Module 1

Question 0

Labs indicated prior to giving TPA?

Answer 0

#Serum glucose
#Serum platelets
#PT/PTT

Question 1

Differential for acute focal neurologic deficit?

Answer 1

#Vascular – ischemia, hemorrhage
#Neoplastic – seizure

Question 2

Pharmacologic therapy for ischemic stroke patients?

Answer 2

#TPA if in critical window, aspirin if not
#Lipid Lowering agents

Question 3

Neurologic systems required for ambulation?

Answer 3

#Pyramidal motor
#Extrapyramidal motor
#Cerebellar
#Vestibular
#Proprioceptive

Question 4

Patient with chronic diffuse process affecting cerebellar system and autonomic nervous system – differential?

Answer 4

#Multiple systems atrophy
#Chronic alcoholism
#Hypothyroidism
#Spinocerebellar ataxia
#Paraneoplastic cerebellar degeneration

Question 5

Multiple systems atrophy?

Answer 5

Progressive neurodegenerative disorder affecting cerebellar, autonomic and extrapyramidal motor systems

Question 6

Patient with chronic diffuse process affecting cerebellar system and autonomic nervous system – lab tests?

Answer 6

#TSH
#B12
#ESR
#RPR
#Vitamin E
#Lyme disease

Question 7

Patient presents with acute, painful blindness – suspected diagnosis? Immediate management?

Answer 7

Optic neuritis

IV methylprednisolone and MRI for risk stratification

Question 8

General causes of acute neurologic issues?

Answer 8

#Vascular
#Traumatic
#Infectious

Question 9

General causes of subacute neurologic issues?

Answer 9

#Toxic/metabolic
#Inflammatory
#Neoplastic

Question 10

General causes of chronic neurologic issues?

Answer 10

#Hereditary
#Neurodegenerative

Question 11

causes of episodic neurologic issues?

Answer 11

#Migraine
#Seizure
#TIA

Question 12

Patient presents with right-sided weakness – possible locations of lesion?

Answer 12

#Motor cortex
#Internal capsule
#Cerebral peduncle (will also get 3rd nerve palsy)

Question 13

Test that are always ordered in dementia screening?

Answer 13

#B12
#Thyroid studies

Question 14

Indications for LP?

Answer 14

#CNS infection
#Leptomeningeal tumor
#ICP measurement
#Atypical dementia
#Suspected subarachnoid hemorrhage with negative CT

Question 15

Nerve conduction basically measures? Correlates for?

Answer 15

Speed (myelin) and amplitude (axons)