Other

Question 1

weber syndrome - where and what artery

Answer 1

medial midbrain, PCA

Question 2

weber syndrome sxs

Answer 2

ipsi CN3, contra UMN

Question 3

wallenberg - where and what artery

Answer 3

lateral medulla

PICA or vertebral a

Question 4

preserved in wallenberg

Answer 4

position and strength

Question 5

if there’s impaired taste over anterior 2/3 of tongue, what branch of CN7 is invovled?

Answer 5

chorda tympani branch

Question 6

LMN lesion of vagal nerve gives

Answer 6

hoarseness, ipsi drooping of arch, uvula pointing away

Question 7

facial paralysis via UMN lesion

Answer 7

spares forehead

Question 8

facial paralysis via LMN lesion

Answer 8

entire ipsi half of face, lesion of CN7

Question 9

tactile recognition of familiar objects

Answer 9

stereognosis

Question 10

identification of numbers traced on palm

Answer 10

graphesthesia

Question 11

pain perceived along dermatome with sensory afferents from same dorsal root level as a diseased internal organ

Answer 11

referred pain

Question 12

patient hooks flexed fingers together and attempts to pull them apart while examiner taps knee/ankle tendons to elicit reflex

Answer 12

Jendrassik maneuver

Question 13

corneal reflex input and output

Answer 13

in CN5

out CN7

Question 14

gag/pharyngeal reflex input and output

Answer 14

in CN9

out CN10

Question 15

meningeal signs

Answer 15

kernig and brudzinski signs

Question 16

kernig’s sign

Answer 16

resistance to fully extending knee with hip in 90 degree flexion

Question 17

brudzinski’s sign

Answer 17

flexing neck gives passive flexion of hips and knees

Question 18

pronator drift suggests lesion where

Answer 18

CST

Question 19

Agraphia, R-L disorientation, dyscalculia, finger agnosia

Answer 19

Gerstmann syndrome –supramarginal/angular gyrus of dominant lobe

Question 20

stepwise focal neuro deficits

Answer 20

vascular dementia

Question 21

fever and HA causing dementia

Answer 21

possible chronic meningitis, get LP

Question 22

Alzheimers

Answer 22

beta amyloid, neurofibrillary tangles, tau protein

Question 23

PET scan with PIB (binds beta amyloid) for Alzheimer’s

Answer 23

uptake spares occipital and primary sensorimotor cortex

Question 24

Memantine

Answer 24

NMDA antagonist - opposes glutamine

For Alzheimer’s

Question 25

Tauopathies

Answer 25

progressive supranuclear palsy, corticobasal degeneration, frontotemporal lobar dementia, Alzheimer’s

Question 26

central AChE inhibitors

Answer 26

Donepezil
Rivastigmine
Galantamine

Question 27

predominant location of atherosclerotic changes

Answer 27

bifurcation points of lg major cervical and intracranial arteries

Question 28

lacunar infarcts due to thrombosis or emboli?

Answer 28

thrombosis

Question 29

disabling hemiparesis seen with lesion where?

Answer 29

internal capsule

Question 30

moncular blindness - “lowered shade in one eye”

Answer 30

amaurosis fugax (carotid TIA involving opthalmic a.)

Question 31

• Ataxia, homonymous hemianopssia, hemiparesis w/ crossed brainstem syndromes

Answer 31

vertebrobasilar TIA

Question 32

face and upper limb supplied by

Answer 32

MCA

Question 33

lower limb supplied by

Answer 33

ACA

Question 34

antiplatelet tx

Answer 34

ASA 50-325 mg/day
Clopidogrel 75 mg/day
ASA 25 mg/dipyridamole 200 mg BID

Question 35

what IV fluids are given to stroke patients?

Answer 35

saline, not dextrose

Question 36

warfarin used for

Answer 36

a fib
antiphospholipid ab
cerebral venous thrombosis

Question 37

brain edema develops how many days post-stroke?

Answer 37

3-5 days

Question 38

most common cause of cerebral hemorrhage

Answer 38

HTN

Question 39

sentinel HA + meningeal signs

Answer 39

SAH

Question 40

SAH w/ CN3 palsy

Answer 40

berry aneurysm near Post Comm a.