Neuro

Question 1

area of aphasia

Answer 1

temporal dominant

Question 2

dominant parietal lobe destraction

Answer 2

Gerstman syndrome

• simple arithemtic task (acalculia)
• finger agnosia
• agraphia
• R-L confusion

Question 3

Suspect tick paralysis –> ?

Answer 3

skin examination –> than remove the tick

Question 4

MS in pregnancy

Answer 4

same management

high changes for c-section and assisted pregnancy

Question 5

symptomatic managment of MS

Answer 5

1depression: antidepressants
spasticity: PT, massage, baclofen
fatigue: sleep hygiene, exercise, amantadine, stimulant medication
neuropathic: gabapentin
urge urinary incontinence:: anticholinergic

Question 6

Bell palsy treatment

Answer 6

high dose of steroids
+/- acyclovir (not helpful)
eye protectionpe

Question 7

Bell palsy treatment

Answer 7

high dose of steroids
+/- acyclovir
eye protectionpe

Question 8

pineal tumor - presentation

Answer 8

parinaud syndrome

• loss of pupillary reaction
• vertical gaze paralysis
• loss of orthokinetic nystagmus
• ataxia

Question 9

unilateral headhace and horner ?

Answer 9

carotid dissection until proven otherwise

Question 10

wernicke encephalopathy

Answer 10

thiamine def

1. encephalopathy 2. gait ataxia 3. oculomotor dysfunction
   - -> late complication is Korsakof syndrome (mamillary bodies) –> amnesia and confabulation

Question 11

carbamazepine side effects

Answer 11

SIADHA

BM sup

Question 12

nyctalopia - criteria

Answer 12

recurrent lapses into sleep or napping, at least 3 times weekly for 3 months plus 1 of the following

1. cataplexy
2. hypocretin def in CSF
3. Rapid eye movement sleep latency less than 15 mins

Question 13

narcolepsy treatment

Answer 13

modafinil

if also catplexy: +/- SSRI

Question 14

hydrocephalus - acetazolamie

Answer 14

decreased CSF production

Question 15

management in stroke after thrombolysis

Answer 15

BP lower than 180 (avoid hypotension)

wait 24 hours to start aspirin or anticoagulation

Question 16

criteria for brain death

Answer 16

clinica / brain imagine
absence of cofounding factors (major endocrine abnormalities etc)
hemodynamic stability (T more than 36 and SBP more than 100)
–> if meets criteria: apnea test
–> if not meet criteria but suspected: EEG or cerebral blood flow

Question 17

meralgia paresthetica

Answer 17

entrapment of the lateral femoral cutaneous nerve

Question 18

meralgia paresthetica

Answer 18

entrapment of the lateral femoral cutaneous nerve

Question 19

stroke with extremely high htn - managmenet

Answer 19

first control HTN. (lower than 185/110) and then thrombolytics

Question 20

patient with coma has normal reaction to caloric stimulation of external auditroy canal

Answer 20

psychogenic coma