uworld 4

Question 1

go-to drug for MS

Answer 1

corticosteroids

Question 2

what should you think of when a 65 yo patient has HA worse in the morning, and focal neuro deficits?

Answer 2

brain tumor

Question 3

what associated features does broca’s aphasia have

Answer 3

right hemiparesis

Question 4

what associated features does wernicke’s aphasia have

Answer 4

right superior visual field defect

Question 5

CJ disease features

Answer 5

2 of 4:

• myoclonus
• akinetic mutism
• cerebellar or visual disturbance
• hypokinesia

Question 6

CJD on EEG and LP

Answer 6

periodic sharp waves

14-3-3 complexes on CSF

Question 7

CJD diagnosis

Answer 7

gold standard- brain biopsy

or PNRP gene mutations

Question 8

young obese female with HTN and HA, think…

Answer 8

pseudotumor cerebri

Question 9

complication of pseudotumor cerebri

Answer 9

blindness

Question 10

treatment of pseudotumor cerebri

Answer 10

weight reduction and acetozolamide

Question 11

patient with deteriorating neuro status two days after stroke most likely has…and what should be done first to check?

Answer 11

hemorrhagic stroke

CT

Question 12

acute angle closure glaucoma occurs in what populations

Answer 12

asian/inuit women >40

farsighted people

Question 13

acute ACG presentation

Answer 13

severe eye pain
halos
pupil dilated and unresponsive
HA, N/V
high ESR

Question 14

order of mets to brain from these places:

Answer 14

lung > breast > unknown > melanoma >colon

Question 15

where are brain mets typically seen on MRI?

Answer 15

gray-white matter junction