World

Question 1

HSV Encephalitis Presentation

Answer 1

Acute neuro findings
Temporal involvement
CSF Lymphocytosis, RBCs, and ↑ protein

Question 2

Benzo Reactions in Elderly

Answer 2

Paradoxical agitation
AMS
Falls

Question 3

Infant von gierke presentation

Answer 3

3-4 months old
hypoglycemia–> sz
lactic acidosis
↑ uric and lipids

Question 4

Infant von gierke looks

Answer 4

doll like face (fat cheeks)
thin extremities
short
↑ tummy (liver/kidney enlarged)

Question 5

Anterior humeral dislocation nerve problem

Answer 5

most common dislocation

Axillary nerve damage

Question 6

caused by shearing forces to the bridging veins

Answer 6

subdural hematoma

crescent shaped hypodensity

Question 7

Antipsychotics cause prolactinemia by blocking Da in the _________ pathway

Answer 7

tuberoinfundibular

hyper-prolactin–> sex dysfx,

Question 8

Transtentorial herniation is most likely to affect this CN

Answer 8

CN 3

Question 9

What is MOA of modafinil

Answer 9

non-amphetamine
Promotes awakness
1st line for daytime sleepiness

Question 10

What’s the scariest complication of guilan barrie

Answer 10

resp failure

serial forced vital capacity can monitor

Question 11

Internal Carotid injuries can result from?

Answer 11

posterior oropharyngeal injuries

aka tripping with toothbrush in mouth

s/s: hemiplegia, facial droop, aphasia

Question 12

Neurofibromatosis Type 1 s/s

Answer 12

cafe-au-lait spots
macrocephaly
feeding problems
short 
learning disability

Question 13

pseudotumor-cerbri rx

Answer 13

wt loss

acetazolamide

Question 14

What seizure does not have a postictal state

Answer 14

absence

Question 15

What is a neuro side effect of excess vitamin A

Answer 15

idiopathic intracranial hypertension

Question 16

Where is the ulnar nerve most likely to compress

Answer 16

the elbow

Question 17

What can cluster headaches present with

Answer 17

• horner’s syndrome
• redness and tearing of eye
• runny nose

Question 18

Reasons to neuroimage child with headache

Answer 18

incoordination
numbness/tingling
Focal Neuro Signs
HA that awakens from sleep

Question 19

How do you treat myasthenic crisis?

Answer 19

IVIG and corticosteroids

Question 20

define small vessel lipohylalinosis

Answer 20

lacunar stroke

Question 21

Lacunar stroke s/s

Answer 21

commonly affects internal capsule

pure motor hemiparesis

Question 22

Define Shy Drager syndrome

Answer 22

aka multiple system atrophy:
Parkinsonsim
Autonomic dysfx
Widespread neuro signs

Question 23

define Riley- Day syndrome

Answer 23

ashkenazi
autonomic dysfxn
severe orthostatic

Question 24

How does frontotemporal dementia present

Answer 24

early personality change
impulsive behavior
early onset
strong family hx

Question 25

Rx for brain mets

Answer 25

single: surgical multiple: whole brain radiation

Question 26

Work up for febrile sz

Answer 26

does not require work up | reassurance and discharge

Question 27

Antibiotic that causes ototoxicity

Answer 27

Aminoglycosides, esp Gentamicin Damages hair cells

Question 28

s/s of wernicke

Answer 28

↓ Thiamine encephalopathy oculomotor dysfunction gait ataxia

Question 29

s/s or korsakoff syndrome

Answer 29

Chronic ↓ Thiamine irreversible amnesia confabulation apathy

Question 30

Findings of hyperammonemia

Answer 30

``` anorexia irritability disorientation Astrexisis coma ```

Question 31

Comorbidities of absence sz

Answer 31

Psych- often ADHD

Question 32

What is cataplexy

Answer 32

intermittent muscle weakness triggered by strong emotion | typical in narcolepsy

Question 33

How does papilledemia present

Answer 33

transient vision loss with changes in head position

Question 34

Cauda Equina lesions cause ___ motor neuron signs

Answer 34

lower

Question 35

Which "cauda/conous" syndrome has early bowel/ bladder dysfxn

Answer 35

conus medullaris | also UMN signs

Question 36

primary brain met is usually from what CA?

Answer 36

breast/colon/renal

Question 37

which CA causes mult brain mets

Answer 37

Lung | Melanoma

Question 38

Most likely CA to met to brain?

Answer 38

Lung

Question 39

What is prochlorperazine?

Answer 39

Anti-emetic

Question 40

1st line rx for restless leg syndrome

Answer 40

Iron Pramipexole- Da agonist Gabapentin- CA channel blocker

Question 41

botulism rx

Answer 41

equine antitoxin

Question 42

frontal temporal dementia is also called

Answer 42

pick | personality change early

Question 43

Lewy Body dementia is

Answer 43

hallucinations parkinsonism cognitive impairment