Neurology

Question 1

What is the gold standard for diagnosing temporal arteritis?

Answer 1

artery biopsy

Question 2

What is the treatment for temporal arteritis?

What lab is elevated?

Answer 2

prednisone, sed rate

refer to ophthalmology or ETC (can cause blindness)

Question 3

treatment for an essential tremor?

Answer 3

propranolol (Inderal)

Question 4

Korsakoff-Wernicke dementia brain damage is caused by what vitamin?

Answer 4

B1 thiamine

Question 5

What screening test is used for dementia?

Answer 5

MMSE

Question 6

Is an essential tremor an action or resting tremor?

Answer 6

action

Question 7

What type of headache (migraine, cluster, tension) has…

tearing, rhinorrhea, drooping eye at the same time of day

Answer 7

cluster

Question 8

prophylactic treatment for cluster migraines

Answer 8

verapamil

Question 9

“worst headache of my life” with decline of consciousness after trauma

Answer 9

subarachnoid hemorrhage

Question 10

what CN is involved in Bell’s Palsy

Answer 10

CN7

Question 11

treatment for Bell’s Palsy

Answer 11

Prednisone + Acyclovir +

eye lubricant

Question 12

three CN involved in eye movement

Answer 12

3- oculomotor
4- trochlear
6- abducens

Question 13

facial sensation (sharp/soft), corneal reflex

Answer 13

CN5 Trigeminal

Question 14

Taste, smile, raise eyebrows, puff cheeks

Answer 14

CN7 Facial

Question 15

Snellen chart

Answer 15

CN2 Optic

Question 16

“ahh” palate rises, swallowing

Answer 16

CN9 Glossopharyngeal

Question 17

gag reflex

Answer 17

CN 10 Vagus

Question 18

stick out tongue

Answer 18

CN 12 Hypoglossal

Question 19

sudden, severe one-side facial pain triggered by chewing, cold food, or cold air?

Answer 19

trigeminal neuralgia

Question 20

treatment for trigeminal neuralgia?

Answer 20

anticonvulsants:

carbamazepine (Tegretol) or phenytoin (Dilantin)

Question 21

(+) Brudzinskis sign

Answer 21

Think Brudzinskis Bend

severe neck stiffness and flexion of hip/knees when neck is flexed = bacterial meningitis

Question 22

(+) Kernig’s sign =

Answer 22

think Kernig’s Kick
bacterial meningitis, flex pt’s hips one at a time then attempt to straighten leg while hip is flexed at 90*, positive= resistance to leg straightening d/t painful hamstrings or back pain

Question 23

lumbar puncture for bacterial meningitis will show?

Answer 23

high WBCs
high protein
low sugar
cloudy

Question 24

A clinical sign of hypocalcemia which consist of twitching of muscles innervated by facial nerve.

Answer 24

Chvostek’s sign