Neurology

Question 1

NPH

Answer 1

The early gait changes area similar to parkinsons, short shuffling steps, wide base, retropulsion, abnormal pull test. If has ANY urinary symptoms make sure to suspect NPH and get an MRI

Question 2

Management of dissection

Answer 2

Treat with antiplatelet agents. Endovascular repair is reserved for patient who have recurrent ischemia despite treatment.

Question 3

Anti-NMDA receptor encephalitis

Answer 3

Limbic encephalitis p/w subacute memory distubance, personality change, psychosis, encephalopathy and seizures. Oral dyskinesia is common. Paraneoplastic, associated with ovarian teratomas. Remove both ovaries if teratoma and plasma pharesisis.

Question 4

Anti-Hu paraneoplastic encephalitis

Answer 4

Usually motor or sensory (although can be limbic). Associated with small cell lung cancer.

Question 5

Management of non-ruptured cerebral aneursym

Answer 5

Watchful waiting if anterior circulation and

Question 6

Fatigue in MS

Answer 6

Amantadine and modafinil

Question 7

Secondary stroke prevention

Answer 7

Clopidogrel or ASA+dipyridamole rather than just ASA alone

Question 8

Posterior column demylentination

Answer 8

B12 def, syphilis, and copper deficiency

Question 9

Anti-epileptic choice

Answer 9

Lamotrigine is best tolerated in elderly

Carbamazapine is best in women of reproductive age

Question 10

Triptans are contraindicated in?

Answer 10

CAD