World 2

Question 1

Will GBS typically have increased WBC

Answer 1

no

just protein

Question 2

Which meningitis has the lowest sugar

Answer 2

TB

Question 3

Which general aphasia has greatly diminished comprehension

Answer 3

wernike

Question 4

What symptoms accompany brocas

Answer 4

sparse speech

contralateral weakness

Question 5

s/s of heat stroke

Answer 5

confusion
high temp
bleeding
tachycardia

Question 6

Friedreich ataxia inheritence

Answer 6

AR

Question 7

fredriech ataxia prognosis

Answer 7

wheelchair by 25

death by 35

Question 8

freidrich ataxia MRI

Answer 8

atrophy if cervical spine

mild atrophy of cerebellum

Question 9

Niemann pick deficincy

Answer 9

sphingomylinase

Special for heptosplenomegally

Question 10

Tay Sax deficincy

Answer 10

b-hexosaminidase

Question 11

most common cause of spontatious bleed in age > 60

Answer 11

amyloid angiopathy

Question 12

Myasthenia gravis s/s

Answer 12

NMJ plate disease
diploplia, ptosis
upper> lower extremity weakness

Question 13

Treatment of alzheimers

Answer 13

Acth inhibitors
donepizil
rivastigmine
galatamine

slows cognitive decline

Question 14

trihexyphenidyl is a ?

Answer 14

anti-chole

Question 15

Best test for b12 deficinecy

Answer 15

methymalonic acid (more sensitive)

Question 16

akathesia

Answer 16

restlessness

move more frequently

Question 17

athetosis

Answer 17

slow writhing movement

huntinigtons- fingers

Question 18

Damage to subthalamic nucleus

Answer 18

hemibasilus

Question 19

Lesch Nyhan deficiency

Answer 19

hypoxanthine-guanine phosphobosyl transferase (HPRT)

Question 20

Biggest risk factor for stroke

Answer 20

HTN

Question 21

se oflevadopa/carbidopa

Answer 21

early: hallucinate, dizzy, HA
late: involuntary movements

Question 22

lesions of CNS of facial nerve

Answer 22

In CNS ABOVE facial nucleaus, spare forehead

Question 23

All ischemic stroke pts should be started on this

Answer 23

aspirin

reduces risk of recurrent stroke

Question 24

Treatment of GB syndrome

Answer 24

IVIG

plasmapheresis

Question 25

Long term problems after bacterial meningitis

Answer 25

``` 1- hearing loss 2- cognitive decline 3- sz 4- retard 5- spaz/paresis ```

Question 26

Patients with suspected acute stroke should have ____ test

Answer 26

Cat scan WITHOUT contrast goal is r/o bleed

Question 27

How do you test for parkinsons

Answer 27

physical exam/ history no tests

Question 28

s/s of neuroleptic malignant syndrome

Answer 28

fever rigidity AMS autonomic instability

Question 29

most common reason > 60 yo forlobar/cortical bleed

Answer 29

cerebral amyloid

Question 30

thunderclap HA

Answer 30

subarachnoid

Question 31

Hypertensive vasculopathy brin bleed locations

Answer 31

``` basal ganglia cerebellar thalmas pons *Charcot Bouchard aneurysms ```

Question 32

Tearing of bridging veins

Answer 32

subdural hematoma

Question 33

Internal capsule stroke

Answer 33

motor | maybe sensorimotor

Question 34

Lateral Medullary infarction

Answer 34

PICA Ipsilateral Pain temp face Ipsi Horner Contralteral pain temp body

Question 35

Midbrain stroke

Answer 35

CN 3 palsy ataxia contralateral hemiparesis

Question 36

Putamen stroke

Answer 36

HTN contralateral hemiparesis and sensory loss Conjugate gaze TOWARDS lesion

Question 37

Thalamic pain syndrome

Answer 37

paroxysmal burning

Question 38

Are DTRs present in brain death

Answer 38

can be since they are spinal

Question 39

Three most common CA in kids

Answer 39

Leukemia CNS Neuroblastoma

Question 40

Neuroblastoma

Answer 40

adrenal gland or symp chains may have ↑ HVA and VMA

Question 41

Define Caput Succedaneum

Answer 41

diffuse swelling of scalp

Question 42

Cephalohematoma

Answer 42

baby born bruise | most resolve in 2 weeks

Question 43

Riluzole treats?

Answer 43

ALS | glutamate inhibitor

Question 44

Physiology of NPH

Answer 44

CSF is not reabsorbed

Question 45

Bedside test for myasthenia gravis

Answer 45

ice pack | improves tosis

Question 46

Severe cancer pain should be treated with?

Answer 46

Short acting opioids

Question 47

first line rx for mysathenia gravis

Answer 47

pyridostigmine | anti-Cholestsase inhibitor

Question 48

Agitation in the elderly is treated with?

Answer 48

low dose haloperidol