Neurology

Front 1

intention or kinetic tremors are most characteristic of damage to what part of the brain

Back 1

cerebellum
spinocerbellar tracts

Front 2

when is parkinson tremor worst

Back 2

when the patient is at rest
*paradoxially this tremor ceases upon sleep

Front 3

is a patient with conductive hearing loss, which ear hears the tunning fork more loudly

Back 3

the affected ear
*because the vibrations must be transmitted to the cochlea directly through the skull

Front 4

what would cause down-beating nystagmus with both eyes rhythmically deviating downward

Back 4

cervicomedullary junction glioma

Front 5

hyperacusis (hear sounds louder) is caused by damage to what cranial nerve

Back 5

VII

Front 6

what would you look for on exam in a pt with ALC, heacahce, obtundation, and vomiting

Back 6

papilledema

Front 7

mnemonic for cold and warm water direction of nystagmus

Back 7

COWS
*controls both eyes

Front 8

damage to what part of the sympathetic track would not lead to anhidrosis in a pt with Horner's syndrome

Back 8

internal carotid artery
sympathetic cervical plexus

Front 9

next step in management for a pt presenting with sudden-onset new headache that is the worst of their life

Back 9

CT scan

Front 10

what should be done next if a CT scan is negative in a pt with sudden-onset new worst headache of their life

Back 10

lumbar puncture

Front 11

how would you differentiate between traumatic tap and subarachnoic hemorrhage

Back 11

number of RBC between tubes 1-4

Front 12

imaging modality of choice to detect unruprutred aneurysms

Back 12

cerebral angiography

Front 13

noncommunicating hydrocephalus

Back 13

characterized by blockage of the ventricular system

Front 14

communicating hydrocephalus

Back 14

characterized by mis-match between CSF formation and absorption rather than a blockage of flow

Front 15

astrocytoma is unlikely to occur in posterior fossa, especially in adults

Back 15

**

Front 16

tumor that arises closely to the bone and causes slowly evolving ataxia

Back 16

meningioma within posterior fossa

Front 17

chromosomes associated with neurofibromatosis I and II

Back 17

I - 17
II - 22

Front 18

first step in manage in a pt presenting with stroke-like symptoms

Back 18

Head CT to see whether hemorrhage or ischemic

Front 19

what is found in the CSF of patient presenting with guillan-barre syndrome

Back 19

elevated protein count

Front 20

what is found on lumbar puncture of pt with pseudotumor cerebri

Back 20

elevated opening pressure

Front 21

what is found in the CSF of pt with MS

Back 21

oligoclonal banding

Front 22

young pt with history of IV drug use presents with stroke-like symptoms

Back 22

think septic emboli from bacterial endocarditis

Front 23

DTRs are still present in brain death

Back 23

they are involved in spinal cord function

Front 24

dementia associated with ALOC, visual hallucination, and extrapyramidal symptoms

Back 24

dementia with lewy bodies

Front 25

brain death criteria

Back 25

absent CN reflexes
fixed and dilated pupils
no spontaneous breaths
agreement of two physicians

Front 26

drugs helpful in an acute migraine setting

Back 26

anti-emitics (chlopromazine, prochlorperazine, metaclopramide)
ergotamine
*TCAs are used for prophylaxis

Front 27

classic CT appearance of glioblastoma multiforme

Back 27

heterogenous and serpiginous with classic butterfly appearance

Front 28

how do cerebellar tumors present

Back 28

ispsilateral ataxia
nystagmus
intention tremor
loss of coordination

Front 29

trihexyphenidyl is an anticholinergic medication used in parkinson disease

Back 29

what out for anticholinergic toxicity: dry skin, constipation, urinary retention, flushing, vision changes

Front 30

treatment for restless leg syndrome

Back 30

dopamine agonist

Front 31

anticonvulsant used to treat essential tremors associated with precipitation of acute intermittent porphyria

Back 31

primidone

Front 32

pt presents with leg weakness for several days and absent knee and ankle reflexes

Back 32

guillain-barre syndrome

Front 33

initial diagnostic test of choice when a patient presents with uprovoked new-onset seizures

Back 33

CT head without contrast

Front 34

hemi-sensory loss with severe dysesthesia (pain)

Back 34

thalamic stroke

Front 35

percent occlusion needed to benefit from carotid artery surgery

Back 35

>60%

Front 36

cause of nonexertional heat stroke

Back 36

inadequate thermoregulation

Front 37

pt complains of acute cause weakness in lower extremity, has decreased sensation with signs of hyperreflexia and babinski signs

Back 37

spinal cord compression, need emergent MRI and surgery

Front 38

what sign would exclude central cause of facial paralysis

Back 38

absence of forehead furrows, this indicates a peripheral facial nerve palsy

Front 39

only drug that is approved for ALS

Back 39

riluzole, glutamate inhibitor

Front 40

cauda equina syndrome

Back 40

acute motor and sensory loss
loss of rectal tone
urinary retention
*need emergent surgery

Front 41

best way to monitor respiratory function in pt with guillan-barre syndrome

Back 41

vital capacity

Front 42

next step in management of myasthenic crisis

Back 42

endotracheal intubation
withdrawal of AChE

Front 43

first-line medical treatment for pseudotumor cerebri

Back 43

acetazolamide

Front 44

pathophysiology of NPH

Back 44

decreased CSF absorption

Front 45

acute, severe retroorbital pain that wake patients from sleep and is accompanied by ipsilateral eye tearing, stuffed or runny nose, and ipsilateral horner's syndrome

Back 45

cluster headache

Front 46

medications that can predispose women to pseudotumor cerebri

Back 46

vitamin A and isoretinoin