Neuro

Question 1

what is normally 1st line rx for germinal neuralgia

Answer 1

carbazapine

Question 2

rx for GBS

Answer 2

plasma exchange

Question 3

Myotonic muscular dystrophy

Answer 3

auto dom 
muscle atrophy 
deleyed hand release 
balding 
testicular atrophy

Question 4

1st line rx for idiopathic ICP

Answer 4

acetazolamide +/- fursoimide

Question 5

facial droop with forehead muscle sparing

Answer 5

intercranial defect

forhead droop= peripheral CN7 problem (bells)

Question 6

risks of sz > 5 minutes

Answer 6

permanent excitatory cytotoxicity–> focaldeficits and recurrent sz

cortical laminar necrosis is hallmark

Question 7

Brain mets on CT

Answer 7

multiple ring enhancing lesions at grey white junction

Question 8

spine problem early onset bowel bladder dysfxn

Answer 8

conus medularis

Question 9

Lesch-Nyhan sydrome deficiency

Answer 9

HPRT–>

Hypoxanthine- guanine- phosphoribosyl transferase

Question 10

wernicke encephalopathy

Answer 10

gait ataxia
oculomotor dysfxn- nystagmus
encephalopathy

Question 11

pure sensory stroke

Answer 11

lacunar stroke of thalamus

Question 12

What is the first symptom in NPH

Answer 12

gait

Question 13

is gait disturbed in alzheimer’s

Answer 13

it is a late finding

Question 14

Who should get transdermal fentanyl patch

Answer 14

opioid tolerant pts only- risk for resp depression

Question 15

Lateral medullary infarct

Answer 15

ipsilateral face vs body loss of pain/ temp

horners

nystagmus

Question 16

Putamen infarct

Answer 16

common site of htn bleed

gaze towards lesion

usually involves internal capsule

loss of contra motor and sensory