Neurology

Question 1

What is the most common form of CP?

Answer 1

Spastic diplegia

Question 2

How does spastic diplegia present?

Answer 2

hand preference at an early age

Question 3

With which type of CP are seizures common?

Answer 3

Spastic diplegia

Question 4

What is the major cause of spastic diplegia?

Answer 4

Prematurity, PVL

Question 5

What is the major cause of extrapyramidal CP?

Answer 5

Kernicterus, asphyxia

Question 6

With clinical spastic quadriplegia in the context of a normal MRI, what to suspect?

Answer 6

Segawa disease (dopa responsive dystonia)

Question 7

Where is the most common place for a myelomeningocele?

Answer 7

75% in Lumbosacral region

Question 8

What is the most common need for surgery in patients with myelomeningocele?

Answer 8

Hydrocephalus

Question 9

What is the prognosis for children who get optic neuritis?

Answer 9

Increased risk of MS in the future
13% will get MS by 10 years
19% will get MS by 20 years

Question 10

List the five diagnostic criteria for Tourettes syndrome

Answer 10

1. Presence of OCD/tic disorder
2. Prepubertal age of onset
3. Abrupt onset and relapsing-remitting course
4. Association with neurologic abnormalities during exacerbations including chorea, hyperactivity, tics
5. Temporal association between symptoms exacerbation and GAS infection

Question 11

List the diagnostic criteria for Tourettes syndrome

Answer 11

1. Multiple motor and vocal tics
2. Lasting over a year
3. No tic free interval longer than 3 months
4. Onset before age 18
5. No medical causes identified (Drugs, CNS)