MKSAP

Question 1

Medications used for prevention of tension type headaches

Answer 1

Amitryptyline

Question 2

SBP goal for SAH in the first 48 hours

Answer 2

<160

Question 3

Nerves involved in foot drop

Answer 3

1. CPN
2. Sciatic
3. L5 radiculopathy
4. CNS lesions

Question 4

When can athletes return to contact sports after TBI

Answer 4

10 days after the injury or 7 days of being asymptomatic without medications

Question 5

MRI finding in Alzheimer’s

Answer 5

Hippocampus atrophy

Question 6

2 drugs used for MS

Answer 6

Glatiramer acetate and natalizumab

Question 7

Medications to improve ambulation in MS patients

Answer 7

Dalfampradine - K channel antagonist; improved nerve conduction in delmyleinating disease

Question 8

Rx of cluster headache; acute attack

Answer 8

SC sumitriptan

Question 9

Timing for late please administration after acute ischemic stroke

Answer 9

4.5 hours

Question 10

Timing for thrombectomy in acute is game if stroke

Answer 10

6-24 hours

Question 11

Parkinson’s patients on carbidopa-levodopa has orthostsic hypotension. DDx

Answer 11

Parkinson’s itself or peripheral effect of levodopa

Question 12

How will we differentiate if orthostsics are from peripheral effect of levodopa or Parkinson’s

Answer 12

Is it is from levodopa —> should have temporal relationship with timing of levodopa initiation and should improve once carbidopa dose is increased

Question 13

BP goal on stroke patients getting IV atleplase

Answer 13

180/105

Question 14

BP goal in acute ischemic stroke without alteplase

Answer 14

220/120

Question 15

What is myoedema

Answer 15

Muscle mounting after percussion - classic hypothyroid myopathy

Question 16

Medication used for AD mild

Answer 16

Donepezil, galantamine and rivastigmine - use in caution in bradycardia and seizures since they are ACHE inhibitors

Question 17

MOA if meme time and when is it used?

Answer 17

Moderate to severe AD. NMDA antagonists

Question 18

Anti seizure medication is patient develops rash with conventional therapy

Answer 18

Gabapentin

Question 19

Drugs for Rx of ALS

Answer 19

Riluzole and Edaravone

Question 20

Vitamin supplementation in MS

Answer 20

Vitamin D

Question 21

OCPs are contraindicated in this type of migraine

Answer 21

Migraine with aura

Question 22

Rx of REM disorder in Lewy body dementia

Answer 22

Melatonin

Question 23

Rx of tardive dyskinesia

Answer 23

Valbenzine, dueterabenzaine, and tetrabenzine

Question 24

Rx of Parkinson’s in young patients -dopamine agonist

Answer 24

Ropirinole

Question 25

Rx of chorea related to levodopa use

Answer 25

Amantadine

Question 26

AED in pregnancy

Answer 26

Lamotrigine and Keppra

Question 27

What is diabetic amyotrophic

Answer 27

Painful asymmetric plexipathy cause pain , sensory loss, muscle atrophy and weakness of unilateral leg. EMG will show denervation. Obtain MRO and CT a/p to rule out other causes - RP hematoma or causes equine

Question 28

First line agents for essential tendons

Answer 28

Propranolol, primidone, and tops max (contraindicated for kidney stones)

Question 29

Second line agent in essential tremor

Answer 29

Clonazepam

Question 30

Define drug resistant epilepsy

Answer 30

Not responding to two adequately doses AED

Question 31

Most common cause of drug resistant adult onset seizures

Answer 31

Medial temporal lobe epilepsy

Question 32

What is the best next step in evaluation of drug resistant seizures

Answer 32

Video EEG —> MRI confirmation of lesion to determine surgical candidacy