Neurology

Question 1

Only agent that has been shown to be effective in the prevention of tension type headache in controlled clinical trials

Answer 1

Amitriptyline

Question 2

Antihypertensive agent associated with improved long-term neurologic outcomes in patients with aneurysmal subarachnoid hemorrhage

Answer 2

Nimodipine

Question 3

Most sensitive and specific test for prion proteins (Creutzfeldt-Jakob) in the CSF

Answer 3

Real time quaking induced conversion assay

Question 4

Pain with eye movement, unilateral visual deficits, afferent pupillary defect

Answer 4

Optic neuritis

Question 5

Severely asymmetric parkinsonism, fixed dystonia, myoclonus, cortical sensory deficits, apraxia, cognitive deficits

Answer 5

Corticobasal degeneration

Question 6

Progressive painful axonal polyneuropathy with predominant involvement of small fibers (pain in temperature) and multiorgan dysautonomia

Answer 6

Amyloid neuropathy

Question 7

Recommended management for all adults with first new onset seizure

Answer 7

Brain MRI and EEG

Question 8

Sustained or intermittent muscle contractions that are slow, repetitive, directional

Answer 8

Dystonia

Question 9

Initial step and management for normal pressure hydrocephalus

Answer 9

High-volume CSF removal

Question 10

Agent that can improve gate speed and endurance in patients with MS with ambulatory dysfunction

Answer 10

Dalfampridine

Question 11

Severe pain localized to the Periorbital or temporal area, such as nasal congestion or rhinorrhea and ptosis or miosis; cluster headache is the most common subtype

Answer 11

Trigeminal autonomic cephalalgias

Question 12

Proximal symmetric weakness, myalgias, cramps without loss or UMN signs, muscle mounding after percussion (myoedema)

Answer 12

Hypothyroidism

Question 13

Appropriate management for small (<7mm posterior or <12mm anterior circulation) unruptured aneurysm

Answer 13

Followed with MRI

Question 14

Next step in evaluation for SAH if CT scan is normal

Answer 14

CSF examination to look for erythrocytes or xanthochromia

Question 15

Decline in cognitive abilities with relative preservation of day-to-day function and evidence of cognitive impairment on cognitive testing

Answer 15

Mild cognitive impairment

Question 16

First line medication for treating epilepsy in older adults

Answer 16

Gabapentin

Question 17

Management for frontotemporal dementia

Answer 17

SSRI

Question 18

Management for Lewis body dementia

Answer 18

Rivastigmine or donepezil

Question 19

Treatment for levodopa induced dyskinesia

Answer 19

Amantadine

Question 20

Management for confirmed relapsing remitting MS

Answer 20

Interferon beta or glatiramer acetate

Question 21

Inflammatory disorder of the CNS characterized by immune mediated demyelination and axonal damage primarily affecting the spinal cord in optic nerves.

Answer 21

Neuromyelitis optica

Question 22

Specific biomarker for an NMO

Answer 22

Aquaporin 4 antibody

Question 23

Postural headache as a common manifestation

Answer 23

Intracranial hypotension

Question 24

 Most appropriate treatment for intracranial hypotension

Answer 24

Epidural blood patch

Question 25

Hamartomatous tumors, mental dysfunction, seizures, cutaneous angiomas, dental pitting, Renal angiomyolipomas

Answer 25

Tuberous sclerosis complex

Question 26

Alternative pharmaceutical options for SSRI associated sexual dysfunction

Answer 26

Bupropion or mirtazapine