Vascular

Question 1

The typical presentation of pontine hemorrhage is?

Answer 1

Coma + HTN + pinpoint reactive pupils.

Question 2

MOA of anterior shoulder dislocation?

Answer 2

Abd and external rotate

Question 3

SAH presens with?

Answer 3

sudden onset HA

Question 4

Thalamic hemorrhage presents with?

Answer 4

AMS, contralateral motor and sensory issues.

Question 5

Cerebellar hemorrhage presents with

Answer 5

impaired gait and speed, limb ataxia

Question 6

flexor tenosinovitis presents with

Answer 6

pain with finger ext and associated with felon.

Question 7

An AP radiograph shows a round cuboid lucency is a sign of?

Answer 7

Bone destruction with osteomyolitis

Question 8

pseudomonas from a nail in the shoe is tx with?

Answer 8

Cipro (FQ)

Question 9

lucid interval, biconvex opacity, middle meningeal artery is what type of brain bleed

Answer 9

epidural

Question 10

if a patient has warfarin and developes a brain bleed, how do you tx them?

Answer 10

Vit K , prothrombin, and FFP

Question 11

contralateral hemisensory loss is associated with what part of the brain?

Answer 11

Thalamus

Question 12

Clear speech w/ poor understanding is due to a lesion in the

Answer 12

temporal region

Question 13

Good understanding and poor speech is due to a lesion in the

Answer 13

frontal region

Question 14

myasthenic crisis with sob is tx with

Answer 14

negative inspiratory force

Question 15

low-birth-weight children preterm and substance abuse can lead to what

Answer 15

cerebral palsy

Question 16

myasthenia gravis will most likely exhibit ——- deep tendon reflexes

Answer 16

Normal

Question 17

periventricular white matter, lumbar puncture may show oligoclonal bands

Answer 17

MS

Question 18

Becomes more prevalent the farther you live from the equator

Answer 18

MS

Question 19

what metric is used to grade SAH? how can you medically stop vasospasms?

Answer 19

Hess and Hunt: worse with motor issues

Tx = Nimodipine

Question 20

Contralateral hemiparesis/hemiplegia, Contralateral sensory loss, ipsilateral deviation of the eyes, stupor, coma and mydriatic pupils

Answer 20

Left putamen

Question 21

monocular vision loss, sensory abnormalities, decreased color vision in her left eye

Answer 21

MS

Question 22

Morning headaches associated with vomiting are indicative of increased intracranial pressure and raise concern of a CNS ——–

Answer 22

glioblastoma

Question 23

motor abnormality that does not progress, brain lesion. what is this?

Answer 23

Cerebral palsy

Question 24

No 1 risk factor for Cerebral palsy ?

Answer 24

pre-maturity birth

Question 25

Is Cerebral palsy regression?

Answer 25

no

Question 26

if primitive reflexes persist, the kid has?

Answer 26

Cerebral palsy

Question 27

Cerebral palsy leads to what if not treated?

Answer 27

aspirative PNA, Kernicterus

Question 28

Neuro syncope is due to

Answer 28

Cardiac C fibers - vasodilate->brady & HoTN

Question 29

MCC of syncope?

Answer 29

vasovagal

Question 30

micturition or carotid sinus hypersens can lead to

Answer 30

syncopy

Question 31

syncopy diag?

Answer 31

tilt test

Question 32

Do concussions have a brain bleed?

Answer 32

no

Question 33

AV malformations is associated with

Answer 33

aneurysms and ICH

Question 34

AV malformations sxs

Answer 34

ICH, seizure, headhaches,

Question 35

AV malformations diag?

Answer 35

MRI - vessels | Gold - Xray Angio, CT helps

Question 36

AV malformations tx?

Answer 36

neurosurgical referral

Question 37

AV malformations can lead to

Answer 37

hemorrhages

Question 38

mass effect, well circumscribed

Answer 38

Benign neoplasm

Question 39

MC Benign neoplasm ?

Answer 39

meningioma - benign | glioma - bad

Question 40

Benign neoplasm diag?

Answer 40

MRI

Question 41

Benign neoplasm =tx?

Answer 41

surgery

Question 42

low mets are associated with (due to BBB)

Answer 42

Malignant neoplasms

Question 43

MC met is to the?

Answer 43

brain, from lung/breast

Question 44

MC primary brain tumor is?

Answer 44

glioma (glioblastoma)

Question 45

Malignant neoplasms diag? TX?

Answer 45

MRI and surgery

Question 46

complications to Malignant neoplasms

Answer 46

``` cebreal edema (steroids) Seizure (val, lamic) ```

Question 47

CRPS is

Answer 47

severe pain + post surgical + trophic changes. Pain doesnt follow dermatomes or nerves

Question 48

CRPS sxs

Answer 48

4-6 wks post surgery, red, hot, dusty red, decreased ROM, more hair frowth, skin atrophy

Question 49

CRPS diag/ Tx

Answer 49

work up will be negative clinical/pt or ot, nsaid

Question 50

encephalopathic diag?

Answer 50

Clinical, CSF analysis

Question 51

will Radiculopathy had decreased DTR, numbness, weakness?

Answer 51

yes

Question 52

loss of conscience, HA, N/V, blurrued vision after MVA could be due to a?

Answer 52

traumatic brain injury

Question 53

GCS mild is? Severe GCS is?

Answer 53

13-15, 8 and under

Question 54

Trigeminal neuraglia is tx with?

Answer 54

Carbamezapine then Stereotactic Gamma knife surgery

Question 55

What is Argyll-Robertson

Answer 55

Syph or DM, small irreg pupils that react to vision but not to light.

Question 56

The lack of altered consciousness and focal motor symptoms are strongly indicative what kind of seizure?

Answer 56

Simple - partial

Question 57

What spinal nerve root associated with deltoid and biceps weakness and diminished biceps reflex

Answer 57

C5

Question 58

What spinal nerve root triceps weakness and paresthesias in the middle finger and diminished brachioradialis reflex

Answer 58

C7

Question 59

What spinal nerve root is most likely affected in a patient with weak wrist extension, thumb and index finger paresthesias and diminished triceps reflex?

Answer 59

C6

Question 60

widespread muscle atrophy, fasciculations, and bilateral hyperactive reflexes with Babinski sign. Which of the following is the most likely diagnosis?

Answer 60

Amyotrophic lateral sclerosis