Day 1 - Neuro Part 1 Quiz

Question 1

Spinal cord lesion: fasciculations, spastic paralysis

Answer 1

ALS aka Lou Gehrig’s disease

Question 2

Spinal cord lesion: impaired proprioception, pupils not relate to light

Answer 2

Tertiary Syphilis

Question 3

Spinal cord lesion: loss of pain and temp below lesion, Hand weakness

Answer 3

Syringomyelia

Question 4

Spinal cord lesion: Bilateral loss of vibration sense & spastic paralysis of legs then arms

Answer 4

B12 deficiency

Question 5

Spinal cord lesion: Bilateral loss of pain and temp below lesion, B/l spastic paralysis below lesion, B/l flaccid paralysis at level of lesion

Answer 5

Anterior spinal artery occlusion (Note: bilateral)

Question 6

Brown-Sequard syndrome classically p/w

Answer 6

All tracts affected on one side; Ipsilateral loss of vibration/touch discrimiation, spastic paralysis, flaccid paralysis, contralateral loss of pain/temp 1-2 levels below

Question 7

Most likely HA: 40 yo F, made worse by bending over

Answer 7

Sinus headache

Question 8

HA: 30 yo F, left temporal region, vision of flashing lights

Answer 8

Migraine HA

Question 9

First-line med for acute tx of migraine HA

Answer 9

Triptans

Question 10

Preferred antihypertensive chronic HTN & recurrent migraine

Answer 10

CCBs or Beta blockers

Question 11

Most effective med in tx trigeminal neuralgia

Answer 11

Carbamazepine

Question 12

Med given to close contacts of patients w/ HiB or S. pneumo meningitis

Answer 12

Rifampin

Question 13

4 most common sequelae of meningitis in kids

Answer 13

(1) Hearing loss (2) Mental retardation (3) Seizure disorder (4) Spastic paralysis

Question 14

Tx for fungal meningitis

Answer 14

Amphotericin B intrathecally

Question 15

Tx for Tb meningitis

Answer 15

Rifampin, Isonazid, Pyrazinamide, Ethambutol

Question 16

Cerebral artery infarct: Aphasia

Answer 16

MCA

Question 17

Classic CSF findings differ in bacterial, fungal, or viral meningitis

Answer 17

Bacterial/Fungal/Tb - decreased glucose, increased protein, elevated pressure; Bacterial - PMNs, Fungal/Tb - Lymphocytes; Viral - pressure not as elevated, protein & glucose normal, Lymphocytes

Question 18

CSF culture for meningitis shows: (1) gram (+) diplococci (2) gram (-) diplococci (3) small pleomorphic coccobacilli (4) gram (+) coccobacilli

Answer 18

(1) S. pneumo (2) N. meningitidis (3) H. influenzae (4) Listeria