Neurology

Question 1

Unilateral, Severe periorbital headache with tearing and conjunctival erythema

Answer 1

Cluster Headache

Question 2

Prophylactic tx for migraine

Answer 2

Antihypertensive Meds
Antidepressants
Anticonvulsants

Question 3

Common pituitary tumur

Tx

Answer 3

Prolactinoma

D2 agonists (Bromocroptine)

Question 4

55 year old pt presents with acute “broken speech”.

What type of Aphasia?
What lobe and Vascular Distribution?

Answer 4

Broca’s

Frontal Lobe

Left MCA Distribution

Question 5

Most common cause of SAH

Answer 5

Trauma

2nd most common- Berry Aneurysm

Question 6

Crescent shaped hyperdensity on CT that does not cross the midline

Answer 6

Subdural Hematoma

Bridging Veins Torn

Question 7

Hx significant for initial altered mental status with an intervening lucid interval

Dx
Most likely source?
Tx?

Answer 7

Epidural Hematoma

Middle Meningeal Artery

Neurosurgical Evacuation

Question 8

CSF findings with SAH

Answer 8

Elevated ICP

RBCs

Xanthochromia

Question 9

Albuminocytologic Dissociation

Answer 9

Guillain-Barre Syndrome (Increase protein in CSF without a significant increase in cell count)

Question 10

Cold water is flushed into a pt ear, and the fast phase of nystagmus is toward the opposite side. Normal or pathologic?

Answer 10

Normal

Question 11

Most common 1 source of metastases to the brain

Answer 11

Lung
Breast
Skin
Kidney
GI

Question 12

May be seen in children who are accused of inattention in class and confused with ADHD

Answer 12

Absence Seizures

Question 13

Most frequent presentation of intracranial neoplasm

Answer 13

Headache

Question 14

Most common cause of seizures in children (2-10 years)

Answer 14

Infection
Febrile
Trauma
Idiopathic

Question 15

Most common cause of seizures in young adults (18 - 35)

Answer 15

Trauma
Alcohol withdrawal
Brain Tumur

Question 16

1st line med for status epilepticus

Answer 16

IV Benzodiazepine

Question 17

Confusion
Confabulation
Ophthalmoplegia
Ataxia

Answer 17

Wernicke’s Encephalopathy due to deficiency of thiamine

Question 18

What % of lesions is an indication for carotid endarterectomy

Answer 18

70% is the stenosis is symptomatic

Question 19

Most common cause of dementia

Answer 19

Alzheimer’s and Multi-Infarct

Question 20

Combined UMN and LMN disorder

Answer 20

ALS

Question 21

Rigidity and stiffness with resting tremor and masked facies

Answer 21

Parkinson’s Disease

Question 22

Mainstay of Parkinson’s Therapy

Answer 22

Levodopa / Carbidopa

Question 23

Tx for Guillain-Barre Syndrome

Answer 23

IVIG or Plasmapheresis

Question 24

Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior

Answer 24

Huntington’s Disease

Question 25

6 year old girl presents with port-wine stain in the V2 distribution as well as with mental retardation, sqizures, and ipsilateral leptomeningeal angioma

Answer 25

Sturge-Weber syndrome

Tx- Symptomatically

Possible focal cerebral resection of the affected lobe

Question 26

Cafe Au Lait spots on skin

Answer 26

Neurofibromatosis Type 1

Question 27

Hyperphagia
Hypersexuality
Hyperorality
Hyperdocility

Answer 27

Kluver-Bucy Syndrome (Amygdala)

Question 28

May be administered to symptomatic pt to diagnose myasthenia gravis

Answer 28

Edroponium