Neuro 2

Question 1

PD - earliest manifestation of the disease

Answer 1

“pill rolling” tremor

Question 2

common developmental tasks for a 5 year old:
9

Answer 2

1. ability to draw a person with a body, head, arms, legs
2. recognize most letters and can print some
3. know his address and phone number
4. dress self without help
5. skip and tiptoe
6. play cooperatively and enjoy playmate’s company
7. copy a triangle
8. know colors
9. count on fingers

Question 3

anomia

Answer 3

difficulty naming familiar objects

Question 4

difficulty naming familiar objects

Answer 4

anomia

Question 5

+ Kernig’s and Brudzinski’s

Answer 5

meningitis

Question 6

+ brudzinski’s sign

Answer 6

meningitis - severe neck stiffness causes a patient’s knees and hips to flex when the neck is flexed

Question 7

+ Kernig’s sign

Answer 7

severe stiffness in the hamstrings and produces inability to straighten leg when hip is flexed 90 degrees

Question 8

classic triad of normal pressure hydrocephalus

Answer 8

1. gait difficulty
2. cognitive disturbances
3. urinary incontinence

Question 9

object performance occurs at what age - ability to find an object hidden from view

Answer 9

9 months

Question 10

most commonly used med class to treat essential tremors

Answer 10

beta blockers - propanolol

Question 11

head circumference should be measured until what age

Answer 11

36 months

Question 12

what spine issues produces increased pain with coughing, sneezing, or valsalva maneuver

Answer 12

disk herniation

Question 13

most common precipitant factor for febrile seizure

Answer 13

fever

Question 14

most common diagnosis associated with febrile seizures is

Answer 14

otitis media

Question 15

what CN is tested with cardinal fields of gaze

Answer 15

CN 3, 4, 6

Question 16

get up and go test is used to assess for

Answer 16

risk of falls

Question 17

intermittent electric painful sensations in the face

Answer 17

trigeminal neuralgia

Question 18

criteria for migraine HA without aura, 5 criteria must be present

Answer 18

1. HA lasts 4-72 hours
2. has 2 of these characteristics (unilateral pulsating, mod to severe intensity, aggravated by routine activity)
3. at least one occurs with HA (nausea, vomiting, photophobia, phonophobia)
4. 5 or more attacks have occurred
5. no other reason

Question 19

most often first med for PD

Answer 19

levodopa - which can cause orthostatic hypotension

Question 20

bell’s palsy - steroids should be started when

Answer 20

prednisone 60 mg/d tapered over 10 days started within 72 hours of onset of sx

Question 21

at what week should imaging be done for pain in lower back

Answer 21

pain > 4 weeks

Question 22

startle reflex

Answer 22

moro reflex

Question 23

asymmetric moro reflex could indicated

Answer 23

injury at birth

Question 24

SIDs risk factors include
4

Answer 24

1. maternal age < 19
2. SIDs in a sibling
3. male gender
4. low birth weight