NeuroSAE

Question 1

How to distinguish median nerve problem at the carpal tunnel vs the forearm?

Answer 1

Flexor of the thumb is innervated before the carpal tunnel, so if weakness on flexion, then lesion is proximal.

Question 2

Inheritance pattern of Becker muscular dystrophy?

Answer 2

X-linked

Question 3

First step of management of cauda equina and conus syndromes?

Answer 3

IV steroids then surgical decompression. Both emergencies.

Question 4

Hyper/hypokalemic periodic paralysis

Answer 4

Caused by a mutation in a sodium/calcium channel. Weakness and paralysis precipitated by rest after exercise and high carbohydrate meals.

Question 5

Which tract from cerebellum projects downwards?

Answer 5

Rubrospinal tract

Question 6

Where is the lexicon?

Answer 6

Lateral temporal lobe

Question 7

Parsonage turner syndrome?

Answer 7

Basically like guillain barre but starts in arms and moves up to involve proximal muscles. Idiopathic brachial plexopathy

Question 8

Where is the lesion in dysarthria and clumsy hand syndrome?

Answer 8

Contralateral pons or internal capsule.

Question 9

CSF for MS?

Answer 9

Slight increase in protein, slight increase in WBC, normal glucose.

Question 10

REM sleep behavior disorder

Answer 10

Shouting, flailing, etc. during sleep. Characteristic of synucleinopathies.

Question 11

Effect of estrogen birth control on migrane?

Answer 11

Will make it worse. Stop estrogen if aura develops or if migraine worsens.