Neuro Uworld

Question 1

Amaurosis fugax

Answer 1

painless loss of vision

- Carotid U/S for emboli

Question 2

risk factors for Subdural hematoma

Answer 2

• Elderly and alcoholics (cerebral atrophy, increase risk of fall)
• Infants (thin-walled vessels)
• Anticoagulation use.
• bridging veins rupture.

Question 3

Tx for normal pressure hydronephrosis

Answer 3

Ventriculoperitoneal shunt

Question 4

hemorrhage at basal ganglia

-neurological findings

Answer 4

• contralateral hemiparesis and hemisensory loss
• homonymous hemianopsia
• Gaze palsy

hypertensive hemorrhages generally involve the same small, penetrating arteries that are responsible for lacunar stroke.

Question 5

Cerebellar hemorrhage

Answer 5

• usually NO hemiparesis
• Facial weakness
• Ataxia and nystagmus
• Occipital HA and neck stiffness

Question 6

Thalamus hemorrhage

Answer 6

• Contralateral hemiparesis and hemisensory loss
• Nonreactive miotic pupils
• Upgaze palsy
• Eyes deviate Towards hemiparesis

Question 7

Cerebral lobe hemorrhage

Answer 7

• Contralateral hemiparesis (frontal lobe)
• Contralateral hemisensory loss (parietal lobe)
• Homonymous hemianopsia (occipital lobe)
• Eyes deviate away from hemiparesis
• High incidence of seizure

Question 8

Pons Hemorrhage

Answer 8

• Deep coma and total paralysis within minutes

- Pinpoint reactive pupils