Neuro 2 - MTB

Question 1

Management for a PD patient who presents with hallucinations?

Answer 1

Clazapine (CANNOT stop PD drugs)

Question 2

Treatment for spasticity?

Answer 2

#Baclofen
#Dantrolene
#Tizanadine (a- agonist)

Question 3

Restless leg syndome - treatment?

Answer 3

Pramipexole (dopamine agonists)

Question 4

Huntington’s - Imagine will show involvement of?

Answer 4

Caudate nucleus

Question 5

Huntingtons - treatment for dyskinesia? Psychosis?

Answer 5

Tetrabenazine

antipsychotics

Question 6

Suspected MS - best initial test? Most accurate test?

Answer 6

MRI, MRI

Question 7

Inability to adduct one eye with nystamus in other eye - called? Suspected diagnosis?

Answer 7

Internuclear ophthalmoplegia

MS

Question 8

Best drugs to prevent MS Relapse?

Answer 8

#Glatiramer
#Beta-interferon

Question 9

MS drug can can cause worsening neurological deficits wand multiple white matter hypodense lesions on imaging - Drug and effect?

Answer 9

Natalizuman

PML

Question 10

Pt initally presets with difficult with chewing and swallowing and decreased gag reflex - suspected diagnosis?

Answer 10

ALS

Question 11

Pt presents with decreased sensation and weakness/wasting in the legs - suspected diagnosis? Other findings?

Answer 11

Charcot-Marie-Tooth

High Arches

Question 12

Pt suffers trauma to palms, now presents with pain in 4th and 5th fingers - suspected diagnosis?

Answer 12

Ulnar nerve palsy

Question 13

Park-bench palsy - nerve affected? Presentation?

Answer 13

Radial

Wrist drop

Question 14

Pregnant patient complains of pain in outer aspect of thigh - suspected diagnosis? Also seen in?

Answer 14

Lateral cutaneous nerve of thigh palsy

Obese, people who sit cross-legged

Question 15

Pt presents with pain in ankle and sole of foot that worsens with walking - suspected diagnosis? Nerve?

Answer 15

Tarsal tunnel

Tibial nerve

Question 16

Pt who wears high boots presents with weak foot with decreased dorsiflexion and eversion - nerve effected?

Answer 16

Peroneal palsy

Question 17

Carpenter presents with thenar wasting - suspected diagnosis?

Answer 17

Median nerve palsy

Question 18

Entire side of face is paralyzed - cause? Associated symptoms?

Answer 18

Bell’s (CN7) palsy (stroke will only affect lower half of face)

#Hyperacusis (stapedius "shock absorber" muscle deinervated)
#Taste distrubances (anterior 2/3 of tongue)

Question 19

Best treatment for Bell’s Palsy?

Answer 19

Prednisone

Question 20

Complication of CN7 Palsy?

Answer 20

Corneal abrasion (cannot close eye at night)

Question 21

Most accurate test for Gullain-Barre syndrome?

Treatment?

Answer 21

NC/EMG

IVIg or plasmapheresis (Steroids do NOT help)

Question 22

Pt with GBS - for respiratory function, test PFTs or Peak Flow?

Answer 22

PFTs (Problem with inspiratory flow, not expiratory flow)

Question 23

Pt with double vision and difficulty chewing - suspected diagnosis? Best initial test? Most accurate test?

Answer 23

Myasthenia Gravis

AChR Abs or edrophonium

EMG