uworld 5

Question 1

side effects from carbidopa, levopdopa

Answer 1

hallucinations
HA, dizzy
confusion
dyskinesia- later

Question 2

in addition to intubation, myasthenia crises should be managed how?

Answer 2

corticosteroids

plasmapheresis or IVIG

Question 3

internuclear opthalmoplegia

Answer 3

disorder of horizontal conjugate gaze- MLF damage

affected ipsi eye cant adduct
contralateral eye abducts with nystagmus

Question 4

which tracts destroyed in B12 def (subacute degeneration)

Answer 4

DCP
CST
spinocerebellar

Question 5

what part of brain is affected by alcoholics that would cause a gait disorder?

Answer 5

cerebellum

Question 6

long-term effects of status epilepticus

Answer 6

cortical necrosis -> neuro deficits, recurrent seizures

Question 7

status epilepticus is seizures for more than how long

Answer 7

5 min

Question 8

best therapy for solitary brain met

Answer 8

surgical resection

Question 9

management of acute severe pain for prior opioid addict

Answer 9

IV morphine (gotta treat everyone!)

Question 10

someone with TIA and high grade carotid stenosis (70-99%) should be considered for…

Answer 10

carotid endarterectomy

Question 11

treatment for warfarin-associated intracerebral hemorrhage

Answer 11

vitamin K and prothrombin complex concentrate

Question 12

which is gradual and which is sudden- spinal cord infarction vs compression

Answer 12

compression: gradual
infarct: sudden

Question 13

timing of intraparenchymal hemorrhage vs SAH

Answer 13

intraparenchymal: min- hrs

SAH: sudden

Question 14

most common sites for hypertensive hemorrhage in descending order

Answer 14

basal ganglia
cerebellar nuclei
thalamus
pons
cerebral cortex

Question 15

typical features of cerebellar hemorrhage

Answer 15

occipital HA
neck stiffness, N/V
ipsilateral hemiataxia

Question 16

treatment of GBS

Answer 16

IVIG or plasmapheresis

Question 17

spinal cord compression symptoms

Answer 17

Decending CST

Ascending STT (2 levels below lesion)

descending autonomics (bladder/bowel dysfunction)

Question 18

is there sensory loss or weakness in conus medullaris?

Answer 18

no

Question 19

SAH most commonly due to

Answer 19

ruptured saccular berry aneruysm

Question 20

how to diagnose parkinson’s

Answer 20

clinical

Question 21

optic neuritis sxs

Answer 21

monocular vision loss with central scotoma

afferent pupillary defect

washed out color perception

pain with eye movement

Question 22

rebleeding complication from SAH happens when?

Answer 22

within 24 hours

Question 23

what SAH complication happens within 3-10 days?

Answer 23

cerebral vasospasm

Question 24

what can prevent post-SAH cerebral vasospasm and what can detect it

Answer 24

CT angiography

nimodipine

Question 25

best therapy for relieving cluster HAs fast

Answer 25

100% oxygen- face mask

also subq triptans can work