Neuro 3

Question 1

What medication do you use for Absence seizures?

Answer 1

ethosuximide or valproic acid

Question 2

used in the acute management of generalized tonic-clonic seizures?

Answer 2

Benzos

Question 3

used in the chronic management of generalized seizures.

Answer 3

Phenytoin

Question 4

This dementia is characterized by diffuse presence of abnormal neuronal protein deposits. Core features are visual hallucinations, cognitive fluctuations, parkinsonism, and orthostatic hypotension.

Answer 4

Diffuse lewy body disease

Question 5

First line treatment for status epilepticus?

Answer 5

Lorazepam

Question 6

First line treatment for Absence seizure?

Answer 6

Ethosuximide

Question 7

First line treatment for grand mal seizures?

Answer 7

Treat underlining cause (Hypoglycemia, Hyponatremia, etc)

Valproic acid, phenytoin, carbamazepine, lamotrigine.

Question 8

Tx for bacterial meningitis?

Answer 8

Vancomycin + ceftriaxone if 1 month to 50 yr

Vanc + Ceftraxone + Ampicillin if over 50 yr

Question 9

First line prophylactic migrane therapy

Answer 9

BB like propanolol or CCB like erapamil

Question 10

Hypoglycemia can mimic?

Answer 10

Stroke

Question 11

The classic brain noncontrast MRI findings are multiple T2 hyperintensities found most commonly in the periventricular white matter, brainstem, cerebellum and spinal cord. CSF analysis on lumbar puncture may show oligoclonal bands. Treatment is with interferon-beta1b and 1a, glatiramer acetate and symptomatic therapy with corticosteroids.

Answer 11

MS

Question 12

Visual hallucinations, cognitive fluctuations, parkinsonisms, and autonomic dysfunction.

Answer 12

Diffuse Lewy body disease

Question 13

According to Rosh review, what is the next best step in a TIA patient with a negative head CT?

Answer 13

Admission and MRI. Look for causes of TIA and since TIA is likely to have future stroke, more workup is required.

Question 14

Patient with a history of recent minor respiratory or GI illness

Complaining of symmetric, progressive ascending muscle weakness

PE will show lack of deep tendon reflexes

Lumbar puncture results will demonstrate increased CSF protein but a normal cell count

Answer 14

Gillian Barre syndrome

Question 15

Tx for a patient with symmetric ascending weakness. Weakness of respiratory muscles.

Decreased DTR

CSF shows high protein with normal WBC.

Answer 15

Guillain barre

IV iummune globulin or plasmapheresis