Neurology

Question 1

Cortical spreading depression

Answer 1

Assoc: trauma, migraines, hemorrhage (Rx magnesium, topiramate)

Question 2

Sotagliflozin (sglt1 and SGLT2 inhibitor)

Answer 2

May reduce stroke risk

Question 3

Cognitive motor dissociation

Answer 3

Functional MRI
EEG

Question 4

Albuminocytologic dissociation

Answer 4

Guillain-Barre
Elevated CSF protein
Normal white blood cell count

Question 5

New stroke and New afib

Answer 5

1. Minor to moderate-after 48 hrs DOAC
2. Major stroke 6-7 days start DOAC Fischer U et al NEJM 2023

Question 6

NIHSS <3, stroke OR
ABCD2 of 4 or more, 21 days of dual antiplatelet

Answer 6

Ticagrelor (if plavix unresponsive) and aspirin

Question 7

Carotid stenosis 70-99% , fix it.

Question 8

Intracranial stenosis 90 days dual antiplatelet treatment

Question 9

Guillén Barre

Answer 9

Paresthesias and weakness
FVC/MIF (MIF negative value) NORMAL >20cc/kg
EMG/NCS

Question 10

Upper motor exam

Answer 10

1. Pronator drift
2. Fine finger movements (toe tap
3. Finger extensors, big toe extensors

Question 11

Falls in elderly

Answer 11

1. Parkinson
2. Neuropathy
3. Cervical myelopathy (Lhermitte sign

Question 12

Afib burden

Question 13

G

Question 14

G

Question 15

High ICP TREATMENT

Answer 15

Goal is to get blood out of brain
Head of bed > 30 degrees
Mannitol reduce
Cerebral perfusion pressure = MAP-ICP

Question 16

Meningitis

Answer 16

1. Vancomycin q6 hrs
2. CTX 2g q12
3. Amp 2g q4 (bactrim)
4. DEXA 10 q 6 hrs

Question 17

Aphasia testing

Answer 17

1. Fluency naming , conversation
2. Comprehension: follows difficult tasks
3. Repetition: today is a sunny day

Question 18

Attention span:

Answer 18

Five digits
24637

Question 19

New brain mass

Answer 19

Tumefactive multiple sclerosis