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PRITE FREQUENTLY TESTED ACCURATE QUESTIONS AND ANSWERS TO ACE YOUR EXAM
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PRITE FREQUENTLY TESTED ACCURATE QUESTIONS AND ANSWERS TO ACE YOUR EXAM
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PRITE FREQUENTLY TESTED ACCURATEQUESTIONS AND ANSWERS TO ACE YOUR
EXAM
Which brain pathology is associated with 69 yo female with progressive
behavioral changes, rudeness, interrupting conversations, watching
excessive TV (turned off), large meals despite no hunger, stooped posture
w/ slow shuffling gait: amyloid deposition, dopamine depletion,
intraneural tau deposits, ubiquitinated inclusions, alpha synuclein
accumulation?
Correct Answer -INTRANEURAL TAU DEPOSITS
35 yo M awakens frequently in the middle of night with severe HAs, which
sometimes occurs nightly and lasts approx 1-2 hrs, so severe that pt is
afraid to go to sleep, located around L eye and assoc with lacrimation,
ptosis, & miosis. Likely dx is:
Correct Answer -CLUSTER HEADACHES
Young pt with new onset severe HAs associated with periods of visual
obscuration. Neuro exam is normal except for papilledema. MRI: normal
and shows no mass effect. Next test?
Correct Answer -LUMBAR PUNCTURE TO MEASURE PRESSURE
35 yo reports episodes of flashing lights traveling slowly from L to R in the
left visual field, symptoms persisting for about 30 minutes, followed by
difficulty expressing self and concentrating. After about 30 minutes, these
neurologic symptoms seem to subside, and pt develops a pounding
headache associated with nausea. Both the physical exam and MRI are
,normal. Dx?
Correct Answer -MIGRAINE WITH AURA
30 yo with intermittent HAs, each attack lasting approx 1 hour. Attacks w/
sharp, stabbing pain around eye, tearing, and nasal congestion. Most
effective abortive treatment?
Correct Answer -OXYGEN
On the way to the airport for vacation, 58 yo F begins to behave in a very
strange way. Husband notices when he talks to her she answers
appropriately w fluent speech but seems to have no ability to retain any
new information. She repeatedly asks where they are going, even after he
has told her many times. The episode lasts for about 6 hours. The following
day she is back to normal but has no recollection of the prior day events.
This episode is most consistent with a diagnosis of:
Correct Answer -TRANSIENT GLOBAL AMNESIA
Myasthenia gravis associated w/ which EMG finding:
Correct Answer -DECREASED AMPLITUDE WITH REPETITIVE MOTOR NERVE
STIMULATION
22 yo with pain in the right hand that radiates into the forearm and bicep
muscle. Paresthesia in the palm of the hand, thumb, index, middle ring
finger. Sensory systems in the ring finger split the ring finger longitudinally.
Dx?
Correct Answer -MEDIAN NERVE ENTRAPMENT AT THE WRIST
, Atrophy of the intrinsic muscles of the right arm and forearm. Reflexes are
generally brisk, plantar reflexes are extensor. Electrophysiology shows
widespread fasciculations, fibrillation and sharp waves, normal sensation,
muscle spasticity. Positive sharp waves on EMG. Dx
Correct Answer -AMYOTROPHIC LATERAL SCLEROSIS
A 54- year-old patient had a viral upper respiratory infection 2 weeks ago
and now presents with a 3-day episode of progressive, symmetric
weakness in the legs, and tingling in the toes and fingers. On exam, achilles
and patellar deep tendon reflexes are diminished. Nerve conduction
studies demonstrate decreased conduction velocity and decreased
amplitude of action potentials. The most likely Dx:
Correct Answer -ACUTE INFLAMMATORY DEMYELINATING
POLYNEUROPATHY (or GBS)
Myasthenia gravis can be diagnosed in 80-90% of cases by identification of
serum antibodies against what?
Correct Answer -ACETYLCHOLINE RECEPTORS
Which drug for the tx of parkinsonism has been associated with sudden
sleep attacks?
Correct Answer -ROPINIROLE
Most effective treatment for 25 yo with daytime sleepiness, needs several
short naps, fell asleep while driving once, decreased REM latency:
Correct Answer -MODAFINIL
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