Neuro Comp exam Flashcards
what are the "bad aspects" of carotid endarterectomy, all except: 1. Mortality 2. Morbidity 3. Complication 4. Left or Right Carotid
- Mortality
- Morbidity
- Complication
- Left or Right Carotid (Answer)
How does ischemic lesion looks like on CT without contrast in the early phase
Hypo/hyper dense
in which situation there is a cardiovascular impairment choose the wrong ans
a lesion in the basal ganglia
- Time window for iv thrombolysis in MCA?
a) 1hr
b) 16
c) 12
d) 3 (4.5)hrs.
a) 1hr
b) 16
c) 12
d) 3 (4.5)hrs. - Correct
TIA Last for minutes. Last for days Is not an medical emergency ECG is enough to perform
Last for minutes. Correct
Last for days
Is not an medical emergency
ECG is enough to perform
Diagnostic test before epileptic surgery except BAEP. EEG MRI PET
BAEP. Correct
EEG
MRI
PET
Can cause/predispose for epilepsy except Poliomyelitis. SAH Contusion Head injury
Poliomyelitis. Correct
SAH
Contusion
Head injury
Caused by virus except Lyme disease. Rabies Morbilli Herpes zoster
Lyme disease. Correct
Rabies
Morbilli
Herpes zoster
Pyridostigmine useful to treat MG. Parkinson MS Restless leg syndrome
MG. Correct
Parkinson
MS
Restless leg syndrome
PCA supplies Occipital lobe. Inferior/Lateral Temporal lobe Parietal lobe Frontal lobe
Occipital lobe. Correct
Inferior/Lateral Temporal lobe
Parietal lobe
Frontal lobe
Used to treat TD
Reserpine.
Haloperidol
Reserpine. Correct
Haloperidol
Don’t remember the last two
Posterior columns contain: Sensory pathways. Motor pathways Blood vessels Lymphatics and autonomic pathways
Sensory pathways. Correct
Motor pathways
Blood vessels
Lymphatics and autonomic pathways
acute hemorrhage on CT?
Hyperdense
acute complications of brain radiation?
edema
not true for tardive dyskinesia?
60-70% of patients
6.7G/L Wbc abnormal or normal.
Normal - 4,8-10,8 G/L
Is the color of normal CSF clear or yellow?
clear
Urea lab value:
3,6-7,2 mmol/L
In patients with carotid bruits
we should think about carotid stenosis and exclude it.
Typical signs of Multiple sclerosis?
oculomotor palsy
What is a non-communicating hydrocephalus?
Occlusion is proximal to foramen of Magendie
How would you treat an epileptic pregnant woman?
Monotherapy
Superficial peroneal nerve paresis is associated with?
lateral foot drop
in acute migraine treatment, triptans can be helpful (y/n)
Yes
why do we use steroids in brain metastases? immunesuppression, to decrease the edema, to increase the glucose concentration, all of the above
immunesuppression, to decrease the edema, to
increase the glucose concentration, all of the above (answer is edema)
Where is substantia nigra?
answer:
anterior to tegmentum in mecencephalon, and its lesion causes Parkinson’s disease
1.where is choroid plexus A)lateral vetricle B) subarachnoid space C)anywhere in brain except ventricle D) cerebellum
A)lateral vetricle(right choice)
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum
1.where is choroid plexus A)lateral vetricle B) subarachnoid space C)anywhere in brain except ventricle D) cerebellum
A)lateral vetricle(right choice)
B) subarachnoid space
C)anywhere in brain except ventricle
D) cerebellum
Lower motor neuron lesions cause decreased deep reflexes – True or False?
true
When should we operate an internal carotid artery stenosis?
if morbidity and mortality due to angiography and endarterectomy < 5-6% and stenois is 70% or greater
What would you do in case of internal carotid bruit?
Exclude internal carotid artery stenosis.
Best way to examine extracranial vessels?
Doppler US.
False about thrombotic stroke?
Preceded by palpitations
Which is NOT a symptom of increased cranial pressure ?
(headache/vomiting/atrophy of the thenar muscle (Right answer))
Which is NOT the symptom of
vegetative system ?
(constipation/orthostatic hypotension/incontinence/ paraparesis (right answer))
is chronic headache sign of tumor?
no
pseudobulbar palsy-
can elicit gag and palatal reflex
decerebrate position (the wrong one)
flexed arms and wrists
risk factors for stroke (the incorrect)-
MG
Spastic paresis is always central in origin
yes
Neurological complication of CNS tumors except one? Brain metastases,
Paraneoplastic polyneuropathy, GBS, LEMS
GBS
where does in the internal
capsule the corticospinal tract travels?’
post part of post limb
‘in which abnormalities we can see ecg like changes caused by the nervous system’?
-subendocardial infraction.
Na 80 mmol/l abnormal or normal
abnormal
Weber test, incorrect ans
incorrect-in conduction, better on the affected ear
Which test you should do before epilepsy surgery, except
-BAEP
Brain abscess, except in:
LEMG
when should you send a patient with low back
pain to the hospital?
something with vegetative signs nd paresis
which nerve is destroyed in appendectomy
iliohypogastric n
erb’s palsy…
answer (injury to brachial plexus)…
maysthenia crisis what is not correct? 1.plasmapheresis 2.ivig 3. steroids 4. acute theymectomy.
acute thymectomy
Emboli stroke (pick the correct option):maysthenia crisis what is not correct? 1.plasmapheresis 2.ivig 3. steroids 4. acute theymectomy.
acute thymectomy
Most comon site for generalized seizures –>
temporal lobe
n syncope, the patient recovers consciousness fast? Yes or No?
yes
WBC value.
4.8 - 10.8 G/L
Emboli stroke (pick the correct option):
onset of symptoms is associated
with palpitation.
Which of these is NOT a type of agnosia. Ataxic, auditory, tactile, visual.
Ans: Ataxic
How do you diagnose for leptomeningeal carcinomatosis,
LP
Which is not a symptom of giant cell arteritis?
urinary incontinence
What drug is used in convulsive epilepsy status
The answer was diazepam
In acute stroke
hypotonicity will develop first and than spasticity
What is not a symptom of pseudotumor cerebri?
polyneuropathy
Medication That not used for burning sensation of neuropathy?
Morphine
