Aaron: Neurology

Question 1

What disease has
Encephalopathy
Oculomotor dysfunction
Gait Ataxia

Homeless man with no PMH?

Answer 1

Korsakoff Syndrome

Question 2

Does emergency thrombolysis require consent?

Answer 2

No

Question 3

Post stroke prophylaxis, what is an excellent medication to start patients on?

Answer 3

Heparin

Question 4

Mechanical Thrombectomy is only used when there is what?

Answer 4

Large Vessel Occlusion

Question 5

What should all stroke patients be screened for regardless of the onset of symptoms?

Answer 5

Dysphagia Screening

Question 6

GBS prognosis is what?

Answer 6

Weakness may improve spontaneously, but treatment shortens recovery time

Question 7

What is a critical GBS disease patient value to measure?

Answer 7

Measure Vital Capacity

Question 8

What is the best preventative medication for cluster headaches?

Answer 8

Verapamil

Question 9

Can Sarcoidosis present with Bell’s Palsy?

Answer 9

Yes

Question 10

Elevated ALP, Elevated Calcium, and elevated ESR, what is the most common autoimmune condition?

Answer 10

Sarcoidosis

Question 11

What is apraxia?

Answer 11

The inability to perform learned muscle movements

Question 12

If someone overdoses on Benzodiazepines, how long should they wait to evaluate a neuro status/potential brain death?

Answer 12

3-5 days before calling brain death, Benzos need 3-5 days to get out of the system

Question 13

What is sudden muscle weakness during emotional episodes, especially during family arguments?

What is the treatment?

Answer 13

Cataplexy

Venlafaxine

Question 14

If someone is suspected of Narcolepsy, what is the next best step for them?

Answer 14

Sleep Study

Question 15

What is first line therapy for narcolepsy?

Answer 15

Modafinil

Question 16

A nursing home patient has delirium, that has been diagnosed, what is the most concerning delirium symptom?

Answer 16

Fluctuating consciousness

Question 17

A young patient has a right front subacute stroke, what is the most likely etiology of the stroke? No PMHx, no HIV, no FH, CSF has RBCs and lymphocytes

Answer 17

Syphilis with Meningovascular problems

Question 18

A patient most likely has Parkinson’s Disease, what is the next best step?

Answer 18

Levodopa-Carbidopa

Question 19

A patient has idiopathic intracranial HTN, what is the most likely underlying mechanism?

Answer 19

Decreased CSF production in the choroid plexus

Question 20

A patient that has “fasciculations” and does not care about anything, urinates in front of people, loss of empathy, what is the most likely diagnosis?

Answer 20

Frontotemporal Dementia

Question 21

Vitamin B12 deficiency can cause mild indirect hyperbilirubinemia, why is this?

Answer 21

Ineffective Erythropoiesis

Question 22

If there is a cryptogenic stroke, i.e. no idea why this has happened, what is the next best test?

Answer 22

Ambulatory Monitoring

Question 23

Lewy Body dementia has what hallmark sign?

Answer 23

Visual hallucinations

Question 24

Construction apraxia, not dressing on one side or the inability to draw a picture can be in seen, generally, in what area of the brain?

Answer 24

Non-dominant Parietal Lobe

Question 25

Involuntary eye closure is called Blepharospasm, a form of focal dystonia, what is the proper treatment?

Answer 25

Botulism Toxin Injection

Question 26

What Blood pressure number is needed before TPA can be administered?

Answer 26

185/110

Question 27

HIV, drug abuse, has the following what am I?

Fever, Back Pain, and neurologic signs

Answer 27

Spinal Epidural Abscess

Question 28

If there is Bell’s Palsy, in a patient, and the patient has been hiking, what is the next best step?

Answer 28

Do Lyme Serology work up first, do not just give steroids right away