Neuro/Opthalmo

Question 1

painless proximal muscle weakness in LL> UL
no muscle tenderness
normal ESR, CPK

Answer 1

steroid induced myopathy

Question 2

pons haemorrhage

Answer 2

pinpoint pupils
deep coma
total paralysis in minutes

Question 3

conus medullaris distinguishing factor

Answer 3

PERIANAL NUMBNESS ONLY

Question 4

riley day syndrome

Answer 4

PURE AUTONOMIC dysfunction
hypotension
ashkenazi jews

Question 5

MSA=

Answer 5

shy dragger

AUTONOMIC + PD

Question 6

mallory hyaline since in two places

Answer 6

WILSONS

and alcoholic steatosis

Question 7

Benign Paroxysmal Positional Vertigo

Answer 7

changes with head position

Question 8

Dix Hallpike maneuver

Answer 8

vertigo and nystagmus on quickly lying back to a supine position with head rotated at 45 degrees

Question 9

multiple brain mets

Answer 9

lung cancer
melanoma
tx= whole brain radiation

Question 10

single brain mets

Answer 10

all other types

tx= surgery

Question 11

spinothalamic tract location

Answer 11

PC= 2 LEVELS BELOW LESION

Question 12

hyperdense on CT

Answer 12

= haemorrhage

Question 13

hypodense on CT

Answer 13

= infarction

Question 14

early side effect of L-dopa

Answer 14

HALLUCINATIONS

Question 15

side effects of amantadine

Answer 15

ankle edema

livedo reticularis

Question 16

primidone can precipitate

Answer 16

ACUTE INTERMITTENT PORPHYRIA– since its a barbituate

Question 17

order of tx for RLS

Answer 17

1. iron supplements
2. pramipexole
3. gabapentin

Question 18

Dx dementia, MMSE score

Answer 18

less than 24

Question 19

bilateral trigeminal neuralgia=

Answer 19

MS

Question 20

number on risk factor for stroke=

Answer 20

HTN

Question 21

number one way to reduce risk of stroke=

Answer 21

SMOKING CESSATION

Question 22

antiemetics for migrains

Answer 22

prochlorperazine

metoclopramide

Question 23

brain abscess mcc

Answer 23

anaerobes and virridans

Question 24

brain dead

Answer 24

NORMAL DTRs

Question 25

central cord syndrome PC

Answer 25

elderly patients with spondylosis
UL> LL weakness
pain and temp= focal deficit

Question 26

WHO gets central cord syndrome

Answer 26

ELDERLY

Question 27

MOA of central cord syndrome

Answer 27

hyperextension injuries

Question 28

PC:

• IVDU
• anorexic, tired
• memory impairment

Answer 28

HIV DEMENTIA– assume since hx IVDU and weight loss

Question 29

blurring of grey white interface with numerous minute punctuate haemorrhages

Answer 29

diffuse axonal injury

Question 30

straight lines appear wavy

Answer 30

macular degen

Question 31

penetrating injury– immune recognition of hidden antigens

Answer 31

sympathetic opthalmia

Question 32

blurred vision, intraocular hypotension, increase lens thickness

Answer 32

HONC

Question 33

tx hordoleum

Answer 33

warm compresses

fail 48hrs—> incision and drainage

Question 34

morning stuck shut eye, itchy, hx of allergy

Answer 34

allergic conjunctivitis

Question 35

best dx of acoustic neuromas

Answer 35

MRI with gadolinium

Question 36

diabetic neuropathy, spinal symptoms

Answer 36

MRI spine

Question 37

PC optic neuritis

Answer 37

• central scotoma
• afferent pupillary defect
• changes in color perception

Question 38

NFT2 severe mutation

Answer 38

NON SENSE

Question 39

NFT2 mild mutation

Answer 39

MIS SENSE/ SPLICE SITE

Question 40

dementia> normal aging

Answer 40

impaired dialy functioning

Question 41

tx of exertional heat stroke

Answer 41

cold water immersion

Question 42

tx of septic emboli going to brain for IVDU

Answer 42

IV antibiotics

Question 43

tx of central retinal artery occlusion

Answer 43

OCULAR MASSAGE and HIGH FLOW OXYGEN

Question 44

headache worse at night

Answer 44

RICP

Question 45

other name for shuffling gait

Answer 45

HYPOKINETIC GAIT