Neuro/Psych

Question 1

most common childhood supratentorial tumor, benign

Answer 1

craniopharyngioma

Question 2

malignant cerebellar tumor in children

Answer 2

medulloblastoma

neuroendocrine tumor, is radiosensitive

Question 3

common, benign, posterior fossa (infratentorial) tumor in children

Answer 3

pilocytic astrocytoma

presents w/drowsiness, ataxia, N/V, cranial neuropathy

Question 4

tx Bells palsy

Answer 4

steroids +/- acyclovir (HSV association)

Question 5

headache associated with jaw pain when chewing

Answer 5

temporal (giant cell) arteritis

Question 6

headache with lacrimation, rhinorrhea

responive to 100% O2

Answer 6

cluster

Question 7

patient produce false signs of illness to receive sympathy or medical attention

Answer 7

factitious disorder

Question 8

treat torticollis

Answer 8

antihistamines (benztropine, diphenhydramine)

Question 9

treat Neuroleptic Malignant Syndrome

Answer 9

stop med
dantrolene
supportive care
bromocriptine/ amantadine

Question 10

personality disorder with lifelong social withdrawal, indifferent to relationships or praise/criticism

Answer 10

schizoid

Question 11

personality disorder with few friends/ social awkwardness and eccentric appearance, behavior, or thinking

Answer 11

shizotypal

Question 12

personality disorder with social inhibition, feelings of inadequacy, fear of criticism/ embarrassment

Answer 12

avoidant

Question 13

vision loss, pain w/eye movement, ophthalmoplegia

preseptal or orbital cellulitis?

Answer 13

orbital cellulitis emergency

Question 14

gradual vision loss with multiple small yellow spots in bilateral maculae

Answer 14

age related macular degneration

tx: vitamin supplements

Question 15

sudden vision loss with floaters/ flashers followed by a “curtain coming across”

Answer 15

retinal detachment emergency

Question 16

acute, painless vision loss in one eye with cherry-red spot in macula on fundoscopic exam

Answer 16

central retinal artery occlusion

Question 17

progressive vision loss starting at periphery, cupping of optic disc on fundoscopic exam

Answer 17

open angle glaucoma

Question 18

painful vision loss in one eye with relative afferent pupillary defect

Answer 18

optic neuritis (suspect MS)

Question 19

arm pain with neuro symptoms (dizziness, blurred vision, unsteady gait)

Answer 19

subclavian steal syndrome
dx: doppler U/S, MR/CT angio
tx: bypass
(thoracic outlet: just arm pain)

Question 20

eye pain, constricted and irregular pupil, leukoyctes in anterior segment on slit lamp

Answer 20

iritis (anterior uveitis)

Question 21

syndrome w/hypopigmented cafe au lait spots, bilateral acoustic neruomas

Answer 21

Neurofibromatosis II

Question 22

syndrome w/cutaneous neuromas, axillary freckles, unilateral acoustic neruoma, pheochromocytoma, optic glioma

Answer 22

Neurofibromatosis I

Question 23

first line therapy for insomnia in elderly

Answer 23

CBT

Question 24

symptoms of phenytoin toxicity

Answer 24

horizontal nystagmus
(diplopia, ataxia, slurred speech, lethargy)
tx: reduce dose, monitoring alone is NOT appropriate

Question 25

tx Guillan Barre

Answer 25

plasma exchange/ IVIG

supportive

Question 26

frequent underlying cause of restless leg syndrome

Answer 26

iron deficiency anemia (test ferritin)

Question 27

first line therapy for restless leg syndrome

Answer 27

pramipexole (dopamine agonist)

Question 28

tx OCT

Answer 28

exposure and response prevention therapy (type of CBT)

SSRI

Question 29

tx ocular melanoma

Answer 29

if <10mm wide and <3mm thick, monitor Q3 mo

if larger, radiotherapy

Question 30

dementia w/h/o alcohol use disorder. addtl screening beyond B12/TSH?

Answer 30

folate