Clin Med - Exam 1 Flashcards
- Which of the following is a descending tract?
Lateral corticospinal tract
- Radial nerve palsy with Saturday night palsy
Triceps is in tact
- Pathophysiology of MS
Multifocal lesions & inflammation in 2 parts of CNS
- Pathophysiology of MS
Multifocal lesions & inflammation in 2 parts of CNS
- Gbs- be able to recognize it and differentiate between this and MS
GBS –> Hyporeflexia
- Rapid, Areflexic, Ascending motor paralysis
MS –> Hyperreflexia
- Multifocal lesions & inflammation in 2 parts of CNS
- What is not a SXS of Parkinson’s. Which is not Parkinsonian sx
Ans – Cognitive
- MC Intercranial aneurysm
AVM
- MC cause of intracerebral hemorrhage?
HTN
- A guy has MVA, and can’t move/feel hand
Cervical neck injury/palsy
- A guy has MVA, and can’t move/feel hand
Cervical neck injury/palsy
- Carpal tunnel syndrome is
Nnumbness in fingers 1-4
- MC cause of Wericis insufficiency
Thiamine deficiency d/t Alcohol
- Uni-lat HA, w/conjustivitis & runny nose
Cluster headache
- Case - w/ pt can’t Adduct eye, and Naystagmas on contralateral eye
INO - Intraocular opthalmaplegia
- Myesthenia Gravis lab for Dx?
2-Tenselon Test
- Duration of Status epileptics
> 5 minutes
- When does onset of huntingtons chorea start?
3 - 80 yo
- Asked about sleep apnea and what does it cause
Decrease in O2 level
- What part of sleep is considered dreaming:
REM Sleep.
- Severe headache, stiff neck, Lumbar puncture Had blood in CSF
Subarachnoid hemorrhage
- Tx for MG and GBS
Immunoglobulin
- Case – Girls passes out with her her eyes closed for 2 secs. No other sx’s. no seizure…..
Syncope
- Case – A guy used to be a Chronic Alcohol & drug abuser. Than has a seizure, but was not drunk or in drugs.
Hyponutremia due to Alcohol withdrawal
- 1st line tx for status epileptics
Lorazepam
- Case – pt w/ s/s of GBS, IGG was gin w/o success. What the next step
Plasmapheresis
- 1st line tx for Parkinson’s
levadopa/carbadopa
- MS presentation/cause
Multifocal demyelation, in more than one region of CNS
- Case – kid in school, teacher complains he does’t pay attention. She claims he stares, and does not respond
Absence seizure
- Pt has ALS and many other condition, but was experiencing Peripheral neuropathy. Which test should be done
Fasting blood glucose, CBC….
- Tx for MS was
IV methylprednisone
- According to Harrison’s – a pt w/ Migraine headache. Which med, should you not give.
Narcotics
- Case – Pt with Myasthenia gravis has Thymoma. Ho do you tx it.
Thymectomy
- 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?
Beta adrenergic blockers
- Case – Apt (Older Woman) has new seizure. What is the most likely cause for the seizure
FHx, Prodrome, Tumor, Drugs
- Case – pt has sustained muscle contraction. What is the reason. What condition
Dystonia
- Case – Pt has restless leg syndrome. Which of the fallowing is not the defining presentation of it?
Paristhesia’s in legs
- Case – pt presents with S/Sx of Complex focal seizures (Loss of Conscious → W/Aura)..
Complex Focal Seizures
- Case – If a pt has brown Secard syndrome. What is the presentation
Contralateral pain and temp loss
- Whis of the fallowing is the descending track
Lateral Corticospinal
- Case – Pt has foot drop. What is the DDx
L5-Radiculopathy (foot drop & loss of Ankle reflex)
- Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
Ocular pharyngeal Dystrophy
- Case – A pt from Qubec Canada presents w/ myotonic muscular dystrophy. What the most common cause of muscular dystrophies in population from this region.
Ocular pharyngeal Dystrophy
- Case – pt presents w/ ptosis, Ataxia, dysphagia & proximal weakness. What is the most likely Dx?
Ocular Pharyngeal dystrophy
- Case – A pt is drooling, proximal neck extensor weakness, sensory EOM & Bladder in tack. What is the cause?
Upper & lower neurons (UMN & LMN Issues) & cognitive fnx is spared.
- A pt whom has presentation of that of migraines. What are the trigger points
Estrogen or hormones, light or noise, stress, sleep deprivation, etc…
- Case – Pt has optic nerve blurring, macula enlargement, & 50/50 vision, you believe it is optic nerve lesion.
Blind spot got bigger
- Case – Pt’s blood results show Campylobacter infection. What condition is associated with it?
GBS
- Case - pt suddenly a sleep, directly into of REM sleep. What is the most likely cause?
Narcolepsy
- What is the most common cause of Spinal Epidual Abscess?
Staph Aureus
- 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?
Bell’s Palsy