Neurology Questions And Answers PdfBy Peverell M. In and pdf 31.03.2021 at 21:11 3 min read
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- Frequently Asked Neurological Questions
- Absolute Pediatric Neurology
- neurology question bank 2015.pdf
Frequently Asked Neurological Questions
His wife claims that he is complaining of seeing spiders and bugs running across the floor. She receives lorazepam 4 mg intravenously with subsequent seizure cessation. Which medication is the best next treatment step for B.
Answer: B In general, medications to treat status epilepticus should be in parenteral formulation to facilitate rapid administration. Once the seizures of status epilepticus have been stopped, a second, long-acting drug should be started to prevent seizure recurrence. Medications typically used for this purpose include phenytoin, fosphenytoin, phenobarbital, and sometimes valproic acid. There is no need to administer another benzodiazepine because the seizure activity has ceased.
A Fatigue occurs rarely in MS. This is the correct answer. B The treatment of fatigue often is overlooked in MS patients. C Amantadine is useful orally and intrathecally to treat fatigue. D It is often helpful to treat for sleep improvement. His most recent total phenytoin level was On the basis of this patient's current serum phenytoin concentration, which adjustment should be made to his regimen? A- Increase the phenytoin dose to ensure control of his seizures.
B- Maintain the total daily dose, but recommend taking the medication as mg three times daiy to ensure absorption. C- Decrease the dose to reduce the risk of adverse effects. A Oral immunoglobulin This is the correct answer. A routine level is drawn and reported at 7. After correcting for a low albumin level you find it is actually 9. The BEST recommendation would be: a. B again represents an increase in dose, and this recommendation wouldn't make practical sense.
C is incorrect as the corrected phenytoin level is a truer level in relation to a low albumin phenytoin is highly protein bound and a free level may be indicated in this case. D is incorrect as the patient is certainly at steady state by this time. Which triptan is best to treat M. Answer: D Sumatriptan is available as an injectable and as a nasal spray and would be more appropriate to use in a patient with severe nausea and vomiting.
Zolmitriptan is available as a nasal spray. Although she gets some relief from ergot alkaloid therapy, she states she has to cancel plans at least once every few weeks.
Her medical history is significant for hypertension, and her medications include lisinopril and ergotamine as needed. Which is the most appropriate recommendation for this patient? Topiramate is considered a medication with established efficacy in migraine prevention because many clinical trials versus placebo have shown a lower monthly frequency of migraines. Other studies have shown efficacy similar to valproate or propranolol. Ergotamine is not preferred for chronic use, and it imay be a problem in patients with uncontrolled hypertension Answer A.
Frovatriptan has established efficacy in preventing menstrual-related migraines; however, the patient's history does not suggest her migraines are related to her menstrual cycle Answer B. RD is a year-old man who is shopping for greeting cards in the pharmacy where you work. As you watch, he falls to the floor and his body stiffens, then his muscles begin to contract rhythmically. You ask one of the technicians to call , and soon an ambulance arrives.
When he arrives at the ED, the first medication they should give to stop his seizure is which one of the following? A diazepam B lorazepam C phenobarbital D pentobarbital Answer: B.
Lorazepam is the drug of choice for treatment of status epilepticus. Phenobarbital, phenytoin, or fosphenytoin should be administered immediately after the lorazepam to prevent further seizures.
She takes topiramate. Which of the following adverse effects may be problematic for her? Answer c. Topiramate can cuase acidosis not alkalosis. He recently noticed an involuntary twitching movement of his left foot.
Which is the best therapy for L. Add ropinirole. Add selegiline. Answer: D Treatment of dyskinesias includes decreasing the levodopa dose, removing selegiline or dopamine agonists from the drug regimen, or adding amantadine. She presents to the anticoagulation clinic for her initial visit.
Which best reflects her target INR? Answer: C The target INR for a patient younger than 75 years with hypertension and diabetes mellitus is 2. A 46 year old male with a history of epilepsy has been transported to the ER in status epilepticus. Lorazepam has been administered but the patient is still seizing. The patient's wife states that her husband has not been feeling well and has not been taking his anti-seizure medications, nor has he been eating or drinking much.
The ER nurse is having difficulty placing an IV line which he thinks may be due in part to volume depletion. The ER physician calls you to recommend an anti-seizure medication that can be given intramuscularly. Which one of the following would be most appropriate? Phenobarbital is formulated for IM use. IM administration of levetiracetam has not been tested.
Phenytoin has erratic absorption when administered IM and injections are painful due to its high pH.
Valproic acid can cause tissue necrosis when given IM. She rates the pain of these headaches as 7 of 10 and finds acetaminophen, aspirin, ibuprofen, naproxen ketoprofen, and piroxicam only partly effective. She wishes to take a prophylactic drug to prevent these tension headaches. Which is best for prophylaxis of her headaches?
Valproic acid. Answer: C Amitriptyline is effective as prophylaxis for tension headaches. Which patient situation would be an appropriate reason to consider discontinuation of an anticonvulsant medication? An abnormal electroencephalogram EEG during treatment with an antiepileptic drug B.
Multiple seizure types consistent with an epilepsy syndrome C. Patient having been seizure free for 2—5 years D. Patient having taken an anticonvulsant medication for 5 years.
Patient having been seizure free for 2—5 years Antiepileptic therapy may not need to be continued indefinitely. Antiepileptic drug withdrawal may be an option for patients who have been seizure free for 2—5 years and have a single type of seizure, a normal neurologic examination and IQ, and an electroencephalogram EEG that is normal with treatment. He will have no episodes for 2—3 weeks but then will have recurrent episodes. In the office, he receives oxygen by nasal cannula during an episode, and his pain is relieved.
He has a diagnosis of cluster headaches. Which drug is best for prophylaxis of his headaches? Answer: D Lithium is a prophylactic agent for cluster headaches. Amitriptyline is useful for migraine and tension headaches. This morning, her right leg became progressively weaker over about 3 hours. She was previously healthy except for a broken radius when she was 13 years old and a case of optic neuritis when she was 25 years old. Which is the best method for treating S.
Interferon beta-1a. Glatiramer acetate. Which therapy is best for S. Interferon beta-1b. Any of the above. Which is the best advice? Always give the injection at the same time of day. Lie down for 2 hours after the injection. Rotate injection sites. Use a heating pad on the injection sites. Answer: C Rotating the injection sites for the self-injections is a good strategy for preventing injection site reactions.
Other strategies that might help prevent these reactions are icing the injection site before injection and bringing the drug to room temperature. The injections should be administered at about the same time of day, but this is not a strategy for preventing adverse effects.
Which of the following anti-epileptic drugs is NOT a controlled substance?
Absolute Pediatric Neurology
According to the question, the nurse has determined that the boy has a possible fracture. Children ages 2 to 5. When you feel confident about your knowledge and your ability to respond to these questions, you can focus on demonstrating your expertise and making a great first impression. The nervous system and certain endocrine. Questions 3 through 8 are short free-response questions that should require about 6 minutes each to answer.
Rochester, NY. This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. The first edition of this neuroanatomy text is intended "for medical, dental, and allied health students who are preparing for examinations. All chapters are structured similarly, each beginning with a suggested plan for review. Every chapter is subdivided into succinct sections, and important points are emphasized and bolded. The text contains numerous black-and-white figures, most of which are clear and easy to follow.
This book provides a question-and-answer review in an easy-to-read format. It was specifically designed to cover the topics listed in the ABPN content outline, including basic neuroscience, behavioral neurology, psychiatry, and clinical neurology adult and child. Cerebrovascular disease, epilepsy, neuromuscular diseases, movement disorders, demyelinating diseases, critical care, trauma, and neurologic complications of systemic disease are covered, as well as neuroanatomy, neuroinfectious diseases, neurologic complications of systemic diseases, substance abuse, sleep disorders, dementia, neurotoxicology, and neuropharmacology. The book includes questions about recent practice parameters published by the American Academy of Neurology. Multiple question formats were utilized, including case-based questions. Access to the complete content on Oxford Medicine Online requires a subscription or purchase.
Questions 1 and 2 pertain to the following patient: A 27 year-old woman complains of tingling numbness in her feet, ascending halfway up her legs, for the past 3.
neurology question bank 2015.pdf
It seems that you're in Germany. We have a dedicated site for Germany. This practical book features more than questions and answers with illustrations for pediatric neurologists, adult neurologists, general pediatricians and students taking their initial board examination and maintenance of certification. All questions are in multiple choice format and followed by the correct answer with a full explanation and appropriate references.
Amy McGregor, MD
Офицер полиции этого не знает. - Не имеет понятия. Рассказ канадца показался ему полным абсурдом, и он подумал, что старик еще не отошел от шока или страдает слабоумием. Тогда он посадил его на заднее сиденье своего мотоцикла, чтобы отвезти в гостиницу, где тот остановился. Но этот канадец не знал, что ему надо держаться изо всех сил, поэтому они и трех метров не проехали, как он грохнулся об асфальт, разбил себе голову и сломал запястье. - Что? - Сьюзан не верила своим ушам.
На коммутатор поступает сообщение. Фонтейн тотчас повернулся к стене-экрану. Пятнадцать секунд спустя экран ожил. Сначала изображение на экране было смутным, точно смазанным сильным снегопадом, но постепенно оно становилось все четче и четче. Это была цифровая мультимедийная трансляция - всего пять кадров в секунду.
Все было бесполезно. До поворота оставалось еще триста метров, а такси от него отделяло всего несколько машин. Беккер понимал, что через несколько секунд его застрелят или собьют, и смотрел вперед, пытаясь найти какую-нибудь лазейку, но шоссе с обеих сторон обрамляли крутые, покрытые гравием склоны. Прозвучал еще один выстрел. Он принял решение. Под визг покрышек, в снопе искр Беккер резко свернул вправо и съехал с дороги.
Свернув, оно промчалось через ворота Санта-Крус, обломав в узком проезде боковое зеркало. Беккер знал, что он выиграл. Санта-Крус - самый старый район Севильи, где нет проездов между зданиями, лишь лабиринт узких ходов, восходящих еще к временам Древнего Рима.
- Каким же образом вы выполните обещание об эксклюзивном… - Не волнуйтесь, - спокойно ответил американец. - Эксклюзивные права у вас. Это я гарантирую. Как только найдется недостающая копия ключа, Цифровая крепость - ваша.