Clin Med - Exam 1 PQ Flashcards
A patient has a tremor with motion in his hands. What medication might you prescribe?
This patient has an active tremor therefore a BB - Propranolol is a good start.
A patient complains of muscle weakness and fatigability that improves with rest. What diagnosis should you be thinking of?
Myasthenia Gravies
A patient complains of an aching headache which feels like a band around his head. What diagnosis should you be thinking of?
Tension headache
An EEG showing FOCAL RHYTHMIC discharges at the onset of the seizure should make you think of what diagnosis?
Simple partial seizure
A middle age male presents with unilateral periorbital headaches occurring daily for SEVERAL WKS. These headaches are extremely PAINFUL. Which type of headache is the most likely cause?
Cluster headache
Name one abortive drug for migraines.
Triptans (sumatriptan, zolmitriptan), ergotamine
What is the MCC of dementia?
Alzheimer’s dz, it may be as high as 80%.
Duchenne’s & Becker’s muscular dystrophy have what genetic characteristic?
What is the age range for Duchenne’s muscular dystrophy?
- X-linked recessive
- 3-5 years old
A patient presents with lateralized THROBBING HA. He is also complaining of N/V & PHOTOPHOBIA. What type of headache is most likely?
Migraine
If CT is negative and you still believe there is a stroke what is the next best test to order?
LP
A pt presents with a painful ipsilateral 3rd N. palsy. What diagnosis should you be thinking of?
Posterior communicating artery aneurysm (PComA)
Describe Kernig’s sign?
Pt lies supine, flex hip while keeping knee straight.
- Back pain is positive.
A patient presents following a seizure. Just before the siezure she remembers seeing flashing lights all around her. What diagnosis should be at the top of your differential?
Complex partial
A patient presents to your office complaining of a tremor in his right hand. He states after a beer it goes away completely. What diagnosis should you be thinking of?
Benign essential tremor or familial tremor
Which nerve root is responsible for the knee jerk reflex?
L3-L4
What cranial nerve is affected with Bell’s palsy?
CN VII
What is the medical treatment for a stroke in which the CT has shown no evidence of a hemorrhage?
Thrombolytics w/in 4 hrs & w/ no contraindications
Alcohol may be a major factor in which encephalopathy?
Wernicke’s
Under what conditions would aspirin or clopidogrel be used following a TIA as prophylaxis?
These are antiplatelet medications. They would be used unless there is a known cardiac etiology for the embolism. Patients with a cardiac cause should use heparin or Coumadin.
An EEG showing generalized spikes and associated slow waves should make you think of what diagnosis?
Generalized or absence seizure
What is the medication of choice for a patient with Tourette’s syndrome?
Haloperidol
What are the most MC primary cancer sites for metastasis to the brain?
- Lung,
- Breast,
- Kidney
A patient presents with what appears to be an inability to understand speech. Which aphasia should be at the top of your differential?
Wernicke’s aphasia
At what age do symptoms of Huntington’s disease appear?
~ 30yo
Wilson’s disease is associated with a build up of what mineral?
Copper
- d/t def of copper binding protein
A patient is brought in following a seizure in which she did not lose consciousness. What diagnosis should you be thinking of?
Simple partial seizure
Which is the most commonly herniated vertebral disc?
L4-L5 followed by L5-S1