Neurology

Question 1

What test is needed to evaluate acute myelopathy?

Answer 1

MRI w/ Gadolinium

Question 2

What feature suggests myelopathy? instead of Guillain Barre Syndrome.

Answer 2

Paralysis +/- paresthesias

+ senosry level sensation loss and bowel/bladder dysfunction

Question 3

How to differentiate inflammatory myelopathy from noninflammatory myelopathy in evaluation?

Answer 3

Both will have no gadolinium enhancement

Noninflammorty will have no increased IgG/WBC in CSF.

Question 4

What are BP goal in stroke patient? with or without tPA.

Answer 4

without tPA: <220/120

with tPA: < 185/105

Question 5

What risk factors (5) are associated with cerebral venous sinus thrombosis?

Answer 5

pregnancy
estrogen-progestin pill
malignancy
infection 
head trauma

Question 6

How to treat PCP intoxication? when violent? or when quiet?

Answer 6

violent: benzo -> haldol
quiet: just low stimulant environment

Question 7

How to treat Bell’s palsy? idiopathic

Answer 7

steroid

Question 8

What is a consequence of traumatic brain injury?

Answer 8

Postconcussive syndrome

HA, confusion, amnesia, mood alteration, sleep disturbance, and anxiety, vertigo, difficulty concentratin

Question 9

What is the best initial step in diagnosing idiopathic intracranial hypertension or pseudotumor cerebri?

Answer 9

Eye exam

Question 10

What should be ruled out in initial evaluation of dementia? other than B12 and depression

Answer 10

TSH

Question 11

What is main difference between Alzheimer disease and frontotemporal dementia?

Answer 11

Alzheimer: memory loss then later on has personality change

FT dementia: early personality change then memory loss