN 9 glossopharyngeal from tumor Loss of gag reflex Loss of tast and sensation on posterior 1/3 of tongue

Question 42

MS Lesions

Answer 42

Multiple foci of white matter on CT. Periventricular regions revealed on MRI

Question 43

Syringomyelia

Answer 43

CSF from central canal of spinal cord is disrupted leading to compression of surrounding tissue... lost of pain and temp below and loss of UE motor Classically whiplash

Question 44

Spondylosis

Answer 44

age releated wear and tear of a vertebra

Question 45

spondylolisthesis

Answer 45

forward movement of a vertebra, commonly L5

Question 46

Multiple Sclerosis

Answer 46

demylinating dz with TWO lesions of asymmetry Nystagmus and Scanning speech are common.

Question 47

Twitching Muscles weakness cramping

Answer 47

ALS