Neuro

Question 1

What MMSE score is indicative on dementia?

Answer 1

<24

Question 2

4 med classes with side effects that mimic dementia

Answer 2

Psychotropics
Analgesics
Anticholinergics
Sedative-hypnotics

Question 3

5 domains of cognitive function that may be impacted in dementia

Answer 3

Complex attention
Executive function
Learning memory
Perceptual motor
Social cognitive

Question 4

Parkinson’s common S&S x6

Answer 4

Tremor- resting- pill rolling
Rigidity
Akinesia/ bradykinesia
Postural instability
Shuffling gate
*blank facial expression

Question 5

Medication treatment for Parkinson’s

Answer 5

Levodopa-carbidopa

Question 6

Essential tremor-
Unilateral or bilateral?
Action or rest?

Answer 6

Bilateral
Action

Question 7

Treatment for Essential tremor

Answer 7

Propranolol

Question 8

Abortive treatment for migraines

Answer 8

Triptans- avoid in ppl with CVD- don’t combine with ergots

Question 9

Tristan side effects

Answer 9

Flushing, tingling, chest/neck/sinus/jaw discomfort

Question 10

Migraine prophylaxis class

Answer 10

Beta blockers
TCA’s

Question 11

20% pts with TIA will have a stroke within ——- days
25-50% pts with TIA will have a stroke within ——- days.

Answer 11

90 days

2 days/ 48h

Question 12

Pts with an ABCD2 score greater than ___ should be hospitalized post TIA

Answer 12

4

Question 13

Treatment for temporal arteritis

Answer 13

Refer to ophthalmology for biopsy STAT
High dose steroids

Question 14

Treatment for Cluster headaches

Answer 14

100% O2

Question 15

Treatment for trigeminal neuralgia

Answer 15

Carbamazepine or phenytoin- check serum levels

Question 16

What herb is an alternative headache treatment

Answer 16

Butterburr

Question 17

What type of headache is often bilateral

Answer 17

Tension headache

Question 18

Tic douloureux refers to what condition?

Answer 18

Trigeminal neuralgia

Question 19

Trigeminal neuralgia pain can be precipitated by …

Answer 19

Talking, chewing, cold food, cold air on face

Question 20

When do you order head imagine in pts with headaches

Answer 20

Any change in their usual

Question 21

Three branches of trigeminal nerve

Answer 21

Opthalmic
Maxillary
Mandibular

Question 22

What is Homonymous Hemaniopsia?
Cause?
How to test?

Answer 22

Visual field loss of both halves - either both left or both right halves.
- Most common cause is stroke.
- visual fields by confrontation

Question 23

Apraxia-

Answer 23

Difficulty performing purposeful movements

Question 24

Brocas aphasia

Answer 24

“Non fluent aphasia”
Pts can comprehend speech and read- impaired motor aspect of speech

Question 25

Wernickes aphasia

Answer 25

“Fluent aphasia” Difficulty with comprehension Able to speak Impaired reading and writing

Question 26

Area of the brain that controls intelligence, executive skills, logic, personality

Answer 26

Frontal lobe

Question 27

Pt has rash on top of nose and temple area- think?

Answer 27

Rule out Herpes Zoster/ shingles of trigeminal nerve

Question 28

What extra ocular muscles are controlled by The Trochlear and Abducens CN?

Answer 28

LR6 SO4 Lateral rectus- Abducens- CN6 Superior oblique- Trochlear- CN4

Question 29

Mnemonic for sensory and motor function of cranial nerves

Answer 29

Some say Marry money but my brother says big brains matter more

Question 30

Two special tests for meningitis

Answer 30

Kernigs Brudzinskis

Question 31

Normal reflex grading

Answer 31

0-4 Normal = 2

Question 32

Patellar reflex tests what nerve root

Answer 32

L2-4

Question 33

Achilles reflex tests what nerve root

Answer 33

L5-S2

Question 34

Babinski reflex tests what nerve root

Answer 34

L4- S2 Normal adult - plantar flexion

Question 35

Dysdiadokinesia is tested via?

Answer 35

Rapid alternating movements + heel to shin

Question 36

Graphesthesia-

Answer 36

Ability to recognize things drawn on the skin

Question 37

Median nerve- hand

Answer 37

Thumb + index + middle + half the 4th Palmar aspect + to PIP on dorsal aspect

Question 38

Ulnar nerve- hand

Answer 38

Half 4th and 5th finger Palmer side & dorsal side

Question 39

Radial nerve- hand

Answer 39

Dorsal aspect of thumb + 2nd+ 3rd + 1/2 of 4th to PIP- opposite of median

Question 40

Cubical tunnel involves what nerve

Answer 40

Compression of ulnar nerve