Demencias, Tumores, Parkinson

Question 1

Caida de motocicleta, llevado a urgencias, se encuentra apertura ocular al dolor, respuesta motora, localiza estimulos, respuesta verbal, emite palabras inadecuadas, Glasgow de

Answer 1

9

Question 2

ccidente automovilistico, perdida completa de la conciencia, no puede ser despertado

Answer 2

coma

Question 3

Paciente en urgencias, después e interrogatorio y exploracion se encuentra solo confuso, Glasgow

Answer 3

14

Question 4

Caida en motocicleta, paciente en urgencias, flexion de miembros superiores y extencion de mimbros inferiores:

Answer 4

Decorticacion

Question 5

61 años, debilidad muscular progresiva, atrofia, fasciculaciones, espasticidad, hiperreflexia profunda con carencia de manifestaciones sensitivas:

Answer 5

Esclerosis lateral amiotrofica

Question 6

Pte. 78 años, exploracion funciones corticales afasia, apraxia, agnosia, lo mas probable:

Answer 6

Síndrome demencial

Question 7

Antecedente diagnostico de distrofia simpatica refleja, mejor tratamiento:

Answer 7

Amitriptilina

Question 8

Hace meses accidente automovilistico fractura de mano de mano derecha, continua quejandose de dolor intenso, edema, sensación de caloir y ardor, es un ejemplo de:

Answer 8

Distrofia simpatica refleja

Question 9

Pte. 21 años, alcoholizado, ojos cerrados que abre cuando se lle llama por su nombre, respuestas motoras de defensa, cuando esta despierta su estado de conciencia es:

Answer 9

Somnolencia

Question 10

Pte. 34 años, en la siguiente postura; extensión y pronacion de miembros superiores, extensión de miembros inferiores, compromiso mescencefalico corresponde a:

Answer 10

Descerebración

Question 11

Pte. 34 años, TCE Glasgow de 8, a las tres horas Glasgow de 5, esto que indica:

Answer 11

Deterioro Rostro caudal

Question 12

Paciente de 53 años de edad que presenta que presenta dolor espinal, con afectación de nervios craneales inferiores, afecta a la neurona motora central y periférica a la vez. Con esta información usted realiza diagnostico de:

Answer 12

Esclerosis lateral amiotrofica

Question 13

Paciente de 21 años de edad quien sufre caída de su motocicleta y es llevado a urgencias. Se encuentra: apertura ocular al dolor, respuesta motora, localiza estimulos, respuesta verbal, emite palabras inadecuadas. Con esta información usted realiza un Glasgow de:

Answer 13

9

Question 14

paciente de 63 años de edad con diagnostico de enfermedad de Parkinson. De los siguientes enunciados uno no corresponde al cuadro clínico:

Answer 14

La agilidad manual no se altera

Question 15

Paciente de 78 años de edad quien tien los siguientes síntomas: Pobre control en la regulación motora, temblor, lentitud, rigidez, incoordinación motora, alteración de la marcha y postura, lo más probable es que tenga disminución en la secreción de un neurotransmisor. ¿En qué región del cerebro se localiza principalmente este problema?

Answer 15

Ganglios básales

Question 16

Paciente de 69 años de edad quien tiene el diagnostico de enfermedad de Parkinson, usted lo evalúa con la escala de Webster. Uno de los siguientes parámetros no corresponden a esta escala:

Answer 16

Afecto

Question 17

femenino de 23 años de edad a quien se le realizo punción lumbar indicada, encontrando un aumento de las proteínas del liquido cefalorraquídeo. Esto puede deberse a

Answer 17

Síndrome de Gillian Barre

Question 18

Paciente de 40 años de edad quien tiene el diagnostico de otitis media crónica, parcialmente tratada, con hipertermia, confusa, afásica. Usted pide el siguiente estudio de primera intención:

Answer 18

Tomografía

Question 19

Paciente de 78 años de edad que presenta pérdida súbita del estado de alerta con recuperación de la conciencia en minutos en minutos y con presencia de acufenos con disminución de la fuerza en ambas piernas durante varias horas. Recuperándose sin dejar secuelas, lo mas probable es que su paciente presente:

Answer 19

Ataque isquemico transitorio

Question 20

Paciente de 2 años de edad a quien se le tomo el estudio de imagen por presentar cuadro clínico compatible con síndrome meníngeo. Este salio normal, Usted esta obligado a realizar el siguiente estudio inmediatamente

Answer 20

Punción lumbar

Question 21

Paciente de 70 años de edad hipertensa con perdida subita de conciencia, acufenos y recuperacion total antes de 24 horas. Usted piensa en el siguiente problema:

Answer 21

Evento isquemico transitorio

Question 22

Lesions of the nucleus ambiguous are:

Answer 22

If unilateral, produce dysarthia and disphagia

Question 23

The most curial meningitis include

Answer 23

Kerning and Brudinski signs

Question 24

One of the important complications of influezal meningitis is:

Answer 24

Subdural effusion

Question 25

Meralgia paresthesica

Answer 25

Is usually unilateral

Question 26

Paciente de 22 años de edad es llevada al hospital abre los ojos cuando se le llama por su nombre para luego volver a dormir, sus respuestas motoras son de defensa y verbaliza lenguaje entendible cuando esta despierta. Su estado de conciencia se puede considerar:

Answer 26

Somnolencia

Question 27

Paciente de 67 años de edad con diagnostico de enfermedad de Parkinson. De los siguientes tratamientos médicos, ¿Cuál no se justifica su empleo en la fase temprana de la enfermedad?

Answer 27

Levodopa

Question 28

Paciente de 75 años con dx de enfermedad de Parkinson. Tiene varios años tomando levodopa, con deterioro de su estado afectivo, insomnio, labilidad afectiva. Lo mas conveniente es que:

Answer 28

Disminuir dosis

Question 29

Masculino de 52 años de edad a quien se le reporto Fta-Abs positiva en suero, pleocitosis del líquido cefalorraquídeo y serologia positiva en suero. Con esto usted debe realizar el siguiente diagnostico:

Answer 29

Sífilis

Question 30

Paciente de 58 años de edad, quien presenta un síndrome meníngeo con estudio de imagen negativo. Su siguiente paso será:

Answer 30

Punción lumbar

Question 31

paciente de 70 años de edad, diestro, que cursa con problemas de parálisis y pérdida sensorial de su pierna del lado opuesto. Diga usted que oclusión arterial se refiere este caso:

Answer 31

Oclusión de la arteria cerebral anterior

Question 32

General features of brain abscess include:

Answer 32

Sixth nerve palsy, less often third nerve palsy

Question 33

Viral encephalitis:

Answer 33

Characteristically features alterations of consciousness

Question 34

In neoplastic or disc compression in the cauda equine, the firs symptom is usually:

Answer 34

Pain

Question 35

The carpal tunnel syndrome:

Answer 35

As occurred in myxedema, acromegaly or pregnancy

Question 36

The most common cause of bilateral lower motor neuron hypoglossal paralysis is:

Answer 36

Progressive bulbar palsy

Question 37

Paciente con trastorno motor por accidente de automovilístico y debemos explorar los reflejos del bicipital, percutimos el tendón del bíceps y la respuesta es una contracción del músculo bíceps. ¿Cuál segmento de sistema nervioso central nos da esta respuesta?

Answer 37

C5,C6

Question 38

Male 61 years old to progressive muscle weakness , atrophy, fasciculations , spasticity , hyperreflexia deficient profound sensory manifestations . You perform the following diagnosis :

Answer 38

Amyotrophic lateral sclerosis

Question 39

A 53 -year- old female who presented spinal pain presenting with lower cranial nerve involvement , affects the central and peripheral motor neuron at a time. With this information you make diagnosis of :

Answer 39

Amyotrophic lateral sclerosis

Question 40

Patient 78 years old , during the exploration of cortical functions are, aphasia, apraxia, agnosia . Most likely febrile :

Answer 40

insane Syndrome

Question 41

Patient 30 years old, came to Activity II . Presents vertigo, diplopia and nystagmus of several days duration . Of the following parameters What is the most important to identify first?

Answer 41

Location

Question 42

Patient of 60 years old who explored in consultation , finding lost the power of expression by speech , writing and comprehension of spoken language . Is this is known as ?

Answer 42

Aphasia

Question 43

Patient of 21 years old who suffers motorcycle crash and taken to the emergency room . We find it in the following position: upper limb flexion and extension of the lower . This is known as :

Answer 43

decortication

Question 44

Patient of 34 years old. Presents motorcycle accident 5 hours ago . During the exploration neurological find good response to stimuli , coherent language , present and adequate pupillary reflexes . With this you make a Glasgow :

Answer 44

15

Question 45

Patient of 21 years old who suffers fall from his motorcycle and taken to the emergency room. It is : eye opening to pain, motor response , localized stimuli , verbal response emitted inappropriate words . With this information you make a Glasgow

Answer 45

9

Question 46

Patient 60 years of age who suffer car accident and comes to the emergency department with Glasgow 9 and 3 o'clock features a 6 Glasgow . The most likely your febrile patient :

Answer 46

Impairment rostrocaudal

Question 47

patient of 63 years old with a diagnosis of Parkinson's disease. Of the following statements one does not correspond to the clinical picture :

Answer 47

The manual dexterity is not altered

Question 48

A 61 -year-old with whom explored in the consultation finding increased passive resistance to muscular . Muscle tone increases and the patient perceives it as harshness or heaviness of the limbs. This is known as :

Answer 48

Stiffness

Question 49

atient 78 years old who tends the following symptoms : Poor motor control regulation , tremor , slowness , stiffness , motor incoordination , abnormal gait and posture , most likely have decreased secretion of a neurotransmitter . What brain region is located mainly this problem ?

Answer 49

basal ganglia

Question 50

Patient 69 years of age who have a diagnosis of Parkinson's disease, you evaluated Webster scale . One of these parameters do not correspond to this scale :

Answer 50

Affection

Question 51

A 40-year -old who has a diagnosis of chronic otitis media, partially treated with hyperthermia , confused , aphasic . You ask the following study of priority:

Answer 51

EEG

Question 52

Patient 78 years old presented sudden loss of consciousness with consciousness recovery in minutes in minutes and with the presence of tinnitus with decreased strength in both legs for several hours. Recovering without sequelae , chances are that your patient has :

Answer 52

Transient Ischemic Attack

Question 53

Patient 2 year old who is taking the present imaging study supports clinical meningeal syndrome . This standard came , You are required to conduct the next study immediately :

Answer 53

lumbar puncture

Question 54

Patient 70 years old hypertensive with sudden loss of consciousness , tinnitus and full recovery within 24 hours. You think about the following problem :

Answer 54

Transient Ischemic Event

Question 55

A 44- year-old two years ago suffered a fracture in his right leg. Type currently continues discomfort numbness , burning and edema. With this information it is more likely that his patient presents with :

Answer 55

Reflex Sympathetic Dystrophy

Question 56

The most curial meningitis include :

Answer 56

Kerning and Brudinski signs

Question 57

One of the important complications of meningitis influezal is:

Answer 57

Subdural effusion

Question 58

Patient 68 years old who in the outpatient encounter the difficulty of recognizing tactile stimuli , previously recognizable visual . Perhaps the patient febrile :

Answer 58

agnosia

Question 59

A 56 -year-old who has trouble dressing, remember names , objects. The most likely have a deficit in :

Answer 59

Special cortical functions

Question 60

Patient of 22 years old is taken to hospital opens his eyes when called by name and then go back to sleep , motor responses are defense and understandable language speaks when it wakes up . Your state of consciousness can be considered :

Answer 60

Drowsiness

Question 61

A 67 year old with a diagnosis of Parkinson's disease. Of the following medical treatments What use is not justified in the early phase of the disease?

Answer 61

Levodopa

Question 62

75 year old patient with Parkinson's disease dx . She has several years taking levodopa , with their affective impairment , insomnia , emotional lability . The most convenient is that

Answer 62

Decrease dose

Question 63

A 45 -year-old following an automobile accident presents monoparesis right arm. What neurological function would be affected ?

Answer 63

Motor

Question 64

Male 52 years old who was reported positive Fta - Abs in serum, cerebrospinal fluid pleocytosis and positive serology in serum. With this you must perform the following diagnosis :

Answer 64

Syphilis

Question 65

A 58- year-old , who has a meningeal syndrome with negative imaging study . Your next step will be :

Answer 65

lumbar puncture

Question 66

patient of 70 years old , right-handed, that causes problems of paralysis and sensory loss of his leg on the opposite side . Tell yourself that arterial occlusion of this case :

Answer 66

Occlusion of the anterior cerebral artery

Question 67

In neoplastic or disc compression in the cauda equine , the firs symptom is usually we :

Answer 67

Pain

Question 68

Viral encephalitis :

Answer 68

Alterations of consciousness characteristically features

Question 69

General features of brain abscess include :

Answer 69

Sixth nerve palsy , third nerve palsy Often less

Question 70

The most common cause of bilateral lower hypoglossal neuron paralysis engine is:

Answer 70

Progressive bulbar palsy

Question 71

Patient of 34 years old who presented his motorcycle accident and is found in the following position : extension and pronation of both upper and lower extension of . It is an expression of a commitment midbrain . This corresponds to the following statement :

Answer 71

Decerebrate Rigidity