Neuro- Nerves, HA, Infectious, Movement, Vascular, Other

Question 1

myasthenia gravis has what patho

Answer 1

Autoimmune disorder in which antibodies destroy Acetylcholine receptors

Question 2

DOC absence seizures

Answer 2

ethosuxamide

Question 3

DOC partial seizures

Answer 3

carbamazepine

Question 4

initial DOC trigeminal neuralgia

Answer 4

carbamazepine

Question 5

what drug should be given in setting of cerebral aneurysm

Answer 5

nimodipine- reduces ischemic deficits of arterial spasm

Question 6

homonymous hemianopsia
L sided sensory/motor deficits face and arms>legs
eyes deviate toward R
neglect to R side

Stroke area

Answer 6

R sided MCA

Question 7

MC CA to mets to brain

Answer 7

lung, breast, melanoma, prostate (that order)

Question 8

MC type of primary brain tumor

Answer 8

meningioma

Question 9

MC PEDS brain tumor

Answer 9

medulloblastoma

Question 10

most devastating PEDS malignancy

Answer 10

brainstem glioma/ DIPG

Question 11

“dura tail”

Answer 11

meningioma

Question 12

gallactorhea, gynecomastia, amenorrhea

Answer 12

prolactinoma, pituitary adenoma

Question 13

CT showing crescent area, midline shift

Answer 13

subdural hematoma

Question 14

CT showing disc shape that doesn’t cross suture lines

Answer 14

epidural hematoma

Question 15

epidural is commonly from what vasculature

Answer 15

middle meningeal artery

Question 16

subdural from what vasculature

Answer 16

bridging veins

Question 17

1st line migraine tx

Answer 17

ASA, acetaminophen, caffeine

Question 18

2nd line migraine tx

Answer 18

triptans- Sumatriptan

Question 19

Migraine prophylaxis drugs

Answer 19

BB- propranolol LA
TCAs- nortriptyline (Pamelor)
Antiszs- Depakote, Topamax

Question 20

Tx cluster HA

Answer 20

triptans
oxygen

prophylaxis with verapamil

Question 21

patho of parkinsons

Answer 21

degeneration of DOPAMINERGIC neurons in substantia nigra

Question 22

maternal US with lemon or banana sign

Answer 22

spina bifida

myelomeningocele

Question 23

elevated labs in spina bifida

Answer 23

maternal MSAFP elevated

Question 24

MC form of cerebral palsy involves

Answer 24

spasticity (75%)
ataxia (15%)
dyskinetic movement dis (5%)
hypotonia with spasticity (1%)

Question 25

MCC bacterial meningitis in neonates

Answer 25

Group B beta-hemolytic strep

Question 26

MCC bacterial meningitis in children

Answer 26

H. influenzae

Question 27

MCC bacterial meningitis in adults

Answer 27

S. pneumonia, N. meningitis

Question 28

Bacterial meningitis empiric tx

Answer 28

Vanc + Cef

>50 = +amp

Question 29

encephalitis with negri bodies

Answer 29

rabies

Question 30

forearm flexion dermatome

Answer 30

C6

Question 31

hand intrinsics dermatome

Answer 31

C8

Question 32

forearm extension/wrist drop dermatome

Answer 32

C7

Question 33

deltoid weakness and shoulder paresthesias dermatome

Answer 33

C5

Question 34

patella reflex

Answer 34

L4

Question 35

Achilles reflex decreased

Answer 35

S1

Question 36

foot drop

Answer 36

L5

Question 37

decreased sensation to lateral shin decreased pain sensation central bottom foot

Answer 37

L5