Neurology

Question 1

Prophy tx for migraine

Answer 1

Anti-HTNsives, anti-depressants, anti-convulsants

Question 2

MC pituitary tumor. Tx?

Answer 2

Prolactinoma

-Tx: DA agonists (ex: bromocriptine)

Question 3

55 yo pt presents with acute “broken speech.” What type of aphasia? What lobe and vascular distribution?

Answer 3

Broca’s aphasia. Frontal lobe, L MCA distribution.

Question 4

MCC of SAH

Answer 4

1) Trauma

2) Berry aneurysm

Question 5

Crescent-shaped hyperdensity on CT that does not cross the midline

Answer 5

Subdural hematoma (bridging vv. torn)

Question 6

Hx significant for initial AMS with an intervening lucid interval. Dx? Most likely source? Tx?

Answer 6

• Dx: epidural hematoma
• Source: middle meningeal a.
• Tx: neurosurgical evacuation

Question 7

CSF findings with SAH

Answer 7

Elevated ICP, RBCs, xanthochromia

Question 8

Albuminocytologic dissociation

Answer 8

Guillain Barré syndrome (increased protein in CSF without a significant increase in cell count)

Question 9

Cold H2O is flushed into a pt’s ear, and the fast phase of the nystagmus is toward the opposite side. Nl or pathologic?

Answer 9

Nl

Question 10

MC 1˚ sources of mets to the brain

Answer 10

“Lots of Bad Stuff Kills Glia”: Lung, Breast, Skin (melanoma), Kidney, GI tract

Question 11

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

Answer 11

Absence szs

Question 12

Most frequent presentation of intracranial neoplasm

Answer 12

H/A

Question 13

MCC of szs in kids (2-10 y/o)

Answer 13

Infxn, febrile szs, trauma, idiopathic

Question 14

MCC szs in YA

Answer 14

Trauma, EtOH w/d, brain tumor

Question 15

1st line medication for status epilepticus

Answer 15

IV benzo

Question 16

Confusion, confabulation, ophthalmoplegia, ataxia

Answer 16

Wernicke’s encephalopathy d/t thiamine deficiency

Question 17

What % lesion is an indication for carotid endarterectomy?

Answer 17

70% if stenosis is sxic

Question 18

MCCs of dementia

Answer 18

Alzheimer’s and multi-infarct

Question 19

Combined UMN and LMN d/o

Answer 19

ALS

Question 20

Rigidity and stiffness with resting tremor and masked facies

Answer 20

Parkinson dz

Question 21

Mainstay of Parkinson’s therapy

Answer 21

Levodopa/carbidopa

Question 22

Tx for Guillain-Barré syndrome

Answer 22

IVIG or plasmapheresis

Question 23

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

Answer 23

Huntington’s dz

Question 24

6 yo F presents with a port-wine stain in the V2 distribution as well as mental retardation, szs, and IPSI leptomeningeal angioma. Dx? Tx?

Answer 24

Sturge-Weber syndrome

Tx: Sxically. Possible focal cerebral resection of the affected lobe.

Question 25

Café-au-lait spots on skin

Answer 25

Neurofibromatosis type I

Question 26

Hyperphagia, hypersexuality, hyperorality, and hyperdocility

Answer 26

Klüver-Bucy syndrome (amygdala)

Question 27

May be administered to a sxic pt to diagnosis myasthenia gravis

Answer 27

Edrophonium

Question 28

U/l severe periorbital H/A with tearing and conjunctival erythema

Answer 28

Cluster H/A