Neurological

Question 1

What diagnostic test is best to rule out temporal or giant cell arteritis?

Answer 1

Sedimentation rate

Question 2

Second most common form of dementia

Answer 2

Vascular dementia

Question 3

Raynaud’s phenomenon

Answer 3

Vasospasm of blood vessels, bluish color to hands and feet

Question 4

Two classic triggers of Raynaud’s

Answer 4

Stress and cold

Question 5

What potential eye complication is associated with Bell’s palsy?

Answer 5

Corneal ulceration from excessive dryness due to paralysis

Question 6

Kernig’s

Answer 6

Associated with meningitis, flexion of knees and legs. Increases ICP

Question 7

Seizure that describes “blanking out” and usually last less than 15 seconds

Answer 7

Petit mal seizure

Question 8

Another name for petit mal seizure

Answer 8

Absent seizure

Question 9

Brudinski’s

Answer 9

Associated with meningitis/head and neck flexed to chest

Question 10

Romberg test

Answer 10

Tests cerebellum and vestibular function

Question 11

What area of the brain is responsible for balance?

Answer 11

Cerebellum

Question 12

First line treatment for essential tremor

Answer 12

Propranolol

Question 13

What medication is used to treat postherpatic neuralgia?

Answer 13

Tricyclic antidepressants

Question 14

What class of antidepressants may help with nerve pain?

Answer 14

Tricyclics

Question 15

The Mini-Cog test consists of what?

Answer 15

Three item word recall and clock drawing

Question 16

Mini-Cog score of 0-2

Answer 16

Dementia

Question 17

Mini-cog score of 3-5

Answer 17

Low likelihood of dementia

Question 18

What occurs with facial movement in Parkinson’s disease?

Answer 18

Decreased facial movement

Question 19

Vertigo is defined by what sensation?

Answer 19

Spinning or rotating

Question 20

What disease is associated with giant cell arteritis?

Answer 20

Polymyalgia rheumatica

Question 21

What is another name for trigeminal neuralgia?

Answer 21

Tic douloureux

Question 22

Apraxia

Answer 22

Loss of ability to execute learned purposeful movement

Question 23

What type of migraine is birth control contraindicated in?

Answer 23

Migraine with aura

Question 24

Birth control in women with migraine without aura is acceptable in what circumstance?

Answer 24

If the woman is < 35 with no risk factors for stroke, otherwise > 35 is too risky

Question 25

What migraine mediation is contraindicated in pregnant women?

Answer 25

Valproate

Question 26

Dix-Hallpike

Answer 26

Movement that elicits reproducible symptoms associated with benign vertigo

Question 27

First line treatment medication for benign vertigo

Answer 27

Antihistamines, meclizine

Question 28

Common cause of resting tremor

Answer 28

Parkinson’s

Question 29

Three cardinal features of Parkinson’s

Answer 29

1. Resting (pill rolling tremor), 2. Bradykinesia, 3. Rigidity

Question 30

Most common cause of action tremor

Answer 30

Essential tremor

Question 31

First line treatment for essential tremor

Answer 31

Propranolol or primidone

Question 32

Normal finding in Rinne test

Answer 32

AC > BC, remember A before B