STEP 2 Rapid Review Neurology

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Author:
svenhop
ID:
151307
Filename:
STEP 2 Rapid Review Neurology
Updated:
2012-05-07 08:45:22
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STEP2
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Description:
Neuro rapid review for step 2
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  1. Unilateral, severe periorbital headache with tearing and conjunctival erythema
    Cluster headache
  2. Prophylactic treatment for migraines
    Antihypertensives, antidepressants, anticonvulsants
  3. The most common pituitary tumor. Treatment?
    Prolactinoma. Dopamine agonists (e.g. bromocriptine / cabergoline)
  4. A 55 y/o patient presents with acute "broken speech." Type of aphasia? What lobe and vascular distribution?
    Broca's aphasia. Frontal lobe, L MCA distribution
  5. The most common cause of SAH
    Trauma; second most common is berry aneurysm
  6. A cresent-shaped hyperdensity on CT that does not cross the midline
    Subdural hematoma - bridging veins torn
  7. History significant for initial altered mental status with intervening lucid interval. Diagnosis? Most likely source? Treatment?
    Epidural hematoma. middle meningeal artery. Neurosurgical evacuation.
  8. CSF findings with SAH
    Elevated ICP, RBCs, xanthochromia
  9. Albuminocytologic dissociation
    Guillain-Barre syndrome (increased protiein in CSF without a significant increase in cell count)
  10. Cold water is flushed into patient's ear, and fast phase of nystagmus is toward the opposite side. Normal or pathologic?
    Normal
  11. Most common primary sources of metastases to the brain
    Lung, breast, skin (melanoma), kidney, GI tract
  12. May be seen in children who are accused of inattention in class and confused with ADHD
    Absence seizures
  13. The most frequent presentation of intracranial neoplasm.
    Headache
  14. The most common cause of seizures in children (2-10 years)
    Infection, febrile seizures, trauma, idiopathic
  15. The most common cause of seizures in young adults (18-35 years)
    Trauma, alcohol withdrawal, brain tumor
  16. First-line medication for status epilepticus
    IV benzodiazepine
  17. Confusion, confabulation, ophthalmoplegia, ataxia
    Wernicke's encephalopathy due to deficiency of thiamine
  18. What % lesion is indication for carotid endarerectomy?
    Seventy percent if the stenosis is symptomatic
  19. Most common causes of dementia
    Alzheimer's and multi-infarct
  20. Combined UMN and LMN disorder
    ALS
  21. Rigidity and stiffness with resting tremor and masked facies
    Parkinson's disease
  22. Mainstay of Parkinson's therapy
    Levodopa/carbidopa
  23. Treatment for Guillain-Barre syndrome
    IVID or plasmapheresis
  24. Rigitdity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior
    Huntington's disease
  25. A 6 y/o girl presents with port-wine stain in V2 distribution as well as mental retardation, seizures, ipsilateral leptomeningeal angioma
    Sturge-Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe.
  26. Cafe au lait spots on skin
    Neurofibromatosis type 1
  27. Hyperphagia, hypersexuality, hyperorality, and hyperdocility
    Kluver-Bucy syndrome (amygdala)
  28. May be administered to symptomatic patient to diagnose myasthenia gravis
    Edrophonium

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