uworld6

Question 1

where is atrophy in AD?

Answer 1

temporal and parietal lobes

Question 2

nonpressure hydrocephalus treatment

Answer 2

many LPs

if unsuccessful–> VP shunt

Question 3

ice pack test is for

Answer 3

myasthenia gravis

Question 4

pronator drift is specific for

Answer 4

UMN or pyrimidal tract dz

Question 5

chronic subdural hematoma sxs

Answer 5

HA
somnolence
confusion
focal neuro deficits

Question 6

most common bacteria in brain abscess

Answer 6

staph aureus

strep viridans

Question 7

cavernous sinus thrombosis sxs

Answer 7

HA
binocular palsies
periorbital edema
hypo/hyperesthesia- V1,2 region

unilateral–> bilateral

Question 8

diagnosis and tx of cavernos sinus thrombosis

Answer 8

dx: MRI
tx: antibiotics

Question 9

what should you think when someone with MS gets sudden onset speech arrest and right arm weakness?

Answer 9

TIA- it’s not always about MS! especailly if it’s sudden onset, MS is more gradual days-weeks

Question 10

hints that it’s an embolus and not atherosclerosis

Answer 10

hx of afib- irregularly irregular

sudden onset (vs gradual)

Question 11

someone on amitryptiline gets dizzy. think…

Answer 11

orthostatic hypotension

Question 12

broad flat T waves. think…

Answer 12

hypokalemia

Question 13

what is preserved in alcoholic cerebellar degeneration?

Answer 13

finger-nose-finger

cognition

Question 14

type of gait in parkinsons

Answer 14

shuffling, hypokinetic gait

Question 15

consider _____ when a patient with parkinsonism has orthostatic hypotension, impotence, incontinence, or other autonomic sxs

Answer 15

Shy Drager syndrome- multiple system atrophy

Question 16

riluzole is approved for

Answer 16

ALS

Question 17

are there deep tendon reflexes in brain death?

Answer 17

yes

Question 18

neuro findings with basal ganglia hemorrhage

Answer 18

contralateral hemiparesis and hemisensory loss

homo hemianopsia

gaze palsy- toward lesion

Question 19

neuro findings with cerebellar hemorrhage

Answer 19

facial weakness

ataxia and nystagmus

occipital HA, neck stiff

usually NO hemiparesis

Question 20

neuro findings with thalamus hemorrahge

Answer 20

contra hemiparesis and hemisensory loss

nonreactive miotic pupils

upgaze palsy

eyes deviate Toward hemiparesis

Question 21

neuro findings with cerebral lobe hemorrhage

Answer 21

contra hemiparesis (frontal)

hemisensory loss (parietal)

homo hemianopsia (occipital)

eyes deviate away from hemiparesis

seizures

Question 22

neuro findings with pons hemorrage

Answer 22

deep coma and paralysis within minutes

pinpoint reactive pupils