UWorld

Question 0

Patient presents with essential tremor. Treatment started. Presents later with abdominal pain, confusion, hallucinations, headaches.

Drug that was given? Reaction?

Answer 0

Primidone; triggers acute intermittent porphyria

Question 1

Definition of heat stroke?

Answer 1

Body temperature over 105°

Question 2

Neurologic effects of abetalipoproteinemia?

Drug to retard progression?

Answer 2

#Limb ataxia and Loss of position sense
#Positive Babinskis
#Retinitis pigmentosa

Vitamin E

Question 3

Side effect of metoclopramide?

Answer 3

Extrapyramidal motor symptoms (neck stiffness)

Question 4

Prophylactic medications for cluster headache? For acute attacks?

Answer 4

#Verapamil
#lithium
#ergotamine

100% oxygen and triptans

Question 5

Headache can present with Horner’s syndrome?

Answer 5

Cluster

Question 6

Cauda equina syndrome versus conus medullaris syndrome - pain? sensory symptoms? Motor weakness? Reflexes?

Answer 6

Radicular pain, versus back pain

Saddle paresthesia versus perianal paresthesia

Asymmetric versus symmetric motor weakness

Hyporeflexia versus hyperreflexia

Question 7

Effect of prolonged seizures on brain?

Answer 7

5+ minutes of seizure activity linked with permanent injury and cortical laminar necrosis (permanent neurologic deficits)

Question 8

Patient presents with Hemiplegia and stupor

Hemorrhage where? Gaze findings?

Answer 8

Homonymous hemianopsia/gaze palsy

basal ganglia hemorrhage

Question 9

Pt presents with neck stiffness, facial weakness but no hemiparesis - type of hemorrhage? Complication?

Answer 9

Stupor or coma with brainstem herniation

Cerebellar hemorrhage

Question 10

Hemorrhage with Eyes towards hemiparesis?

Other Ocular Findings ?

Answer 10

thalamic hemorrhage

#Upgaze palsy
#Nonreactive miotic pupils

Question 11

Eyes deviated away from hemiparesis - type if hemorrhage? Other findings?

Answer 11

cerebral lobe

#If occipital Contralateral homonymous hemianopsia
#if parietal, Contralateral hemiparesis
#If frontal, Contralateral plegia/paresis
#Seizures

Question 12

Pinpoint reactive pupils - type of hemorrhage?

Answer 12

Deep coma and total paralysis

pontine hemorrhage

Question 13

Symptoms that suggests hemorrhage is not subarachnoid?

Answer 13

Focal Eye and motor deficits

Question 14

Patient presents with eye pain, photophobia, and mid-dilated pupil – suspected diagnosis? Best diagnostic test?

Answer 14

Acute glaucoma; ocular tonometry