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USMLE Step 2 CK > Neurology > Flashcards

Neurology Flashcards

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USMLE® Step 1 flashcards
1
Q

Purpose fo the MLF?

A

Combine eye movements of 3, 4, 6 together is a cohesive pattern

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2
Q

Signs of neurocardiogenic syncope?

A

Fainting preceeded by lightheadedness, nausea, warmness or coolness, and/or sweating

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3
Q

Syncope while shaving neck

A

Carotid sinus hypersensitivity

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4
Q

Nerve that supples sensation to back of hand?

A

Radial nerve (at the distal forearm)

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5
Q

What are the branches of the internal carotid artery?

A

Opthalmic, anterior chorodial, middle cerebral and posterior communicating artery

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6
Q

Widespread patches of loos of punprick and light touch sensations in an immigrant?

A

Leprosy

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7
Q

Proximal muscle pain, weakless in an elderly person? Next step?

A

polymyalgia rheumatica, must rule out Temporal arteritis

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8
Q

Giving thiamine in chronic alcoholics prevents which complication?

A

Anterograde amnesia

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9
Q

UMN signs and radiation?

A

Think radiation-induced cord damage

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10
Q

Seizures with increased temperature, and restlessness

A

Ecstasy

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11
Q

Adrenal leukodystrophy

A

rare, genetic disorder characterized by the breakdown or loos of myelin

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12
Q

Left hemianoptia with right hemeneglect?

A

Right PCA stroke

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13
Q

Burning nelt form the left misback to umbilicus, with numbness around T12?

A

Diabeted radiculopathy

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14
Q

How to counteract haloperidol extraprymidal effects?

A

Benztropine, anticholinergic

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15
Q

First step in the management of a new stroke patient?

A

Start Asa

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16
Q

Signs of uncal herniation?

A

Compression of CN 3, hyperventilation

17
Q

Central herniation

A

Small, brisk pupils

18
Q

Signs of major Depressive disorder

A

Difficulty getting to sleep, waking up early, weight loos, low energey, social isolattion

19
Q

Antipsychotic effects in dopamine pathway:

Mesolimbic?

Nigrostriatal?

Tuberinfundibular?

A

Meso: Antipsychotic efficacy

Nigro: Extrapyramidal symptoms

Tubero: Hyperprolactimemia

20
Q

Primidone, use?

A

Essential tremor

21
Q

Laterail Medulla damage?

A

Vertigo (Falls to side of lesion), Difficulty sitting upright, diplopia and nystagmus, Ipsilateral limb ataxia

ipsilateral bulbar weakness,

horners syndrome

22
Q

Medial medullary syndrome

A

Alternating hypoglossal hemiplegia, contraleteral paralysis of the arm and leg, tongue deviation to lesion, contralateral paralysis of the arm and leg and tongue deviation toward the lesion

23
Q

Open angle glaucoma

A

Asymptomatic increase in intraocular pressure initially. Results in decreased peripheral vision over time with cupping of the optic disk

24
Q

Closed angle glaucoma

A

Acute onset of blurred vision, sever eye pain, causea, and vomiting, red every with hazy cornea and fixed, dilated pupil

25
Q

Signs of central retinal artery occlusion? Treatment?

A

Painless loss of monocular vision, diffuse ischemia retinal whitening and cherry red spots

Treatment: Ocular massage and high flow O2

26
Q

Eyes in thalamic hemorrhage? Pons hemorrhage?

A

Thalamic- eyes deviate towards

Pons: pinpoint reactive pupils

27
Q

What does pronator drift demonstrate?

A

Pyramidal/corticospinal tract disease

28
Q

What symptoms are found in internal capsule strokes? Causes?

A

Pure motor

Caused by microatherooma and/or lipohyallnosis

29
Q
A

CMV retinitis

30
Q

Increase generalized and oropharyngeal weakness with respiratory insufficiency/dyspnea

A

Myasthenic crisis

31
Q

14-3-3 protein indicated?

A

Prior disease

32
Q

Signs of marijuana intoxication?

A

Tachycardia, Tachypnea, hypertension, dry mouth, conjunctival injection, increased appetite

33
Q

Antidote to warfarin?

A

Prothrombin complex concentrate

34
Q

How does sodium bicarbonate help in TCA overdose?

A

Sodium load will alleviate depressant action on myocardial sodium channels

35
Q

Signs of arsenic poisoning?

A

Acute: Garlic breather, vomiting, watery diarrhea, OTc prolongation

Chronic: hypo/hypoerpigmentation, hypo/hyperkeratosis, stocking-flove neuropathy

36
Q

Signs of acute lead poisoning

A

Constipation, abdominal pain, forgetfulness, neuropathies, microcytic anemia

37
Q

Most common causes of brain abscess

A

Viridans streptococci, S. Aureaus, Gram negative organisms

38
Q
A

USMLE Step 2 CK (12 decks)

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