Neuro TEST

Question 1

What nerve is affected when the Left eye is not constricting by direct and consensual light relfex?

Answer 1

-Left occulomotor nerve

Question 2

Pt comes in with slowly progressive onset of Diplopia. And worsening of speech towards the end of the day…. What is the first investigation you do?

Answer 2

• NOT CT

-

Question 3

A pt comes in episodes of AMNESIA & CONFUSION. Moments where he is just staring into the distance, lasts several MINUTES. Smells Burning and feeling of deja vu.

Is this Absence seizures or Temporal Lobe Epilepsy?

Answer 3

Temporal Lobe Epilepsy

Question 4

What is an affirmative way to confirm Subarachnoid hemmorhage by lumbar puncture?

Answer 4

• performing in AFTER 12HRS
• xanthochromia of the CSF develops d.t heme pigment breakdown
• YELLOW TINGE of the CSF
• —ensuring the rbc count is CONSTANT in 3 tap withdrawals

Question 5

What are the Differentials for headache?

Answer 5

TICOS
T: Trauma
I: Infections
C: Cerebrovascular (subarachnoid/intracranial hemorrhage) 
O: Occular 
S: Sinusitis

Question 6

What are the symptoms of SimpleFocal Seizure?

Answer 6

• butterflies in tummy
• vague discomfort
• epigastric discomfort
• auras (smell, taste)
• twitching/stiffness of limbs
• —-pt is self aware throughout

Question 7

When may one get simple focal seizures?

Answer 7

• infection or past stroke

Question 8

How is Complex focal seizure diff. from Simple focal seizure?

Answer 8

• in complex FS, pt has no recollection of the episode

- automatic bodily movements