Neuro - MTB

Question 1

Ocular findings in MCA stroke?

Answer 1

Homonymous hemianospia (eyes look toward lesion)

Question 2

Pt with Ipsilateral sensory loss of face, tongue, throat - stroke where?

Answer 2

PCA

Question 3

Treatment for hemorragic stroke vs intracranial hemorrhage?

Answer 3

Nothing vs

#CCB
# Embolization/Coiling > surgical clipping
#VP Shunt
#Seizure PPx

Question 4

If ischemic stroke pt already on aspirin, start what drugs?

Answer 4

#Dipyradamole
#Switch ASA to plavix

Question 5

Pseuduotumor Cerebri associated with?

Answer 5

#obesity
#Venous sinus thrombosis
#OCP
#Vitamin A toxicity

Question 6

Pt presents with headache and diplopia from 6th nerve palsy - suspected diagnosis?

Answer 6

Pseudotumor cerebri

Question 7

Pseuduotumor Cerebri - treatment?

Answer 7

#Weight loss
#Acetozolamide
#Steroids
#Repeated LPs
#VP shunt

Question 8

Cluster headache ppx?

for migrane headaches?

Answer 8

verapamil

beta blockers (Also CCBs, tricyclics, SSRIs, Botulism)

Question 9

Trigeminal neuralgia resistant to carbamazepine - treatment?

Answer 9

#baclofen or Lamotrigine
#Gamma knife surgery

Question 10

VZV vaccine when?

Answer 10

over 60

Question 11

Seizures - hypo or hyperCa?

Answer 11

Hypo

Question 12

Status management algorithm?

Answer 12

#benzos
#then fosphenytoin
#then phenobarbitol
#Neuromuscular blocker (succinylcholine, vecuronium, pancuronium) to minimize muscle damage

Question 13

When to discontinue seizure meds?

Best test to determine reoccurance possibility?

Answer 13

Seizure free for 2 years

Sleep deprivation EEG

Question 14

SAH vs meningitis?

Answer 14

Sudden and LOC

Question 15

SAH - Best test? Most accurate test?

Answer 15

CT without contrast

LP with blood

Question 16

EKG in intracranial bleeding?

Answer 16

inverted T waves (cerebral T waves)

Question 17

Suspect abscess - best initial test? Most accurate test?

Answer 17

CT

Biopsy

Question 18

Pt with leathery plaques on skin and red facial nodules - suspected diagnosis? May also see?

Answer 18

Tuberous Sclerosis

Shagreen patches and adenoma sebaceum

Retinal lesions and ash leaf spots

Question 19

Large mark on 1/2 of face - suspected diagnosis? Skull XR will show?

Best treatment?

Answer 19

Sturge-Weber

Calcification (of angiomas)

Controlling seizures

Question 20

PD - treatment for pt intolerant of anticholinergics?

Answer 20

Anatadine

Question 21

PD drugs that extend life of Levodopa/carbidopa?

Answer 21

COMT inhibitors (tolcapone, entacapone)

Question 22

PD - only durgs that may slow disease progression?

Answer 22

MAO I inhibitors (rasagiline, selegiline)