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6th Year > Neuro Computer Exam 2 > Flashcards

Neuro Computer Exam 2 Flashcards

1
Q
  1. which is of the following is NOT caused by a virus
A

Herpes encephalitis

* Lyme disease

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2
Q
  1. which method cannot treat meningioma
A

,* Irradiation* Operation* Chemotherapy* Mannitol

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3
Q
  1. which of the following is true regarding Rinne test
A

,* Tuning fork is placed on the vertex* Compare bone and air conduction* Air conduction is better than bone conduction in case of neural damage

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4
Q
  1. which of the following is not producing CSF
A

,* Choroids plexus* Pia matter* Fornix* Sub arachnoid region

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5
Q
  1. which is the most common symptome of SAH (answer is OK- Q may be different)
A

,* No symptoms* Diarrhea* Subendocardial infarct

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6
Q
  1. which is the normal level for urea in the serum
A

,* 3.6- 7.2 mmol/L

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7
Q
  1. which is not useful for examination of blood vessels
A

,* DSA* CTA* TCD* Brain X- ray

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8
Q
  1. what are the side effects of valporic acid
A

,* Alopecia* Weight gain* Vomiting* All of the above

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9
Q
  1. what is the treatment for tardive dyskinesia
A

,* Haloperidol* Pipolphen* Reserpin

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10
Q
  1. treatment for acute migrane
A

,* Amytriptilin* Sumatriptan

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11
Q
  1. treatment for progressive stroke
A

,* High dose heparin* Normal dose heparin- if there’s no blood on CT

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12
Q
  1. what is false about prions
A

,* It needs RNA* It changes the structure of other proteins* The prion is resistant to drugs that damage nucleic acids* It’s a protein like infectious agent

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13
Q
  1. which is the largest nerve in the human body
A

,* Sciatic n* Dorsal pedis n.* Lumbar n.

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14
Q
  1. which of the following is not useful for examination of extra cranial blood vessels
A

,* MRA* DSA CTA* Color Doppler

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15
Q
  1. which doesn’t cause dementia
A

,* Deafness

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16
Q

16.which is false regarding cerebellar and vertebrobasilar occlusion

A

,* Aphasia* Ataxia* Dizziness

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17
Q
  1. which is true
A

,”* Heroin causes thrombotic stroke* Amphetamine, cocaine cause hemorrhagic stroke* both”

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18
Q
  1. treatment for acute cervical spondylosis
A

,* bed rest

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19
Q
  1. which is not the treatment of chronic cervical spondylosis
A

,* bed rest

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20
Q
  1. which of the following is the least probable to cause stroke
A

,* mitral valve prolapse

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21
Q
  1. what can cause hypertension
A

,* lacunar stroke* hemorrhagic stroke* ischemic stroke* all of the above

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22
Q
  1. what is false regarding Crutzfeld Jakob disease
A

,* vacuolization* chronic inflammation* spongiform encephalopaty

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23
Q
  1. what is not suitable for the dg of Alzheimer Disease
A

,* ENG

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24
Q
  1. What is not true for Dementia
A

,* Depression

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25
Q
  1. what does not cause personality changes (Q may be different- marked A is true)
A

,* Disturbed function of frontal lobe* Tumor in the brain* ??

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26
Q
  1. in which case there is no spastic paraparesis
A

,* Lumbar root compression

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27
Q
  1. which is not true regarding Parkinson
A

,* Intension tremor

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28
Q
  1. which method is not useful for examination of intra cranial blood vessels
A

,* MRA* DSA* CT

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29
Q
  1. where does the spinothalamic tract cross
A

,* Level of entry to the spinal cord

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30
Q
  1. which does not take part in the superficial sensation pathway
A

,* Internal capsule* MLF* Rexed 1-2 (substantia gelatinosa)* spinothalamic tract

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31
Q
  1. side effect of steroid
A

,* myopathy* polyneuropathy

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32
Q
  1. which is not a sensory pathway
A

,* ataxia* visual* auditory* tactile

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33
Q
  1. typical signs of MS
A

,* L1 radiculopathy* Occulomotor palsy* Leg drop* All

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34
Q
  1. which has no effect on BP
A

,* Caudate nucleus* Thalamus* Medulla oblongata

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35
Q
  1. what test is not needed in acute stroke
A

,* Glucose* Ions* Albumin* Lipids

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36
Q
  1. not true for characteristic EEG waves
A

,* Delta: <2 Hz* Theta: 4-7 Hz* Alfa: 8- 13 Hz* Beta: >13 Hz

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37
Q
  1. NSAIDs side effects:
A

,* Gastric ulcer

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38
Q
  1. which is not a harmonic vestibular sign
A

,”* Tinnitus, reduced hearing threshold”

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39
Q
  1. which is not found in Lambert Eaton (LE) disease
A

,* myotonia

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40
Q
  1. which type of stroke is often seen with HTN
A

,* hemorrhagic* ischemic* lacunar* all

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41
Q
  1. what does not cause chest pain (the Q is stupid- accept the answer as it is)
A

,* heart disease* lung disease* neither of the above causes chest pain* both of them cause chest pain

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42
Q
  1. what treatment you don’t use in chronic back pain
A

,* bed rest

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43
Q
  1. how common is stroke
A

,* 3rd MC cause of death

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44
Q
  1. which is not a sign of meningeal carcinomatosis
A

,* Stiff neck

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45
Q
  1. which tumor causes cerebellar neoplasm
A

,* SCLC

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46
Q
  1. which tumor is most common together with LE
A

,* SCLC

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47
Q
  1. which sign is not seen in SC compression
A

,* Hemiparesis

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48
Q
  1. which vertebrae are most susceptible for spondylosis
A

,* Occipital opening – C1* C2- C3* C4- C5* C5- C6

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49
Q
  1. in case of headache what is not a too dangerous sign
A

,* Vomit

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50
Q
  1. in case of insular lesion what heart effect do you see
A

,* Arrhythmia

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51
Q
  1. which is not a side effect of steroids
A

,* Miosittis

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52
Q
  1. what is not a sign of Parkinson
A

,* Intention tremor

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53
Q
  1. which tumor do not metastasize to the brain
A

,* Lung* Breast* Colon* Something else…?!

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54
Q
  1. side effect of valporic acid
A

,* Alopecia* Vomit* Weight gain* All

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55
Q
  1. what is the function of the occipital lobe
A

,* Involuntary smooth pursuit eye movements

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56
Q
  1. when you don’t treat with baclophen
A

,* MS* Spasticity* Lower back pain* Something else… ?!

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57
Q
  1. when you don’t treat with TCA
A

,* Depression* Migrane prophylaxis* Neuralgia* Epilepsy

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58
Q
  1. what is not dg in MS
A

,* MRI* VEP* CSF* EMG

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59
Q
  1. in which stage of syphilis there are neurological signs
A

,* Any of the stages

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60
Q
  1. which does not increase BP
A

,* Brain tumor in the post cranial fossa* Cerebellar tumor* Basal ganglia infarct

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61
Q
  1. which is not true for meningitis and encephalitis
A

,* Both are easily differentiated (check minimals # 310)

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62
Q
  1. in which headache the risk for serious neurological disease is the lowest
A

,* Headache with aura

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63
Q
  1. which is false
A

,* There is no connection between carotid stenosis and carotid bruit

64
Q
  1. what is non communicating hydrocephalus
A

,* Occlusion is proximal to foramen of Magendi* Occlusion is distal to foramen of Magendi

65
Q
  1. which does not cause epilepsy
A

,* Polyneuropathy

66
Q
  1. when you shouldn’t do sural n. biopsy
A

,* Toxic neuropathy

67
Q
  1. what is not used in Parkinson
A

,* Levotiracetam

68
Q
  1. what has no role in deep sensation
A

,* MLF

69
Q
  1. gamma efferent neuron is innervating the…
A

,* Interfusal fibres

70
Q
  1. 1st dg tool in stroke
A

,* CT

71
Q
  1. most of the afferent fibers to the basal ganglia are from
A

,* Cortex

72
Q
  1. how would you treat an epileptic pregnant woman
A

,* Monotherapy

73
Q
  1. what exam you don’t do in MS
A

,* EEG

74
Q
  1. what is a prion
A

,* Protein like agent

75
Q
  1. EEG delta waves
A

,* <4 Hz

76
Q
  1. where does the corticospinal tract travel
A

,* in the anterior part of the post limb of the internal capsule

77
Q
  1. in secondary stroke what you should not give for prevention
A

,* clopidogrel

78
Q
  1. what is not causing temporal arteritis
A

,* incontinence

79
Q
  1. what is not a part of the visual pathway
A

,* MGB

80
Q
  1. what is the treatment for myasthenic crisis
A

,* Mestinon

81
Q
  1. where is the lesion that causes amnestic aphasia
A

,* Angular gyrus

82
Q
  1. normal protein count in the CSF
A

,* 0.2- 0.4 g/L

83
Q
  1. what may be the cause of SAH
A

,* Aneurism

84
Q
  1. deficiency of which- will cause neurological symptoms
A

,* Vit B12* Tiamin* Folic acid* All

85
Q
  1. which of the following causes distal pain with thermohyperestesia
A

,* Polyneuropathy* MS* Cerebellar ataxia

86
Q
  1. what is a wrong treatment for myasthenic crisis
A

,* Plasmapheresis -Thymectomy (this is the correct answer though it can be done when pt able to tolerate the op.)* Steroid* Immunoglobulins

87
Q
  1. which of the following causes carpal tunnel sy.
A

,* Median n.* Ulnar n* Radial n* Peroneal n

88
Q
  1. which is true
A

,* Peroneal n paresis is associated with lateral foot drop

89
Q
  1. what is not true for ALS
A

,* Sensory loss* Spastic paresis* Bulbar palsy* Pyramidal signs

90
Q
  1. when it is not indicated to do CT
A

,* Sudden strong headache* Pt is >70 y.o.* Focal signs* Pt see fleshing lights and vomits

91
Q
  1. which is not true
A

,* Pregnancy with epilepsy you use monotherapy* For pregnancy we give lowest dose of treatment* During the pregnancy we must increase the dose* After the pregnancy we don’t need to decrease the dose

92
Q
  1. what is not seen in MLF lesion
A

,* Hertwig Magendie* Intranuclear ophthalmoplegia* No Oculocephalic reflex* Ataxia

93
Q
  1. which is supplied by PCA
A

,* Occipital lobe* The other lobes…J

94
Q
  1. what can cause new epilepsy in HIV patients
A

,* Encephalopathy* Toxoplasma* Contusion* Lymphoma

95
Q
  1. why do we use the sural n for biopsy
A

,* Easy to find* It can cause no harm* It is simply motor

96
Q
  1. which is not an antithrombotic drug
A

,* Aspirin* Carbamazepin* Clopidogrel* Dypiridamol

97
Q
  1. which is not a sign of Parkinson
A

,* Intention tremor* Resting tremor* bradykinesis

98
Q
  1. which is mostly affected in Gullian Bare
A

,* facial n* occulomotor n* optic n

99
Q
  1. sign of cortical damage
A

,* sensory/ motor aphasia* personality changes* tremor* bradykinesis

100
Q
  1. sign of R occipital lobe infarct
A

,* L sided homonimus hemianopia* R sided homonimus hemianopia* Ipsilateral amaurosis fugax* Bitemporal heteronimus hemianopia

101
Q
  1. when do you operate due to lumbosacral pain
A

,* In case of sensory changes* In case of paresis

102
Q
  1. not good treatment for MS
A

,* Muscle relaxants for spasticity* Piracetam for aphasia* Oxibutinin for incontinence* Diazepam/ betta blockers for tremor

103
Q
  1. indication for levodopa treatment in Parkinson
A

,* 8-10 years after the disease onset* Now* If tremor appears* Depending on patients clinical status

104
Q
  1. most important sign of MS
A

,* Intranuclear ophthalmoplegia* S1 hyperesthesia* Leg drop* All

105
Q
  1. which is not in the visual pathway
A

,* Optic n* MGB* LGB* Optic tract

106
Q
  1. which is the central motor area for speaking
A

,* Lower frontal gyrus* Temporal lobe* Angular gyrus

107
Q
  1. which is the central sensory speaking area
A

,* Br 22* Br 44* Br 45* Br 29

108
Q
  1. what area is not supplied by ACA
A

,* Medial part of hemispheres* Upper part of parietal lobe* Lower part of temporal lobe* Upper part of frontal lobe

109
Q
  1. which is not a part of Willis circle
A

,* ACA* PCA* PCommunA* Anonimus aa

110
Q
  1. when MRI is not indicated
A

,* Repeated grand mal seizures* Focal epileptic seizures* Complex seizures* Alcohol withdrawal grand mal seizures

111
Q
  1. internal carotid stenosis signs
A

,* Diplopia* Dysarthria* Dizziness* Hemiparesis

112
Q
  1. which is not typical for Gullian Bare
A

,* CSF Protein count increased* Protein count can be >1gr/L* Conduction velocity is reduced in ENG* CSF cell count increased

113
Q
  1. what cannot cause thrombotic stroke
A

,* Haemophilia

114
Q
  1. which can dilate the pupil
A

,* Edinger Westphal nucleus* PNS* Sphincter pupillae muscle* Centrum ciliospinale

115
Q
  1. not a sign of lumbar compression
A

,* Constant pain* Increase spastic tone* Pain increases when straining

116
Q
  1. afferent pathway for papillary reflex
A

,* Optic n* Optic radiation* LGB

117
Q
  1. which heart disease is not a risk for stroke
A

,* Pericarditis* Dilatative CMP* AMI

118
Q
  1. Wernicke encephalopathy
A

,* Thiamine deficiency

119
Q
  1. which is associated with SAH
A

,* Diarrhea* Subendocardial infarct

120
Q
  1. for which problem MRI is useful
A

,* Localization of an epileptic focus

121
Q
  1. most common cause of epilepsy in HIV
A

,* Toxoplasma

122
Q
  1. responsible for pupillary constriction
A

,* Edinger Westphal nucleus

123
Q
  1. which is not an epilepsy provocating test
A

,* Tensilon test

124
Q
  1. estrogen effect of Ocs
A

,* Increases the stroke risk in woman > 35 y.o.

125
Q
  1. in secondary stroke prevention you use
A

,* 75 mg clopidogrel

126
Q
  1. Autonomic dysfunction in DM
A

,* Change of body posture does not changes the pulse rate

127
Q
  1. what don’t cause epilepsy
A

,* Distal neuropathy

128
Q
  1. what is true for the vestibulocochlear system
A

,* The 3 semicircular canals feel rotatory acceleration

129
Q
  1. early sign of brain involvement in increased ICP
A

,* Anisocoria

130
Q
  1. Brocca’s aphasia
A

,* Br 44

131
Q
  1. most common problem >45 y.o.
A

,* Lumbosacral herniation

132
Q
  1. which is not given for migrane prophylaxis
A

,* Sumatriptan

133
Q
  1. what is TENS
A

,* Treatment for ch. Pain

134
Q
  1. giant cell arteritis treatment
A

,* Prednisolone

135
Q
  1. treatment for tension headache
A

,* Amitryptilin

136
Q
  1. hemorrhagic stroke risk factor
A

,* Low blood cholesterol level

137
Q
  1. Which vegetative function is damaged in DM
A

,* Orthostatic hypotension

138
Q
  1. Why MRI is better than CT
A

,”No ionizing radiation, no bone artifacts, small changes in tissue water content are detected before seen on CT, any plane can be selected, better specific resolution, some disease are easier to detect (MS, encephalitis)”

139
Q
  1. What does not prove that MS is immune mediated
A

,

140
Q
  1. Which of the following is not associated with ataxic breathing (in the exam it says breading- don’t get confused)
A

,* Mesencephalon* Medulla* Slowing of respiratory rate* Deep and shallow respiration

141
Q
  1. What is not a cause of anosmia?
A

,* Lymphoma

142
Q
  1. What is being treated with pyridostigmine?
A

,* MG

143
Q
  1. What is true concerning facial palsy?
A

,* The perioral part is being innervated exclusively contralaterally

144
Q
  1. What is a typical/sterotipical jerk movement that can be controlled by the patient?
A

,* Tic

145
Q
  1. What is quada equine?
A

,* Roots after L1 – L2

146
Q
  1. gullian bar synd is caused by:
A

,* viral infection* tumor

147
Q
  1. parietal lobe lesion except:
A

,* aphasia* agraphy* apraxia* gait disturbances

148
Q
  1. Brodmann’s area for Wernicke
A

,* 21/22

149
Q
  1. what is not antiepileptic
A

,* valporic acid* lamotrigine* haloperidol

150
Q
  1. what in incorrect regarding ENG
A

,* to find the exact cause.

151
Q
  1. What does not affect nerve conduction?
A

,”* Cold tempreatue,* blood cholesterol,* sensory or motor conduction,* arm or leg”

152
Q
  1. What does the facial nerve not innervate?
A

,* Masticatory muscles.

153
Q
  1. What is dysarthria?
A

,* A deficit of articulation

154
Q
  1. After MI How will you decrease the stroke risk?
A

,* Anti platelet drug

155
Q

Cholseterol: 7.2 mmol/L : Normal/Abnormal

A

Abnormal

Normal = <5.2 mmol/L

6th Year (3 decks)

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