Neuro Computer Exam 2 Flashcards
- which is of the following is NOT caused by a virus
Herpes encephalitis
* Lyme disease
- which method cannot treat meningioma
,* Irradiation* Operation* Chemotherapy* Mannitol
- which of the following is true regarding Rinne test
,* Tuning fork is placed on the vertex* Compare bone and air conduction* Air conduction is better than bone conduction in case of neural damage
- which of the following is not producing CSF
,* Choroids plexus* Pia matter* Fornix* Sub arachnoid region
- which is the most common symptome of SAH (answer is OK- Q may be different)
,* No symptoms* Diarrhea* Subendocardial infarct
- which is the normal level for urea in the serum
,* 3.6- 7.2 mmol/L
- which is not useful for examination of blood vessels
,* DSA* CTA* TCD* Brain X- ray
- what are the side effects of valporic acid
,* Alopecia* Weight gain* Vomiting* All of the above
- what is the treatment for tardive dyskinesia
,* Haloperidol* Pipolphen* Reserpin
- treatment for acute migrane
,* Amytriptilin* Sumatriptan
- treatment for progressive stroke
,* High dose heparin* Normal dose heparin- if there’s no blood on CT
- what is false about prions
,* 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
- which is the largest nerve in the human body
,* Sciatic n* Dorsal pedis n.* Lumbar n.
- which of the following is not useful for examination of extra cranial blood vessels
,* MRA* DSA CTA* Color Doppler
- which doesn’t cause dementia
,* Deafness
16.which is false regarding cerebellar and vertebrobasilar occlusion
,* Aphasia* Ataxia* Dizziness
- which is true
,”* Heroin causes thrombotic stroke* Amphetamine, cocaine cause hemorrhagic stroke* both”
- treatment for acute cervical spondylosis
,* bed rest
- which is not the treatment of chronic cervical spondylosis
,* bed rest
- which of the following is the least probable to cause stroke
,* mitral valve prolapse
- what can cause hypertension
,* lacunar stroke* hemorrhagic stroke* ischemic stroke* all of the above
- what is false regarding Crutzfeld Jakob disease
,* vacuolization* chronic inflammation* spongiform encephalopaty
- what is not suitable for the dg of Alzheimer Disease
,* ENG
- What is not true for Dementia
,* Depression
- what does not cause personality changes (Q may be different- marked A is true)
,* Disturbed function of frontal lobe* Tumor in the brain* ??
- in which case there is no spastic paraparesis
,* Lumbar root compression
- which is not true regarding Parkinson
,* Intension tremor
- which method is not useful for examination of intra cranial blood vessels
,* MRA* DSA* CT
- where does the spinothalamic tract cross
,* Level of entry to the spinal cord
- which does not take part in the superficial sensation pathway
,* Internal capsule* MLF* Rexed 1-2 (substantia gelatinosa)* spinothalamic tract
- side effect of steroid
,* myopathy* polyneuropathy
- which is not a sensory pathway
,* ataxia* visual* auditory* tactile
- typical signs of MS
,* L1 radiculopathy* Occulomotor palsy* Leg drop* All
- which has no effect on BP
,* Caudate nucleus* Thalamus* Medulla oblongata
- what test is not needed in acute stroke
,* Glucose* Ions* Albumin* Lipids
- not true for characteristic EEG waves
,* Delta: <2 Hz* Theta: 4-7 Hz* Alfa: 8- 13 Hz* Beta: >13 Hz
- NSAIDs side effects:
,* Gastric ulcer
- which is not a harmonic vestibular sign
,”* Tinnitus, reduced hearing threshold”
- which is not found in Lambert Eaton (LE) disease
,* myotonia
- which type of stroke is often seen with HTN
,* hemorrhagic* ischemic* lacunar* all
- what does not cause chest pain (the Q is stupid- accept the answer as it is)
,* heart disease* lung disease* neither of the above causes chest pain* both of them cause chest pain
- what treatment you don’t use in chronic back pain
,* bed rest
- how common is stroke
,* 3rd MC cause of death
- which is not a sign of meningeal carcinomatosis
,* Stiff neck
- which tumor causes cerebellar neoplasm
,* SCLC
- which tumor is most common together with LE
,* SCLC
- which sign is not seen in SC compression
,* Hemiparesis
- which vertebrae are most susceptible for spondylosis
,* Occipital opening – C1* C2- C3* C4- C5* C5- C6
- in case of headache what is not a too dangerous sign
,* Vomit
- in case of insular lesion what heart effect do you see
,* Arrhythmia
- which is not a side effect of steroids
,* Miosittis
- what is not a sign of Parkinson
,* Intention tremor
- which tumor do not metastasize to the brain
,* Lung* Breast* Colon* Something else…?!
- side effect of valporic acid
,* Alopecia* Vomit* Weight gain* All
- what is the function of the occipital lobe
,* Involuntary smooth pursuit eye movements
- when you don’t treat with baclophen
,* MS* Spasticity* Lower back pain* Something else… ?!
- when you don’t treat with TCA
,* Depression* Migrane prophylaxis* Neuralgia* Epilepsy
- what is not dg in MS
,* MRI* VEP* CSF* EMG
- in which stage of syphilis there are neurological signs
,* Any of the stages
- which does not increase BP
,* Brain tumor in the post cranial fossa* Cerebellar tumor* Basal ganglia infarct
- which is not true for meningitis and encephalitis
,* Both are easily differentiated (check minimals # 310)
- in which headache the risk for serious neurological disease is the lowest
,* Headache with aura
- which is false
,* There is no connection between carotid stenosis and carotid bruit
- what is non communicating hydrocephalus
,* Occlusion is proximal to foramen of Magendi* Occlusion is distal to foramen of Magendi
- which does not cause epilepsy
,* Polyneuropathy
- when you shouldn’t do sural n. biopsy
,* Toxic neuropathy
- what is not used in Parkinson
,* Levotiracetam
- what has no role in deep sensation
,* MLF
- gamma efferent neuron is innervating the…
,* Interfusal fibres
- 1st dg tool in stroke
,* CT
- most of the afferent fibers to the basal ganglia are from
,* Cortex
- how would you treat an epileptic pregnant woman
,* Monotherapy
- what exam you don’t do in MS
,* EEG
- what is a prion
,* Protein like agent
- EEG delta waves
,* <4 Hz
- where does the corticospinal tract travel
,* in the anterior part of the post limb of the internal capsule
- in secondary stroke what you should not give for prevention
,* clopidogrel
- what is not causing temporal arteritis
,* incontinence
- what is not a part of the visual pathway
,* MGB
- what is the treatment for myasthenic crisis
,* Mestinon
- where is the lesion that causes amnestic aphasia
,* Angular gyrus
- normal protein count in the CSF
,* 0.2- 0.4 g/L
- what may be the cause of SAH
,* Aneurism
- deficiency of which- will cause neurological symptoms
,* Vit B12* Tiamin* Folic acid* All
- which of the following causes distal pain with thermohyperestesia
,* Polyneuropathy* MS* Cerebellar ataxia
- what is a wrong treatment for myasthenic crisis
,* Plasmapheresis -Thymectomy (this is the correct answer though it can be done when pt able to tolerate the op.)* Steroid* Immunoglobulins
- which of the following causes carpal tunnel sy.
,* Median n.* Ulnar n* Radial n* Peroneal n
- which is true
,* Peroneal n paresis is associated with lateral foot drop
- what is not true for ALS
,* Sensory loss* Spastic paresis* Bulbar palsy* Pyramidal signs
- when it is not indicated to do CT
,* Sudden strong headache* Pt is >70 y.o.* Focal signs* Pt see fleshing lights and vomits
- which is not true
,* 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
- what is not seen in MLF lesion
,* Hertwig Magendie* Intranuclear ophthalmoplegia* No Oculocephalic reflex* Ataxia
- which is supplied by PCA
,* Occipital lobe* The other lobes…J
- what can cause new epilepsy in HIV patients
,* Encephalopathy* Toxoplasma* Contusion* Lymphoma
- why do we use the sural n for biopsy
,* Easy to find* It can cause no harm* It is simply motor
- which is not an antithrombotic drug
,* Aspirin* Carbamazepin* Clopidogrel* Dypiridamol
- which is not a sign of Parkinson
,* Intention tremor* Resting tremor* bradykinesis
- which is mostly affected in Gullian Bare
,* facial n* occulomotor n* optic n
- sign of cortical damage
,* sensory/ motor aphasia* personality changes* tremor* bradykinesis
- sign of R occipital lobe infarct
,* L sided homonimus hemianopia* R sided homonimus hemianopia* Ipsilateral amaurosis fugax* Bitemporal heteronimus hemianopia
- when do you operate due to lumbosacral pain
,* In case of sensory changes* In case of paresis
- not good treatment for MS
,* Muscle relaxants for spasticity* Piracetam for aphasia* Oxibutinin for incontinence* Diazepam/ betta blockers for tremor
- indication for levodopa treatment in Parkinson
,* 8-10 years after the disease onset* Now* If tremor appears* Depending on patients clinical status
- most important sign of MS
,* Intranuclear ophthalmoplegia* S1 hyperesthesia* Leg drop* All
- which is not in the visual pathway
,* Optic n* MGB* LGB* Optic tract
- which is the central motor area for speaking
,* Lower frontal gyrus* Temporal lobe* Angular gyrus
- which is the central sensory speaking area
,* Br 22* Br 44* Br 45* Br 29
- what area is not supplied by ACA
,* Medial part of hemispheres* Upper part of parietal lobe* Lower part of temporal lobe* Upper part of frontal lobe
- which is not a part of Willis circle
,* ACA* PCA* PCommunA* Anonimus aa
- when MRI is not indicated
,* Repeated grand mal seizures* Focal epileptic seizures* Complex seizures* Alcohol withdrawal grand mal seizures
- internal carotid stenosis signs
,* Diplopia* Dysarthria* Dizziness* Hemiparesis
- which is not typical for Gullian Bare
,* CSF Protein count increased* Protein count can be >1gr/L* Conduction velocity is reduced in ENG* CSF cell count increased
- what cannot cause thrombotic stroke
,* Haemophilia
- which can dilate the pupil
,* Edinger Westphal nucleus* PNS* Sphincter pupillae muscle* Centrum ciliospinale
- not a sign of lumbar compression
,* Constant pain* Increase spastic tone* Pain increases when straining
- afferent pathway for papillary reflex
,* Optic n* Optic radiation* LGB
- which heart disease is not a risk for stroke
,* Pericarditis* Dilatative CMP* AMI
- Wernicke encephalopathy
,* Thiamine deficiency
- which is associated with SAH
,* Diarrhea* Subendocardial infarct
- for which problem MRI is useful
,* Localization of an epileptic focus
- most common cause of epilepsy in HIV
,* Toxoplasma
- responsible for pupillary constriction
,* Edinger Westphal nucleus
- which is not an epilepsy provocating test
,* Tensilon test
- estrogen effect of Ocs
,* Increases the stroke risk in woman > 35 y.o.
- in secondary stroke prevention you use
,* 75 mg clopidogrel
- Autonomic dysfunction in DM
,* Change of body posture does not changes the pulse rate
- what don’t cause epilepsy
,* Distal neuropathy
- what is true for the vestibulocochlear system
,* The 3 semicircular canals feel rotatory acceleration
- early sign of brain involvement in increased ICP
,* Anisocoria
- Brocca’s aphasia
,* Br 44
- most common problem >45 y.o.
,* Lumbosacral herniation
- which is not given for migrane prophylaxis
,* Sumatriptan
- what is TENS
,* Treatment for ch. Pain
- giant cell arteritis treatment
,* Prednisolone
- treatment for tension headache
,* Amitryptilin
- hemorrhagic stroke risk factor
,* Low blood cholesterol level
- Which vegetative function is damaged in DM
,* Orthostatic hypotension
- Why MRI is better than CT
,”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)”
- What does not prove that MS is immune mediated
,
- Which of the following is not associated with ataxic breathing (in the exam it says breading- don’t get confused)
,* Mesencephalon* Medulla* Slowing of respiratory rate* Deep and shallow respiration
- What is not a cause of anosmia?
,* Lymphoma
- What is being treated with pyridostigmine?
,* MG
- What is true concerning facial palsy?
,* The perioral part is being innervated exclusively contralaterally
- What is a typical/sterotipical jerk movement that can be controlled by the patient?
,* Tic
- What is quada equine?
,* Roots after L1 – L2
- gullian bar synd is caused by:
,* viral infection* tumor
- parietal lobe lesion except:
,* aphasia* agraphy* apraxia* gait disturbances
- Brodmann’s area for Wernicke
,* 21/22
- what is not antiepileptic
,* valporic acid* lamotrigine* haloperidol
- what in incorrect regarding ENG
,* to find the exact cause.
- What does not affect nerve conduction?
,”* Cold tempreatue,* blood cholesterol,* sensory or motor conduction,* arm or leg”
- What does the facial nerve not innervate?
,* Masticatory muscles.
- What is dysarthria?
,* A deficit of articulation
- After MI How will you decrease the stroke risk?
,* Anti platelet drug
Cholseterol: 7.2 mmol/L : Normal/Abnormal
Abnormal
Normal = <5.2 mmol/L
