NEUROLOGY PANCE REVIEW Questions
and Answers A+ Guide Exam
Unilateral facial muscle weakness is due to swelling of CN VII - correct
answers✅✅Bell's Palsy
Bell's palsy has strong associated with what illness - correct
answers✅✅HSV
Bell's Palsy tx - correct answers✅✅prednisone
gradual onset of chorea and restlessness, progressing to choreiform
movements - correct answers✅✅Huntington Disease
Huntington Disease initial imaging study - correct answers✅✅MRI
Huntington Disease confirmatory dx - correct answers✅✅DNA testing
Huntington Disease tx (3) - correct answers✅✅a. There is *no cure*.
b. *dopamine blockers* for the chorea & psychosis
c. Anxiolytic & antidepressant therapy
A 48 year-old male presents with a mild tremor that seems to increase with
*stressful situations* and subsides when he has a *glass of wine* with dinner.
The patient does not demonstrate the tremor at rest but it reappears when
he *reaches for a pen*. Which of the following is most likely the cause of this
patient's symptoms?
A. Parkinson disease
,NEUROLOGY PANCE REVIEW Questions
and Answers A+ Guide Exam
B. Essential tremor
C. Huntington disease
D. Focal torsion dystonia - correct answers✅✅(u) A. Parkinsonism is
characterized by combination of tremor, rigidity, bradykinesia, and postural
instability.
(c) B. Essential tremor can be familial and cause action related hand tremor,
head tremor, or voice tremor. The
lower extremities are spared and generally no further neurologic findings are
present.
(u) C. Huntington disease is characterized by gradual onset of chorea and
restlessness, progressing to choreiform
movements.
(u) D. Focal torsion dystonia causes involuntary spasmodic movements
including torsion of neck, oromandibular
dystonia, or uncontrolled eye blinking.
Essential tremor tx - correct answers✅✅propranolol
Bradykinesia, slow shuffling gait, reduced arm swing, slowed rapid
alternating movements, infrequent blinking, masklike facies, micrographia,
monotonous speech - correct answers✅✅Parkinson's Disease
Parkinson's tx - correct answers✅✅Levodopa / Carbidopa (*Sinemet*)
Complaining of motor or vocal tics
, NEUROLOGY PANCE REVIEW Questions
and Answers A+ Guide Exam
facial grimacing, shoulder shrugging, eye blinking or head jerking - correct
answers✅✅Tourette's Syndrome
Tourette's Syndrome tx (2) - correct answers✅✅Haloperidol
Risperidone
first-line treatment for acute inflammatory demyelinating polyneuropathy
variant of Guillain-Barre? - correct answers✅✅IVIG
A 26 year-old female reports progressive distal to proximal spread of
extremity weakness over the last 36 hours without fever, headache or
syncope. Examination reveals symmetrical, paresis of the hands and feet
with loss of the brachioradialis and Achillis reflexes. Biceps and knee reflexes
are present but diminished. Sensory exam is normal.
What are the most likely findings on cerebral spinal fluid (CSF) analysis?
A. Decreased glucose, increased WBC count and decreased protein
B. Increased glucose, normal WBC count and normal protein
C. Normal glucose, decreased WBC count and elevated protein
D. Normal glucose, normal WBC count and elevated protein - correct
answers✅✅Explanations
(u) A. See D for explanation.
(u) B. See D for explanation.
(u) C. See D for explanation.
(c) D. Guillain-Barre syndrome is typified by progressive symmetrical, distal
to proximal spread of weakness and areflexia without fever or sensory
and Answers A+ Guide Exam
Unilateral facial muscle weakness is due to swelling of CN VII - correct
answers✅✅Bell's Palsy
Bell's palsy has strong associated with what illness - correct
answers✅✅HSV
Bell's Palsy tx - correct answers✅✅prednisone
gradual onset of chorea and restlessness, progressing to choreiform
movements - correct answers✅✅Huntington Disease
Huntington Disease initial imaging study - correct answers✅✅MRI
Huntington Disease confirmatory dx - correct answers✅✅DNA testing
Huntington Disease tx (3) - correct answers✅✅a. There is *no cure*.
b. *dopamine blockers* for the chorea & psychosis
c. Anxiolytic & antidepressant therapy
A 48 year-old male presents with a mild tremor that seems to increase with
*stressful situations* and subsides when he has a *glass of wine* with dinner.
The patient does not demonstrate the tremor at rest but it reappears when
he *reaches for a pen*. Which of the following is most likely the cause of this
patient's symptoms?
A. Parkinson disease
,NEUROLOGY PANCE REVIEW Questions
and Answers A+ Guide Exam
B. Essential tremor
C. Huntington disease
D. Focal torsion dystonia - correct answers✅✅(u) A. Parkinsonism is
characterized by combination of tremor, rigidity, bradykinesia, and postural
instability.
(c) B. Essential tremor can be familial and cause action related hand tremor,
head tremor, or voice tremor. The
lower extremities are spared and generally no further neurologic findings are
present.
(u) C. Huntington disease is characterized by gradual onset of chorea and
restlessness, progressing to choreiform
movements.
(u) D. Focal torsion dystonia causes involuntary spasmodic movements
including torsion of neck, oromandibular
dystonia, or uncontrolled eye blinking.
Essential tremor tx - correct answers✅✅propranolol
Bradykinesia, slow shuffling gait, reduced arm swing, slowed rapid
alternating movements, infrequent blinking, masklike facies, micrographia,
monotonous speech - correct answers✅✅Parkinson's Disease
Parkinson's tx - correct answers✅✅Levodopa / Carbidopa (*Sinemet*)
Complaining of motor or vocal tics
, NEUROLOGY PANCE REVIEW Questions
and Answers A+ Guide Exam
facial grimacing, shoulder shrugging, eye blinking or head jerking - correct
answers✅✅Tourette's Syndrome
Tourette's Syndrome tx (2) - correct answers✅✅Haloperidol
Risperidone
first-line treatment for acute inflammatory demyelinating polyneuropathy
variant of Guillain-Barre? - correct answers✅✅IVIG
A 26 year-old female reports progressive distal to proximal spread of
extremity weakness over the last 36 hours without fever, headache or
syncope. Examination reveals symmetrical, paresis of the hands and feet
with loss of the brachioradialis and Achillis reflexes. Biceps and knee reflexes
are present but diminished. Sensory exam is normal.
What are the most likely findings on cerebral spinal fluid (CSF) analysis?
A. Decreased glucose, increased WBC count and decreased protein
B. Increased glucose, normal WBC count and normal protein
C. Normal glucose, decreased WBC count and elevated protein
D. Normal glucose, normal WBC count and elevated protein - correct
answers✅✅Explanations
(u) A. See D for explanation.
(u) B. See D for explanation.
(u) C. See D for explanation.
(c) D. Guillain-Barre syndrome is typified by progressive symmetrical, distal
to proximal spread of weakness and areflexia without fever or sensory
