Neurology

Question 1

preventative tx for migraines (if abortive therapy is refractory)

Answer 1

BB, amitryiptyline, venlafaxine, valproate, topiramate, verapamil, flunarizine, CGRP (erenumab, fremanezumab, galcanezumab)

Question 2

complete claw hand due to injury with

Answer 2

ulnar and media nerve

Question 3

loss of arm extension and wrist drop injury to what nerve

Answer 3

radial nerve

Question 4

CSF analysis: lymphocytes predominent, normal opening pressure, low glucose, high protein

Answer 4

TB

Question 5

viral meningitis has ______ opening pressure

Answer 5

normal

Question 6

CSF with high protein, normal everything else

Answer 6

guillain-barré

Question 7

normal CSF analysis with neuro sx

Answer 7

multiple sclerosis

Question 8

crowe sign - freckling in axillary or inguinal region

Answer 8

NF1 plus cafe-au-lait macules, lisch nodules, neurofibroma, optic glioma, fam hx

Question 9

obese, positional headache, pulsatile tinnitus, vision changes

Answer 9

idiopathic intracranial HTN

Question 10

CSF composition in idiopathic intracranial hypertension

Answer 10

normal

Question 11

focal neuro deficits in idiopathic intracranial hypertension (pseudotumor cerebri)

Answer 11

no except papilledema and CN abn

Question 12

lens shaped, biconvex hyperdensity

Answer 12

epidural hemorrhage - lucid interval, transient loss of consciousness