CNS Flashcards
What is the single most important risk factor for cerebral palsy?
A. Prematurity
B. Birth weight less than 1.5 kg
C. Prenatal asphyxia
D. Genetic mutations.
Answer: A
Absence of moro reflex in right side of infant is due to.
A. Intracranial hemorrhage.
B. Neonatal hypoglycemia.
C. Neonatal sepsis.
D. Erbs palsy
Answer: d
Erbs palsy causes asymmetrical moro reflex. Intracranial hemorrhage causes poor moro reflex.
Trauma to the fibular head what is the nerve injured?
A. Common peroneal nerve
B. Presbycusis
C. Otosclerosis
D. Otitis media
Answer: a
Attention deficit hyperactivity disorder ( they give me the symptom not the diagnosis ) child what is the manegment?
A. Ecitalpram
B. Atomoxetine
C. Olanzapine
D. Clonazepam
answer : b
Atomoxetine, a selective norepinephrine reuptake inhibitor, is also used.
7 y/o girl presented with bilateral symmetrical lower limb weakness, emg showed ( i can’t remember ) ,knee reflexes showed absolute bilateral knee reflex absence , she had hx one week ago of gi symptoms , what is the best treatment ?
A. Plasmapheresis
B. Immunoglobulin
C. Steroids
D. Methotrexate
Answer:
I think this is a case of guillain - barre syndrome the treatment is iv immunoglobulin if the patient has significant weakness ,
plasmapheresis if progression continue both will hasten the recovery.
long scenario for cerebral palsy , On examination there is crossing of lower limb when child suspend by the axilla. Which type of cp does the patient have
A. Hemiplagia
B. Diplagia
C. Quadriplagia
D. Athetoid
Answer: c
Scissoring is seen in spastic cerebral palsy ( diaplegic & quadriplegic )
Child admitted with sore throat and bilateral knee pain?
A. Juvenile rheumatoid arthritis
B. Rhumatoid arthritis
C. Other choices i did not remember it
D. Osgood shatler disease
E. Influenza
Answer: a
Child is complaining of severe throbbing unilateral headache, aggravated by light. What is the most likely diagnosis ?
a. Migraine
b. Cluster Headache
c. Stress Headache
Answer: A
Child with meningitis what to do immediately?
A. Antibiotics
B. Lumbar puncture
Answer: A
mother came to you that her child compline of spells for seconds
Answer: absence (petit mal)
usually only seen in children, unresponsive for 5-10 s with arrest of activity, staring, blinking or eye-rolling, no post-ictal confusion
3 Hz spike and slow wave activity on EEG
Seizure Mimics: • Benign paroxysmal vertigo • Breath holding • Hypoglycemia • Narcolepsy • Night terror • Pseudoseizure • Syncope • TIA • Tic
Reference : toronto note and nelson p679
Child his teacher noticed decrease concentration with 15-10 secounds up ward staring of eyes . His unaware of that what is treatment of choise ?
A. carbamezabine
B. ethosuxamide
C. lamotrigene
Answer:B , Absence seizure
Guillain-Barré syndrome prognosis (it was a child I think) ?
1/from uptodate– 90% of children are symptom-free or no disability despite residual symptoms 2/Time to full recovery varies from days to as long as several months ✅ Step-up to pediatrics page No.143
GBS i think , Distal progresses paralysis upper and lower limb ,What will you find on CSF? A. increased protien
B. decreased glucose
C. other
Answer:A
Lumber puncture in patients with GBS classically shows elevated protein and normal WBC count in CSF called albuminocytologic dissociation
