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1. Exams - Semester 3 > Clin Med - Exam 1 > Flashcards

Clin Med - Exam 1 Flashcards

1
Q
  1. Which of the following is a descending tract?
A

Lateral corticospinal tract

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2
Q
  1. Radial nerve palsy with Saturday night palsy
A

Triceps is in tact

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3
Q
  1. Pathophysiology of MS
A

Multifocal lesions & inflammation in 2 parts of CNS

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4
Q
  1. Pathophysiology of MS
A

Multifocal lesions & inflammation in 2 parts of CNS

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5
Q
  1. Gbs- be able to recognize it and differentiate between this and MS
A

GBS –> Hyporeflexia
- Rapid, Areflexic, Ascending motor paralysis

MS –> Hyperreflexia
- Multifocal lesions & inflammation in 2 parts of CNS

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6
Q
  1. What is not a SXS of Parkinson’s. Which is not Parkinsonian sx
A

Ans – Cognitive

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7
Q
  1. MC Intercranial aneurysm
A

AVM

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8
Q
  1. MC cause of intracerebral hemorrhage?
A

HTN

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9
Q
  1. A guy has MVA, and can’t move/feel hand
A

Cervical neck injury/palsy

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10
Q
  1. A guy has MVA, and can’t move/feel hand
A

Cervical neck injury/palsy

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11
Q
  1. Carpal tunnel syndrome is
A

Nnumbness in fingers 1-4

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12
Q
  1. MC cause of Wericis insufficiency
A

Thiamine deficiency d/t Alcohol

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13
Q
  1. Uni-lat HA, w/conjustivitis & runny nose
A

Cluster headache

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14
Q
  1. Case - w/ pt can’t Adduct eye, and Naystagmas on contralateral eye
A

INO - Intraocular opthalmaplegia

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15
Q
  1. Myesthenia Gravis lab for Dx?
A

2-Tenselon Test

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16
Q
  1. Duration of Status epileptics
A

> 5 minutes

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17
Q
  1. When does onset of huntingtons chorea start?
A

3 - 80 yo

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18
Q
  1. Asked about sleep apnea and what does it cause
A

Decrease in O2 level

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19
Q
  1. What part of sleep is considered dreaming:
A

REM Sleep.

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20
Q
  1. Severe headache, stiff neck, Lumbar puncture Had blood in CSF
A

Subarachnoid hemorrhage

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21
Q
  1. Tx for MG and GBS
A

Immunoglobulin

22
Q
  1. Case – Girls passes out with her her eyes closed for 2 secs. No other sx’s. no seizure…..
23
Q
  1. Case – A guy used to be a Chronic Alcohol & drug abuser. Than has a seizure, but was not drunk or in drugs.
A

Hyponutremia due to Alcohol withdrawal

24
Q
  1. 1st line tx for status epileptics
25
Q
  1. Case – pt w/ s/s of GBS, IGG was gin w/o success. What the next step
A

Plasmapheresis

26
Q
  1. 1st line tx for Parkinson’s
A

levadopa/carbadopa

27
Q
  1. MS presentation/cause
A

Multifocal demyelation, in more than one region of CNS

28
Q
  1. Case – kid in school, teacher complains he does’t pay attention. She claims he stares, and does not respond
A

Absence seizure

29
Q
  1. Pt has ALS and many other condition, but was experiencing Peripheral neuropathy. Which test should be done
A

Fasting blood glucose, CBC….

30
Q
  1. Tx for MS was
A

IV methylprednisone

31
Q
  1. According to Harrison’s – a pt w/ Migraine headache. Which med, should you not give.
32
Q
  1. Case – Pt with Myasthenia gravis has Thymoma. Ho do you tx it.
A

Thymectomy

33
Q
  1. Case – Pt has Tension HA headaches (Generalized pain in the head, and back of the eye(retroorbital)). According to Harrison’s what’s the best tx for it?
A

Beta adrenergic blockers

34
Q
  1. Case – Apt (Older Woman) has new seizure. What is the most likely cause for the seizure
A

FHx, Prodrome, Tumor, Drugs

35
Q
  1. Case – pt has sustained muscle contraction. What is the reason. What condition
36
Q
  1. Case – Pt has restless leg syndrome. Which of the fallowing is not the defining presentation of it?
A

Paristhesia’s in legs

37
Q
  1. Case – pt presents with S/Sx of Complex focal seizures (Loss of Conscious → W/Aura)..
A

Complex Focal Seizures

38
Q
  1. Case – If a pt has brown Secard syndrome. What is the presentation
A

Contralateral pain and temp loss

39
Q
  1. Whis of the fallowing is the descending track
A

Lateral Corticospinal

40
Q
  1. Case – Pt has foot drop. What is the DDx
A

L5-Radiculopathy (foot drop & loss of Ankle reflex)

41
Q
  1. Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
A

Ocular pharyngeal Dystrophy

42
Q
  1. Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
A

Ocular pharyngeal Dystrophy

43
Q
  1. Case – pt presents w/ ptosis, Ataxia, dysphagia & proximal weakness. What is the most likely Dx?
A

Ocular Pharyngeal dystrophy

44
Q
  1. Case – A pt is drooling, proximal neck extensor weakness, sensory EOM & Bladder in tack. What is the cause?
A

Upper & lower neurons (UMN & LMN Issues) & cognitive fnx is spared.

45
Q
  1. A pt whom has presentation of that of migraines. What are the trigger points
A

Estrogen or hormones, light or noise, stress, sleep deprivation, etc…

46
Q
  1. Case – Pt has optic nerve blurring, macula enlargement, & 50/50 vision, you believe it is optic nerve lesion.
A

Blind spot got bigger

47
Q
  1. Case – Pt’s blood results show Campylobacter infection. What condition is associated with it?
48
Q
  1. Case - pt suddenly a sleep, directly into of REM sleep. What is the most likely cause?
A

Narcolepsy

49
Q
  1. What is the most common cause of Spinal Epidual Abscess?
A

Staph Aureus

50
Q
  1. Case – A pt presents w/ Left uni-lateral facial weaknes. She was unable to wrinkle forehead, can’t shut the eye & can’t smile. What is the most likely Dx?
A

Bell’s Palsy

1. Exams - Semester 3 (21 decks)

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