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Neurology Notes > Clinical Notes > Flashcards

Clinical Notes Flashcards

1
Q

Kline Levin Syndrome

A

Periodic HYPERSOMNOLENCE HYPERPHAGIA HYPERSEXUALITY

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2
Q

What is the narcolepsy tetras

A

Narcolepsy Cataplexy Sleep paralysis Hallucinations ( hypnagogic and hypnapompic )

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3
Q

What is the role of selegilline in the treatment of Parkinson’s

A

Adjunct to dopaminergic therapy

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4
Q

Name a few conditions that can cause excessive sleepiness

A

Respiratory conditions Intracranial tumours Following tumours

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5
Q

In whom is the prognosis for recovery not good Potts disease of the spine ? Arachnoiditis ?

A

Arachnoiditis

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6
Q

When can Multiple sclerosis exacerbate

A

During pregnancy First three months of puerperium

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7
Q

Why should the trigeminal nerve be tested close to the midline

A

The upper cervical segments supplying the angle of the jaw is variable and may extend up to the cheek

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8
Q

Can hypercalcemia cause myopathy

A

Yes

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9
Q

How does the illness of dermatomyositis usually begin

A

Violaceos photosensitive rash

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10
Q

After a road accident patient developed a pulsatile proptosis with a bruit over the eye

A

Carotico cavernous fistula

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11
Q

What is the clinical significance of dyscongugate eye movements in comatose patients

A

No significance

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12
Q

What is the clinical significance of hyperacusis

A

Damage to the facial nerve at the origin in the brain stem

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13
Q

Cryptococcosis is an occupational disease in whom

A

Slaters

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14
Q

What is narcolepsy

A

Unprovoked Irresistible sleep from which a person can be woken up by touch

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15
Q

Can high levels of protein cause hydrocephalus

A

Yes

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16
Q

Where is the lesion when only the touch is lost on the face

A

Pontine involving the principal sensory nucleus

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17
Q

Can attacks of Narcolepsy continue throughout life

A

Yes

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18
Q

Treatment plan for patients with severe tremors resistant to medical treatment

A

Contralateral thalamotomy

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19
Q

Occurrence of painful horners after vigorous exercise

A

15 %

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20
Q

Which patients with multiple sclerosis have a poor prognosis

A

When cerebellum connections are involved

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21
Q

What is the clinical characteristic of hypercalcemic myopathy

A

Weakness Hyperreflexia

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22
Q

Does a preserved pupillary reflex exclude a brain stem lesion

A

No Pupillary reflex is mediated through the third nerve at the level of the sup. Colliculus. A lower brain stem lesion involving the RAS may not involve the pupillary reflex

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23
Q

How common is traumatic rupture of the carotid artery in the cavernous sinus

A

Not common

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24
Q

What is the CT head finding in patients with aqueducts stenosis

A

Enlarged lateral and third ventricle with normal fourth ventricle

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25
Q

Two common adverse effects of ethambutol

A

Optic neuritis Peripheral neuropathy

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26
Q

When should one suspect cataplexy

A

Periodic and frequent falls esp. with emotions

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27
Q

Loss of pin prick sensation over the first web space is due to

A

L5 root Peroneal nerve

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28
Q

What needs to be done if the corneal reflex is not elicitable

A

Ask if he can feel the touch and it is equal on both sides

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29
Q

Two types of dyskinesia following treatment with levodopa

A

Peak dose dyskinesia End of dose dyskinesia

30
Q

Drug used to reduce the cataplectic attacks

A

Clomipramine

31
Q

Where can the lesion be when only the ophthalmic division is involved

A

Cavernous sinus Orbital fissures by tumours

32
Q

L5 S1 prolapse causes compression of which root

A

S1

33
Q

Name the conditions which can cause pigment army degeneration in the retina

A

CMV TOXOPLASMOSIS RETINITIS PIGMENTOSA

34
Q

Clinical features of glioma of the corpus callous

A

Seizures Recent memory loss

35
Q

Is cryptococcosis carried by birds

A

Yes

36
Q

Cerebellum tremors are they unilateral or bilateral

A

Ipsilateral

37
Q

Posterior interroseos nerve causes weakness in which group of muscles

A

Brachioradialis Wrist and finger extensors

38
Q

What percentage of patients with primary gen. absence seizures later develop GTCS

A

30 to 50 %

39
Q

All forms of sensation of the face pass through which structures

A

Gasserian ganglion

40
Q

Which types of patients have an insensitive cornea

A

Exophthalmos

41
Q

Does congenital amyloid present as mononeuritis multiplex

A

No

42
Q

After how many years of treatment with levodopa does dyskinesia appear

A

3 to 10 years

43
Q

Where is the gasserian ganglion situated

A

At the apex of the petrous bone in the middle cranial fossa

44
Q

Ant.interroseos nerve causes weakness in which muscle

A

Flexor policies longus

45
Q

Pathophysiologically what are the three types of coma

A

Brain stem coma Unilateral hemispheric coma Cerebral hemispheric coma

46
Q

Can interscapular pain suggest a disc prolapse

A

Yes

47
Q

In what percentage of normal individuals is the retinal venous pulsations absent

A

15%

48
Q

How will you treat beginning of dose dyskinesia

A

Large doses of levodopa less frequently

49
Q

How common is primary amyloid

A

Rare

50
Q

INH is toxic in which group of people

A

Slow acetylators

51
Q

Can carotico cavernous fistula occur with a minor injury

A

Yes

52
Q

What are the possible two causes for the levodopa induced dyskinesia

A

Super sensitivity of the dopamine receptors Altered absorption of the amino acid from the bowel

53
Q

Drug used to prevent narcolepsy

A

Methylphenidate

54
Q

How will you treat peak dose and end of dose dyskinesias

A

Small doses of levodopa more frequently

55
Q

18 months after treatment of TBM patient developed progressive weakness of of both lower limbs with spastic paraparesis and sensory level at D8 What are the differentials

A

POTTS DISEASE OF THE SPINE due to cold abscess or vertebral collapse Arachnoiditis

56
Q

Acquired amyloid neuropathy is often associated with what symptoms

A

Autonomic neuropathy

57
Q

Name 3 causes of subacute meningitis

A

Tuberculosis Cryptococcosis Toxoplasmosis

58
Q

L4 L5 disc prolapse causes compression of which root

A

L5

59
Q

What is the outcome of basal or spinal arachnoiditis following TBM

A

Cranial nerve palsied Radiculopathy Myelopathy The inflammatory process can ultimately compress the blood supply and can occur over a period of months to years

60
Q

When the corneal reflex is lost where are the possible sites of lesion

A

CP angle Cavernous sinus Orbital fissure

61
Q

Where is the lesion where touch is preserved on the face but pain and temperature is lost

A

Syringobulbia Foraman magnum tumours or anomalies

62
Q

What is the first branch of the facial nerve

A

Nerve to stampeding

63
Q

How common is the involvement of the maxillary division only

A

Not common

64
Q

Benign Familial tremors and Thyrotoxicosis tremors, are they unilateral or bilateral

A

Bilateral

65
Q

Which group of people does Kline Levin syndrome affect

A

Young males

66
Q

What is the term used when the arms remain in the position they are kept

A

FLEXIBILITAS CEREA

67
Q

What are the small white glistening bodies away from the optic nerve head

A

Choroid tubercles

68
Q

Significance of high level proteins in the CSF

A

Breach in the blood brain barrier ( infections , tumours ) Synthesis of one of the component proteins

69
Q

75 year old with a large round smooth and firm lump over the vertex

A

Mushroom meningioma Parasagital meningiomas eroding through the skull have both intracranial and extracranial components

70
Q

How does mononeuritis simplex or multiplex, due to vasculitis present

A

Sudden sensory loss or weakness pain in the distribution of the affected nerve

71
Q
A

Neurology Notes (2 decks)

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