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41 y/o without family h/o corticocerebellar degeneration presents with 3-
month h/o ataxia of gait/limbs, dysarthria, and progressive nystagmus. MRI
and CSF normal. 1) Antibody panel with presence of ? 2) What type of
tumor is likely present? - 🧠ANSWER ✔✔1) anti-Yo 2) Ovarian Carcinoma
Essential criterion for the declaration of brain death prior to organ donation
requires? - 🧠ANSWER ✔✔A positive apnea test
EEG that reveals posterior alpha and anterior beta activity is most likely to
have been obtained from whom? - 🧠ANSWER ✔✔A relaxed adult with eyes
closed
10 y/o child freq episodes brief lapses of consciousness without
premonitory sxs. Lasts 2-10 seconds, followed by immediate and full
,resumption of consciousness without awareness of what has happened.
These ictal episodes most likely caused by what kind szs: - 🧠ANSWER
✔✔Absence
Neuronal enzyme that is the target of drugs to treat Alzheimer's i.e.
galantamine and rivastigmine - 🧠ANSWER ✔✔Acetyl cholinesterase
Complications of a cerebellar hemorrhage? - 🧠ANSWER ✔✔Acute
hydrocephalus
Progressive weakness over several days - absent reflexes worse in lower
extremities - slow conduction velocity, conduction block - 🧠ANSWER
✔✔Acute inflammatory polyneuropathy
Weakness in limbs 2 weeks after a viral gastroenteritis. Weakness in
UE/LE, absent DTRs. Spinal fluid shows no cells and elevated protein. -
🧠ANSWER ✔✔Acute inflammatory polyneuropathy
Young pt recovering from flew-like illness w/ progressive weakness and
numbness of legs and feet. Weakness and numbness below middle of
thorax. Increased LE DTR's, extensor plantar reflexes. Urinary
incontinence. LP 23 mononuclear cells, protein level 37, nml glucose -
🧠ANSWER ✔✔Acute transverse myelitis
,The single most consistently documented and significant risk factor in the
epidemiology of tardive dyskinesia is? - 🧠ANSWER ✔✔Advanced age
Known risk factors for dementia: - 🧠ANSWER ✔✔Age, family hx, female,
Down Syndrome
What psychoactive drug produces amnesia? - 🧠ANSWER ✔✔Alcohol
What baseline labs should be taken before starting tacrine? - 🧠ANSWER
✔✔ALT and AST (baseline and f/u)
Clock drawing test is quickly administered and sensitive screen for which
d/o? - 🧠ANSWER ✔✔Alzheimer's
Individuals over 40yo with Down's syndrome frequently develops: -
🧠ANSWER ✔✔Alzheimer's
Amyloid precursor protein in - 🧠ANSWER ✔✔Alzheimer's Disease
Most common cause of dementia: - 🧠ANSWER ✔✔Alzheimer's disease
45 year old with gradual progressive weakness over the past 3-4 months,
particularly in the LUE. - 🧠ANSWER ✔✔Amyotrophic lateral sclerosis
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, 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. Dx? - 🧠ANSWER
✔✔Amyotrophic lateral sclerosis
Gradually progressive weakness of legs and dysarthria over months -
fasciculations of tongue - prominent left upper extremity weakness - muscle
spasticity - brisk reflexes - normal sensation - 🧠ANSWER ✔✔Amyotrophic
lateral sclerosis
Fasciculations, fibrillations, positive sharp waves on EMG + progressive
weakness over several weeks - 🧠ANSWER ✔✔Amyotrophic lateral
sclerosis
70 y/o F sudden onset paralysis R foot and leg. R arm and hand lightly
affected. No aphasia or visual field deficit. Over weeks found with loss
bladder control, abulia and lack of spontaneity. Which vascular area: -
🧠ANSWER ✔✔Anterior cerebral artery (left)
55 y/o hx of weakness and clumsiness x several months. Difficulty w/ fine
motor tasks. Arm muscles twitch and cramp easily, weakening, atrophy.
Sensory, coordination, cranial nerve exams wnl. Underlying illness affects