IM Neuro - Rd 2

Question 1

What med is used to treat tremor in younger Parkinson’s pts?

Answer 1

Trihexyphenidyl

Question 2

Single Brain abscess is usually d/t what organisms?

Answer 2

S aureus

Strep viridans —> d/t OM, sinusitis, dental infection

Question 3

Alzheimer disease shows what on MRI neuroimaging?

Answer 3

Temporal and parietal lobe atrophy

Question 4

Pt w/acute diffuse, noninflammatory hair loss is what?

Caused by what?

Answer 4

Telogen effluvium

Stress - weight loss, pregnancy, surgery, major illness

Question 5

What are the 3 phases of hair follicles?

Answer 5

Growth - Anagen
Transform - Cartagena
Rest - Telogen

Do well on the ACT to get that GTR

Question 6

Autoimmune disorder that has circumscribed patches of hair?

Answer 6

Alopecia areata

Question 7

What causes hair loss and has fractured strands w/splitting of fibers?

Answer 7

Trichorrexis nodosa

Question 8

How to tell erysipelas vs cellulitis?

Answer 8

Erysipelas has raised borders and occurs ABRUPTLY (< 2 days)

Cellulitis is progressive and FLAT

Question 9

Babinski sign and LE weakness w/hyperreflexia what must YOU ABSOLUTELY consider?

Answer 9

Spinal cord compression

Question 10

Pt comes to ED w/weakness that developed 6 hours ago, CT brain is normal, best next step?

Answer 10

ASA

Question 11

Pt w/pronator drift and is young woman has what?

Specific sign for what?

Answer 11

M.S.

UMN - pyramidal tract lesion

Question 12

Tabes dorsalis is caused by what?

Lesion where?

What CF?

Answer 12

Neurosyphilis

Dorsal column and root

+ Romberg sign, no DTRs, lancinating pain