Miscellaneous

Question 1

Mallory bodies in liver, differential

Answer 1

alcoholic

Wilson’s disease

Question 2

triad of Wernicke encephalopathy

Answer 2

encephalopathy
ocular dysfunction
gait ataxia

Question 3

neuroimaging in autism

Answer 3

increased total brain volume

Question 4

neuroimaging in OCD

Answer 4

abnormal orbitofrontal cortex and striatum

Question 5

neuroimaging in panic disorder

Answer 5

decreased volume of amygdala

Question 6

neuroimaging in PTSD

Answer 6

decreased hippocampal volume

Question 7

nuroimaging in schizophrenia

Answer 7

enlarged cerebral ventricles

Question 8

Parkinsonism
orthostatic HoTN
impotence
incontinence

Answer 8

multiple system atrophy (Shy Drager syndrome)

Question 9

radicular pain
saddle hypoanesthesia
asymmetric motor weakness
hyporeflexia
late onset bowel and bladder dysfunction

Answer 9

cauda equina syndrome

Question 10

sudden onset severe back pain
perianal hypoanesthesia
symmetric motor weakness
hyperreflexia
early onset bowel and bladder dysfunction

Answer 10

conus medullaris syndrome

Question 11

fever
headaches
focal neurologic changes

Answer 11

brain abscess

Question 12

triad of brain abscess

Answer 12

fever
headaches
focal neurologic changes

Question 13

sxs of post concussive syndrome

Answer 13

headache
confusion
amnesia
difficulty concentrating
vertigo
mood alteration
sleep disturbance
anxiety

Question 14

tx of restless leg syndrome

Answer 14

pramipexole

Question 15

central vs peripheral facial nerve palsy

Answer 15

central: can raise eyebrows
peripheral: can’t raise eyebrows, can’t close eyes

Question 16

facial droop, but can raise eyebrow. What’s the next step?

Answer 16

central facial nerve lesion - do imaging for ischemia or tumors

Question 17

diagnosed myasthenia gravis. next step?

Answer 17

CT of chest to find thymoma

Question 18

tx of essential tremor

Answer 18

beta blockers or primidone

Question 19

ADR of primidone

Answer 19

acute intermittent porphyria (and pain, neuro and psych probs)

Question 20

CSF results of Guillain Barre

Answer 20

incr protein, everything else normal

Question 21

tx guillain barre

Answer 21

IVIG or plasmapharesis

Question 22

what increases chance of having brain abscesses

Answer 22

cyanotic congenital heart diseases

recurrent sinusitis

Question 23

tx for pseudotumor cerebri

Answer 23

acetazolamide (+/- furosemide)

Question 24

tx of brain abscess

Answer 24

prolonged (4-8 wks) antibiotics

I+D

Question 25

cerebral toxoplasmosis location

Answer 25

basal ganglia and cortical grey-white matter interface

Question 26

positive pronator drift signifies

Answer 26

upper motor neuron disease (such as stroke)

Question 27

tx of essential tremor

Answer 27

propranolol

Question 28

tx of parkinson’s tremor, esp in younger patients

Answer 28

trihexyphenidyl (anticholinergic)

Question 29

tx of restless leg syndrome

Answer 29

dopamine agonist

• pramipexole
• ropinirole

Question 30

a secondary cause of restless leg syndrome, and how to tx it

Answer 30

iron deficiency

iron supplementation if ferritin

Question 31

tx of meniere disease

Answer 31

diuretics and decreased salt

Question 32

pathology of meniere disease

Answer 32

excessive endolymphatic fluid pressure

Question 33

episodic vertigo and hearing loss with straining

Answer 33

perilymphatic fistula

Question 34

vertigo and vomiting for 1 week after viral infxn

Answer 34

acute vestibular neuritis

Question 35

tx of labyrinthitis and vestibular neuritis

Answer 35

corticosteroids