Neurology

Question 1

2 clinical signs of lambert eaton and what happens with nerve stimulation?

Answer 1

proximal muscle weakness and hyporeflexia

incremental response

Question 2

What is the most common inherited neuro disease?
at what age does it typically present?
2 clinical signs to remember?
a third, very classic sign?

Answer 2

charcot marie tooth
first two decades of life, family history big deal
progressive distal limb weakness and decreased proprioception
high arched foot with foot drop

Question 3

glucose and protein for bacterial meningitis?

glucose and protein for viral?

Answer 3

under 40 and over 200

glucose normal s 40-70 and protein normal or up

Question 4

what do we lose with anterior cord syndrome and what is the artery?

Answer 4

anterior spinal artery

motor from the corticospinal tract and pain and temp from the spinothalamic

Question 5

2 clinical signs to remember for Creutzfeldt Jakob disease?

Answer 5

rapid decline of cognition and myoclonus

Question 6

what is different about an essential tremor?
What makes it better?
What is a classic feature?
How does it typically present?

Answer 6

both at rest and persists with intention or movement.
alcohol
family history
bilateral in the wrists

Question 7

sturge weber syndrome 2 clinical signs?

Answer 7

port wine stain on face and serizure

Question 8

what artery supplies broca’s area?

Answer 8

anterior branch of MCA

Question 9

what neuro problem to administer high dose steroids right away?

Answer 9

cord compression

Question 10

3 situations where we see thiamine deficiency or beriberi disease on the test?

Answer 10

alcoholics
recent bariatric surgery
people only getting parenteral nutrition

Question 11

middle meningeal artery is a branch of what artery?

Answer 11

maxillary

Question 12

what do we use donepezil to treat?

Answer 12

Alzheimer’s

Question 13

What drug to treat chorea in huningtons?

Answer 13

tetrabenazine

Question 14

What is entrapment of the lateral femoral nerve?

Answer 14

meralgia

Question 15

What is the most common suprasellar tumor in kids?

Answer 15

craniopharygiomas

Question 16

How to treat gastroparesis in uncontrolled diabetic?

Answer 16

metoclopramide

Question 17

What is the most common cerebral artery involved in ischemic strokes? What region of the body to alwas remember about this artery?

Answer 17

middle

face

Question 18

What will be part of the question if the anterior cerebral artery is involved in ischemic stroke?

Answer 18

personality changes

Question 19

If I am thinking central retinal artery occlusion what must the physical exam have?

Answer 19

cherry red spot when examining the eyes

Question 20

older patients falls and is on anticouag med, what to always have in my mind?

Answer 20

chronic subdural hematoma

Question 21

what is first line treatment for status epilepsy?

if that does work, what is second line?

Answer 21

benzo

fosphenytoin or phenytoin

Question 22

duputren contracture affects which two fingers most commonly?

Answer 22

4th and fifth

Question 23

When do we do surgery for a subdural hematoma?

Answer 23

hematoma is greater than 10 mm or cause midline shift more than 5 mm

Question 24

wernickes aphasia 2 sins to always rrmember?

Answer 24

they can talk but it doesn’t make sense and they cant comprehend language

Question 25

classic triad of normal pressure hydrocephalus?

how to treat and confirm diagnosis?

Answer 25

abnormal gait, urinary inconsistence, and dmentia

high volume LP those ventricles will be huge on CT

Question 26

What is the most common tumor at the cerebellopontine angle and what is the classic triad of it?
additional clinical sign commonly seen?

Answer 26

vestibular schwannomas
ipsilateral hearing loss, tinnitus, vertigo
sensory loss over face

Question 27

triad of prolactinoma?

what symptom will present because of the tumor and why?

Answer 27

secondary amenorrhea, decreased libido, galactorrhea

bitemporal hemianopsia because the optic chiasm in compressed

Question 28

Where does the spinal tract for dorsal column, cortical spinal tract, and lateral spinal tract cross over?

Answer 28

dorsal comes in and heads up same side and then crosses over at medullar.
cortical crosses over at medulla and then comes down same side it goes out.
lateral comes in and crosses over immediately and then heads up to brain.

Question 29

Hemi section of the cord causes what to the three major tracts?

Answer 29

ipsilateral motor loss, ipsilateral proprioception loss, and contralateral pain and temp loss

Question 30

What would be lost in anterior cord syndrome?

Answer 30

loss of everything below the lesion except the dorsal column stuff so proprioception etc.

Question 31

What is the specific loss with central cord syndrome?

Posterior cord syndrome loss?

Answer 31

sensory loss in a cape like distribution in UE

lose proprioception and vibration

Question 32

how to treat shingles?

Answer 32

if its within the first 48 hours then acyclovir.
if it is after 48 hours its all supportive and its all about pain control.
TCAs, opiods, gabapentin

Question 33

drug to remember for RLS on the exam?

Answer 33

pramipexole

Question 34

What to give for prophrylaxis for TB?

How to treat the seizures this drug can cause?

Answer 34

isoniazid

b6

Question 35

subdurals most commonly occur in what two patient populations?

Answer 35

old

alcoholics

Question 36

tuberou sclerosis triad?

Answer 36

retarded, seizures, and psychomotor delay

Question 37

What is the mneominc for Wernicke Korsakoff?

Answer 37

COAT RACK
confusion, opthalmegia or nystagmus, ataxia, thiamine defieicny
retroade and antegrade amnesia, confabulations and Korsakoff psychoses

Question 38

what is the difference between open and closed angle glaucoma?
what do we see on eye exam?

Answer 38

open is painless and gradual vision loss
closed is painful and acute vision loss
increased cop to disk ratio

Question 39

If I see sparing of the macula and can’t recognize faces of the people you know, what cerebral artery is involved?

Answer 39

posterior

Question 40

besides prednisone what other meds can be used for cluster headahces?
frst line treatment for acute cluster?

Answer 40

calcium channel blockers

oxygen

Question 41

what is the most important intervention in patients with hemorrhagic stroke?

Answer 41

get the blood pressure down

Question 42

when do we add ampicillin to the meningitis regimen?

Answer 42

immunocompromised patients to cover list mono

Question 43

weird symptom to remember of b12 deficiency?

Answer 43

glossitis