Neuro

Question 1

Cerebral haemorrhage

Answer 1

Nick stiffness ( extension of blood in the fourth ventricle ) occipital headache and ipsilateral hemiataxia of the trunk
Caused by poorly controlled HTN

Question 2

Meralgia paresthica

Answer 2

Risk factors of CVD
Pain paresthesias above the knee and strength is normal

Question 3

Risperidone aggravates her stiffness

Answer 3

Parkinson
Antagonist of dopamine

Question 4

Epstein bar virus associated with primary CNS lymphoma

Answer 4

MRI and CD4 < 50 for the cns lymphoma and toxoplasmosis but there is no EBV in toxoplasmosis

Question 5

Headache , binoculars palsies, peri orbital edema
Cranial nerves III , IV, V,VI pass through the cavernous sinus

Answer 5

Cavernous sinus thrombosis
Because it is valveless , uncontrollable infection can cause thrombosis

Question 6

Intra cranial pressure, transient Vision loss lasting few seconds with changes in head position

Answer 6

Papilledema

Question 7

Fibromyalgia = amitriptyline inhibiting the reuptake of norepinephrine and serotonin
Muscarinic : anticholinergic symptoms
Histamine receptors leading to lethargy
Alpha adrenergic receptors leading to orthostatic hypotension

Answer 7

In this case dizziness may be revealed by orthostatic blood pressure measurements