Day 13

Question 1

Migraine Chromosome

Answer 1

19

Question 2

Autism Chromosome

Answer 2

5

Question 3

CNS Cystericercosis Tx

Answer 3

Albendazole (or praziquantel) + parenteral steroids

Question 4

Echinococcosis

Answer 4

Larval tapeworms from dogs that cause solitary, non-edematous lesions. Surgical resection or albendazole if can’t

Question 5

Leishmaniasis Organism Type

Answer 5

Protozoan

Question 6

Leishmaniasis Neurologic Syndrome

Answer 6

Visceral sx accompanied by inflammatory neuropathy that can resemble GBS

Question 7

Toxoplasmosis Organism Type & Source

Answer 7

Protozoan from migratory birds and cats

Question 8

Toxoplasmosis Population

Answer 8

AIDS

Question 9

Toxoplasmosis Imaging Presentation (vs. CNS Lymphoma)

Answer 9

Multifocal ring-enhancing lesions (vs. solitary lesion w/ subendymal spread)

Question 10

Toxoplasmosis Tx

Answer 10

Pyrimethamine and sulfadizeine + folinic acid

Question 11

EGT vs. CDT vs. GGT

Answer 11

EGT: Good for short term alcohol ingestion, rises quickly and wanes 24-36hrs
CDT: Good for long-term. Drink heavy for 2 weeks, stays for 30 days
GGT: High sensitivity but low specificity, even moderate will stick around for a few weeks.

Question 12

Most Common Alcoholic Neuro Complication (& onset)

Answer 12

Alcohol neuropathy: 75% of alcoholics, mixed motor/sensory, symmetrically in feet and rises

Question 13

Alcoholic Dementia Notable Deficits

Answer 13

Greater loss in fine motor and verbal fluency than in AD

Question 14

Marchiafava-Bignami Ds

Answer 14

Rare demyelinating ds of corpus callosum in alcoholics

Question 15

Miller-Fisher Syndrome

Answer 15

Variant of GBS with triad of gait ataxia, areflexia, and opthalmoplegia

Question 16

Lewy Bodies Pathology

Answer 16

Diffuse throughout cortex, eosinophilic inclusions on hematoxylin + eosin stain

Question 17

Konrad Lorenz (!) Development Concept

Answer 17

Imprinting (ducks following Nazi mom around)

He also obviously did aggression

Question 18

Most Common Organism for Preceding GBS

Answer 18

Campylobacter jejuni (GI)

Question 19

GBS Classic Nerve Conduction Studies (3)

Answer 19

Slowed conduction, loss of H reflex, prolonged F wave latencies

Question 20

GBS CSF

Answer 20

Cytoalbuminologic Dissociation:

Elevated protein w/ acellular fluid

Question 21

GBS Nerve Bx

Answer 21

Can have complement fixing Abs to myelin

Question 22

Adenylyl Cyclase

Answer 22

Actually makes cAMP from ATP