Online MedEd

Question 1

Immediate Treatment for cluster headaches

Answer 1

O2

Question 2

Prophylaxis for cluster headaches

Answer 2

Ca2+ channel blockers such as verapamil

Question 3

Abortive treatment for migrane

Answer 3

mild: NSAIDs
severe: triptans

Question 4

Prophylaxis for migrane

Answer 4

Propranolol

Anticonvulsants: valporic acid, topiramate

Question 5

Diagnosis technique of intracranial hypertension after negative CT scan.

Answer 5

Lumbar puncture with pressure more than 25 mmH2O

Question 6

Treatment of intracranial hypertension.

Answer 6

1) Acetazolamide
2) Serial lumbar punctures
3) VP (ventriculoperitoneal) shunt

Question 7

Treatment of trigeminal neuralgia

Answer 7

Carbamazepine

Question 8

Birth trauma bleed that does not cross suture lines.

Answer 8

Cephalohematoma (a subperiosteal hemorrhage)

Question 9

Birth trauma bleed that does cross suture lines.

Answer 9

Caput succedaneum (edema/hematoma above periosteum)

Question 10

Lamber-Eaton syndrome associated with _____

Answer 10

Small cell lung cancer

Question 11

Myasthenia gravis is associated with _____

Answer 11

Thymoma

Question 12

Diagnosis:

Upper and lower motor neuron degeneration.

Answer 12

Amyotropic lateral sclerosis.

Question 13

Diagnosis:

Temporal and frontal lobe atrophy

Answer 13

Frontotemporal dementia

Question 14

Diagnosis:

Temporal and parietal lobe atrophy

Answer 14

Alzheimer’s disease

Question 15

Length of absence seizure

Answer 15

less than 20 sec

Question 16

Most common location of hypertensive intraparenchymal brain hemorrhage

Answer 16

Basal ganglia (putamen)

Question 17

Diagnosis:

Slapfoot

Answer 17

Common peroneal neuropathy

Question 18

Diagnosis:

decreased acetylcholine release

Answer 18

Botulism

Question 19

Diagnosis:
Degeneration of neurons within the myenteric plexus
and
Swallowing problems

Answer 19

Achalasia

Question 20

Diagnosis:

Fibrous tissue replacement of smooth muscles

Answer 20

Systemic sclerosis

Question 21

Diagnosis:

Inflammatory demyelination of axons in the central nervous system

Answer 21

Multiple sclerosis

Question 22

Diagnosis:

Progressive degeneration and death of motor neurons

Answer 22

Amyotropic lateral sclerosis

Question 23

Damage to Edinger Westphal nucleus - symptoms?

Answer 23

E-W nucleus is responsible for pupillary light reflex. Therefore damage to theist structure would result in ipsilateral fixed and dilated pupil that is nonreactive to light or accommodation.

Question 24

Damage to medial longitudinal fasciculus - symptoms?

Answer 24

MLF is responsible for conjugate horizontal gaze. Damage causes internuclear ophthalmoplegia where the affected eye (ipsilateral to the lesion) is unable to adduct and the contralateral eye abducts with nystagmus.

Question 25

Damage to lateral geniculate nucleus - symptoms?

Answer 25

Contralateral homonymous hemianopsia

Question 26

Damage to medial lemniscus - symptoms?

Answer 26

Contralateral loss of vibration, proprioception and light touch.

Question 27

Occulomotor nerve palsy - symptoms?

Answer 27

Down and out deviation of ipsilateral eye

Question 28

Lesion of optic chiasma - symptoms?

Answer 28

Bitemporal hemianopsia.

Question 29

Trochlear nerve palsy - symptoms?

Answer 29

Problems walking downstairs, reading.

Question 30

Belt-like back pain

Answer 30

musculoskeletal back pain

Question 31

Used to treat urinary retension

Answer 31

Bethanecol

Question 32

Used to treat urinary retension

Answer 32

Amitriptyline

Question 33

Used to treat spasms

Answer 33

Baclofen

Question 34

Used to treat neuropathic pain

Answer 34

Gabapentin

Question 35

Guillain-Barre diagnose with

Answer 35

Lumbar puncture (high protein, low cells)

Question 36

Treatment of Guillain-Barre syndrome

Answer 36

Intubation?
IVIG or Plasmapheresis
NEVER give steroids

Question 37

Weakness that gets better with use.

Answer 37

Lambert-Eaton