Neurology

Question 1

ACA

Answer 1

Lower extremity weakness
Mild upper extremity weakness
Personality changes, psychiatric disturbance
Urinary incontinence

Question 2

MCA

Answer 2

Profound upper extremity weakness
Aphasia
Apraxia/neglect
Eyes deviates downward toward side of lesion
contralateral homonymous hemianopsia with macular sparing

Question 3

PCA

Answer 3

Prosopagnosia (inability to recognize faces)

Question 4

Vertebrobasilar artery

Answer 4

Veritgo
Nausea/vomitting
"drop attach"
Vertical nystagmus
Ataxia
Labile blood pressure

Question 5

PICA

Answer 5

Ipsilateral face
Contralateral body
Horner’s syndrome

Question 6

Lacunar

Answer 6

Ataxia
Parkinsonian signs
Sensory deficiets
Hemiparesis (esp in face)

Question 7

MS treatment

Answer 7

Steroids (first line)
Disease modifying: beta interferon, glatiramer
Fatigue: amantadine
Spasticity: Baclofen, tizanidine

Question 8

Cryptococcus meningitis testing

Answer 8

initial: India ink

most accurate: cryptococcal antigen

Question 9

Lyme disease meningitis

Answer 9

IV ceftriaxone or penicillin

Question 10

Tx for listeria meningitis

Answer 10

Ampicillin

Question 11

ASA infarction

Answer 11

all sensation is lost except position and vibratory sense

no specific therapy

Question 12

Brown-Sequard Syndrome

Answer 12

Loss of ipsilateral position, vibratory sense

Contralateral pain and temperature

Question 13

Myasthenia gravis: diagnosis and treatment

Answer 13

Anti-acetylcholine receptor antibodies
Pyridostigmine, neostigmine 
Thymectomy (pts t work)
Prednisone
Azathioprine, cyclosporine