AAN

Question 0

Cancer that is most likely to initially present with spinal cord compression?

Answer 0

Lung cancer

Question 1

Usual place for disc herniations?

For spinal dural AV fistula’s?

Answer 1

Cervical or lumbar spine

Cervical or upper thoracic

Question 2

When to start aspirin after TPA?

Answer 2

24 hrs

Question 3

Most common cause of facial weakness in an adult? Believed to be caused by?

If bilateral, suspect?

Answer 3

Bell’s palsy; reactivation of HSV

Sarcoidosis, Lyme

Question 4

Only lower neurologic function that is impaired in early Alzheimer?

Answer 4

Olfaction

Question 5

Affected in Vit E deficiency?

Answer 5

Ptosis
Decreased proprioception
Dysarthria

Question 6

Differentiating between median nerve damage to the forearm versus carpal tunnel?

Answer 6

Damaged in the forearm, can get

1. weakness to thumb flexion
2. numbness to thenar evidence

Question 7

Inheritance of Duchenne versus Beckers muscular dystrophy?

Answer 7

Both X-linked

Question 8

Severe weakness the morning after working out and eating a large meal?

Answer 8

Hyperkalemia or hypokalemia periodic paralysis

Question 9

Motor tract which crosses twice (and is therefore ipsilateral)?

Answer 9

Rubrospinal

Question 10

Generalized seizure drug of choice in young female?

Answer 10

Lamotrigine

Question 11

AED that can be used for migraines? However, can cause?

Answer 11

Topiramate

Renal stones

Question 12

Treating neuromyelitis optica versus multiple sclerosis?

Answer 12

NMO does not respond to same immune modulators, need immunosuppressives

Question 13

Brain region that allows one to distinguish between animals, items, people?

Region that allows us to draw geometric shapes accurately?

Answer 13

Dominant Lateral temporal cortex

Nondominant parietal lobe

Question 14

Differentiating between migraine aura versus seizure?

Answer 14

15-30 minutes versus 2-3 minutes

Question 15

Patient presents with slurred speech, difficulty swallowing, dysmetria and right arm and right facial weakness – suspected diagnosis? Likely location?

Answer 15

Dysarthria-clumsy hand syndrome (Lacunar infarct)

Left pons

Question 16

CSF findings in acute multiple sclerosis flair?

Answer 16

Mild pleocytosis with low PMNs

Question 17

Beta-interferon associated with increased risk of?

Answer 17

Depression

Question 18

Signs of frontal disinhibition?

Answer 18

#Mayerson sign (four head tapping)
#Snout reflex

Question 19

Periventricular and subcortical white matter hypointensities – may suggest?

Answer 19

Vascular dementia

Question 20

Spastic paresis and decreased dorsal columns sensation – consider?

Answer 20

B12 deficiency

Question 21

REM sleep behavior disorder associated with subsequent development of?

Answer 21

Parkinson’s

Question 22

Region of the brain that controls facial recognition?

Answer 22

Bilateral inferior occipitotemporal cortex (fusiform gyrus)

Question 23

Why not use oral prednisone for the treatment of MS flares?

Answer 23

Rebound optic neuritis

Question 24

Suspect subarachnoid hemorrhage but CT scan is normal – next step?

Answer 24

LP for blood

Question 25

Drugs that predispose to pseudotumor cerebri?

Answer 25

#Tetracycline
#OCP
#Steroids
#Vitamin A