Neurology

Question 1

bell’s palsy affects

Answer 1

cranial nerve vii

Question 2

bell’s palsy presentation

Answer 2

acute spontaneous unilateral facial paralysis

Question 3

concussion

Answer 3

mild traumatic brain injury
sleep will help
cognitive recovery may take longer than physical recovery

Question 4

when to refer concussion

Answer 4

symptoms lasting longer than 21 days or escalating symptoms after injury or multiple concussions

Question 5

Back-to-Sports Prerequisites after concussion

Answer 5

• Return-to-school success
• Symptom free, no meds
• Normal neuro exam

Question 6

red flag headache features

Answer 6

age >50 yrs
hx of cancer
pregnancy
fever
onset with exercise, cough, intercourse

Question 7

migraine definition

Answer 7

heaadache 4-72 h
2 characteristics: unilateral, pulsating, moderate to severe, n/v, photophobia, phonophobia

Question 8

aura with migraine

Answer 8

Visual, sensory, motor, brainstem, retinal, or speech changes fully reversible
 Develops over 5-60 minutes; headache develops within 60 minutes

Question 9

peripheral vertigo

Answer 9

vestibular
visual fixation stops nystagmus
can walk
hearing impaired
normal neuro exam

Question 10

central vertigo

Answer 10

brain
visual fixation does NOT stop nystagmus
falls when walking
abnormal neuro exam

Question 11

pharm treatment for neuropathy

Answer 11

SNRI (duloxetine, effexor)
TCA (amitriptyline)
Gabapentin, lyrica

Question 12

treatment of alzheimers disease

Answer 12

cholinesterase inhibitors: donepezil, rivastigmine, galantamine
memantine

Question 13

CN I

Answer 13

Olfactory
smell

Question 14

CN II

Answer 14

Optic
Vision

Question 15

CN III

Answer 15

Oculomotor
eye movement, pupil constriction, accomodation

Question 16

CN IV

Answer 16

Trochlear
Movement of superior oblique muscle

Question 17

CN V

Answer 17

Trigeminal
supplies sensation face

Question 18

CN VI

Answer 18

Abducens
movement of lateral rectus muscle

Question 19

CN VII

Answer 19

Facial
innervates facial muscles

Question 20

CN VIII

Answer 20

Vestibulocochlear
responsible for hearing, balance, awareness of position

Question 21

CN IX

Answer 21

glossopharyngeal
sensation of pharynx

Question 22

CN X

Answer 22

Vagus
parasympathetic fibers to chest, abdomen

Question 23

CN XI

Answer 23

Spinal accessory
motor nerve supplying sternocleidomastoid and trapezius muscle

Question 24

CN XII

Answer 24

Hypoglossal
supplies motor nerves to tongue

Question 25

never order contrast on MRI if

Answer 25

suspected leak