Neuro

Question 1

Location of Tension Headache

Answer 1

• Holocranial Or bifrontal
• 30 min - 7 days

• Max of 1 autonomic sx
(nausea, photophobia, phonophobia)

Question 2

Cluster Headache

Location
Duration
Pattern
Symptoms

Answer 2

• Unilateral Or Periorbital
• > 15 min - 40min
• Short, recurring, Cyclical
• Autonomic Sx:
• Conjunctival injection /Lacrimation
• Rinorrhea
• Partial Horner’s (no anhydrosis)

• Agitation + restlessness

Question 3

Treatment of Cluster Headache

Acute

Answer 3

• 100% Fi O2

* 1st line: triptans (sumatriptan)

Question 4

Tx of Clusters Headache

Preventative

Answer 4

• 1st line: Verapamil

* Steroids to end a cycle (prednisone)

Question 5

Posterior funiculus conveys

Answer 5

• Pressure
• Fine touch
• Vibration
• Proprioception (skin and joints)

Question 6

Anterolateral funiculus conveys

Answer 6

• Fibers decussate from contralateral side:

• Crude touch (anterior sponothalamic)
• Pain & temperature (lateral spinothalamic)

Question 7

Path of Pyramidal fibers

Answer 7

• Primary motor cortex
via internal capsule to..
• Brain stem forming:

1. Bulbar Corticonuclear fibers to Cranial nerves (innervating facial muscles)
2. Two decisions of Corticospinal tract
   (Lateral 80%)
   (Anterior 20%)

Question 8

Lateral corticospinal tract course and function

Answer 8

• deccusates at level of medulla, descend on contralateral

* Motor supply to limbs and digits

Question 9

Anterior corticospinal tract course and function

Answer 9

• descend ipsilaterally and decussate at spinal level of trunk muscles they supply
• innervates muscles of the trunk

Question 10

__is brain tumor associated with secondary Diabetes insipidus

Answer 10

Craniopharyngioma

Question 11

Imaging proof to LP include signs of Increases IP and ___

Answer 11

• immunosuppressants

Question 12

• Ampicillin + Aminoglycoside
• (AND/ OR) 3rd Gen. Ceph

…therapy for meningitis Pt ___

Answer 12

• < 1 month

Ceftriaxone contraindicated

Question 13

• Vancomycin
+
• Ceftriaxone Or Cefotaxime

… therapy in meningitis Pt. ___

Answer 13

> 1 month to < 50 years

Question 14

• Vancomycin, Ampicillin
+
• Ceftriaxone Or Cefotaxime

…therapy in meningitis Pt. __

Answer 14

• > 50 years

Question 15

• Vancomycin, Ampicillin
+
• Cefepime Or Meropenem

…therapy in ___ Pt. with meningitis

Answer 15

• immunocompromised

Question 16

Conus medularis presents with Symmetric ___ distal paresis.

Cauda presents with Asymmetric ___, ___ paresis

Answer 16

• hyperreflexic (Absent Achilles)

* areflexic, flaccid

Question 17

Conus medularis presents with ___ bladder and fecal incontinence!

Answer 17

• early onset

Question 18

Drugs causing Psuedotumor cerebri

•
•
•
•

Answer 18

• Growth hormone
• Tetracyclines
• Vitamin A
• Danzol

Question 19

Methimazole and propylthiouracil are ___ drugs

Answer 19

• antithyroid

Question 20

Rapid control of hyperthyroidism….

Answer 20

• Beta blockers

Question 21

Alzheimer’s takes a ___/ ___ course

Answer 21

• Slow, insidious

8- 10 years

Question 22

Vascular Demantia is ___ cognitive decline and ___ deterioration

Answer 22

1. abrupt

2. stepwise

Question 23

Visual Hallucinations and ___ seen in ___ Dementia

Answer 23

• Parkinsonism

* Lewy Body

Question 24

Frontotemporal dementia presents with changes ___

Answer 24

• in Personality

Patients 40 - 69

Question 25

Gait disorder
Dementia
Urinary incontinence
….

Answer 25

• Normal pressure Hydrocephalus

Question 26

Severe ___ and ___ amnesia seen in Wernicke Korsakoff Syndrome

Answer 26

• anterograde

* retrograde

Question 27

In contrast to NPH, Wernicke encephalopathy presents with ___

Answer 27

Opthalmoplegia

not incontinence