Week 1

Question 1

Idiopathic intracranial hypertension clinical features

Answer 1

Headache 
Vision loss 
Enlarged blind spot 
Diplopia; palsy of CN VI
Palilledema 
Pulsatile tinnitus

Question 2

Idiopathic intracranial hypertension RF

Answer 2

Obese child bearing aged women
OCPs
Retinoids
Tetracyclines 
Growth hormone 
Prepubescent

Question 3

Copper deficiency clinical presentation

Answer 3

Brittle hair 
Skin depigmentation 
Neuro: ataxia, peripheral neuropathy 
Hypochromic microcytic Anemia 
Osteoporosis

Question 4

Transverse myelitis path and sx

Answer 4

Path: immune mediated infiltration of inflammatory cells into a segment of spinal cord after recent GI or URI

Sx:usually in T spine
Motor weakness with UMN signs
Autonomic dysfunction: bowel/bladder, sexual
Distinct sensory level dysfunction

Question 5

Diabetic Oculomotor nerve palsy

Answer 5

Due to nerve ischemia
Affects inner motor fibers (EOM) leading to down and out
Spares superficial parasympathetic fibers: preserved pupillary response

Question 6

Migraine abortive and preventative therapy

Answer 6

Abortive: 
Triptans
NSAIDs 
Acetaminophen 
Ergotamines
Antiemetic: metoclopramide 

Prevent:
Topiramate
Valproate
Tricyclics antidepressant 
Beta blocker

Question 7

Marfanoid body habitus ddx

Answer 7

Mariana: 
AD 
Normal intellect 
Aortic root dilation 
Upward lens dislocation 

Homocysteinuria: 
AR
Intellectual disabilities 
Thrombosis 
Downward lens dislocation 
Megaloblastic anemia 
Fair complexion

Question 8

Neurofibromatosis II clinical

Answer 8

AD inheritance 
BL vestibular schwannomas: sensorineural hearing loss and balance loss 
Meningiomas
Cataracts 
Cutaneous rumors

Question 9

What does a positive pronator drift mean?

Answer 9

UMN or pyramidal/corticospinal tract lesion

UNM lesions cause weakness leading to weakness in supination muscles

Question 10

Cerebral palsy sx

Answer 10

Hx of prematurity and or low birth weight.
Delayed motor milestones
Abnormal tone, hyperreflexia
Comorbid seizures, intellectual disability
Clubfeet

Question 11

Initial work up of cognitive impairment

Answer 11

Cognitive testing
CBC, vitamin B 12, TSH, CMP on all patients
Folate, syphilis, vitamin D level with specific risk factors

Question 12

Compressive cervical myelopathy pathology and presentation

Answer 12

Pathology; degeneration and thickening of lateral vertebral bodies and posterior longitudinal ligament leading to spinal cord compression

Presentation:
Neck pain
Lower motor neuron signs in the upper extremities
Upper motor neuron signs in the lower extremities
Bowel bladder dysfunction