neuro review.txt

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tallone4830
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270517
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neuro review.txt
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2014-04-14 10:38:59
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neuro review
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neuro review.txt
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  1. Who is statistically more likely to get a stroke: men or women?
    Men
  2. Who is statistically more likely to get a stroke: Caucasians or African Americans?
    African Americans
  3. Which stroke type is more common: ischemic or hemorrhagic?
    Ischemic (80%)
  4. Which is the more likely source of an ischemic stroke: thrombus or embolus?
    Thrombus (2/3rds)
  5. What is the most common precipitating factor for hemorrhagic strokes: HTN or a-fib?
    HTN
  6. By definition, a CVA lasts for: >24 hrs or <24 hrs?
    >24 hrs
  7. In general, a left sided stroke would cause muscle weakness on which side: right or left?
    Right (contralateral)
  8. CVA in the anterior circulation (ACA/MCA) are more likely to cause: hemiparesis or ataxia?
    Hemiparesis (hemispheric signs: aphasia, apraxia, hemisensory loss, visual field defects)
  9. CVA in the posterior circulation (PCA/basilar) are more likely to cause: hemiparesis or ataxia?
    Ataxia (coma, vertigo, nausea, vomiting)
  10. What is the best modality for diagnosing acute hemorrhagic stroke: CT or MRI?
    CT
  11. What is the best modality for diagnosing acute ischemic stroke: CT or MRI?
    MRI
  12. If you suspect hemorragic stroke but CT is negative, what is the next test you should do: MRI or LP?
    LP
  13. What is the gold standard for diagnosing CVA: MRI or cerebral angiography?
    Angiography
  14. The goal time for thrombolytic therapy in CVA is: 3 hrs or 12 hrs?
    3 hrs (can be given up to 4.5 hrs)
  15. What is the biggest complication of tPA in CVA: bleeding or seizure?
    Bleeding
  16. Antiplatlet therapy is indicated in which type of stroke: ischemic or hemorrhagic?
    Ischemic
  17. TIAs are most likely due to issues with: carotid stenosis or DVT?
    carotid stenosis (also vertebral artery issues)
  18. Focal neurologic deficits that only partially clear after 24 hours: CVA or TIA?
    CVA
  19. Workup for CVA or TIA should include labs to identify: coagulopathies or dyslipidemias?
    Both
  20. Cardioembolic TIAs or CVAs require which form of treatment: antiplatlet or anticoagulation?
    Anticoagulation
  21. Back-to-back seizures where the patient does not regain full consciousness between is one form of status epilepticus: true or false?
    True (other is seizures failing to cease spontaneously)
  22. Seizures that involve loss of consciousness are classified as: generalized or partial?
    Generalized
  23. What is the most beneficial test in the diagnosis of a seizure disorder: EEG or ECG?
    EEG
  24. Isolated involuntary movements without impaired consciousness would represent what type of seizure: simple partial or clonic?
    Simple partial
  25. Seizure aura, impaired consciousness, and focal clonic activity would represent what type of seizure: complex partial or Jacksonian?
    Complex partial
  26. Do single unprovoked seizures without exam or diagnostic abnormalities require treatment: yes or no?
    No
  27. What is the best way to maintain an airway in someone who is having a seizure: recovery position / head-tilt or use of a bite block?
    Recovery position / head-tilt
  28. Initial treatment of refractory seizures includes: benzos or propofol?
    Benzos
  29. Is MS a disease of the central or peripheral white matter?
    Central
  30. MS is more likely to affect who: women or men?
    Women
  31. Facial weakness + arm weakness, more likely to be: CVA or MS?
    CVA
  32. Diplopia + urinary incontinance, more likely to be: CVA or MS?
    MS
  33. Initial treatment for acute MS includes: corticosteroids or cyclophosphamide?
    Corticosteroids
  34. The most common type of brain tumor is a: glioma or meningioma?
    Glioma
  35. What type of dementia is more common: Alzheimer's or vascular?
    Alzheimer's (70%)
  36. Pseudodementia is related to: depression or psychosis?
    Depression
  37. Dementia associated with behavioral symptoms and compulsive disorders is: Lewy-body or frontotemporal?
    Frontotemporal
  38. Dementia that progresses in a stepwise fashion is more characteristic of: Alzheimer's or vascular?
    Vascular (AKA multi-infarct dementia)
  39. Tremor that improves with alcohol is more characteristic of: essential or parkinsonian?
    Essential
  40. Tremor that is bilateral and symmetric is more characterisic of: essential or parkinsonian?
    Essential
  41. Tremor that is unilateral and asymetric is more characteristic of: essential or parkinsonian?
    Parkinsonian
  42. For your patient with HTN and essential tremor, what medication may help to improve both: atenolol or propranolol?
    Propranolol
  43. Parkinson's is related to what neurotransmitter: seratonin or dopamine?
    Dopamine
  44. Motor symptoms in Parkinson's disease include: postural instability or autonomic dysfunction?
    Postural instability
  45. Progressive chorea is associated with which disease: Huntington's or Coryza?
    Huntington's
  46. Bell's palsy is paralysis of cranial nerve: five or seven?
    Seven (Facial)
  47. The most common cause of mixed peripheral polyneuropathy is: diabetes or MS?
    Diabetes
  48. Symmetrical weakness that begins distal and progresses proximal is: Guillain-Barre or botulism?
    Guillain-Barre
  49. Increased muscle weakness and fatigability that resolved by rest is characteristic of: Guillain-Barre or Myasthenia gravis?
    Myastenia gravis
  50. The most appropriate lab test for myastenia gravis would be: CK or anti-ACh?
    anti-ACh

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