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Neuro Exam - 2009 - SAWA '06 Summarizing Group

By Joyce Bailey,2014-12-06 15:47
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2-history oF URT infection ,, followed by ascending paralysis calcium channel blocker if he come to ER with acute attack , what is your treatment

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    NEURO EXAM

B3

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م?سلا نك?:(

    1- movement dystonia: history about cervical dystonia

*what is the treatment?

    botulinum toxin

*mechanism of action?

    it prevents the release of acetylcholine from the presynaptic axon of the

    motor end plate

*two other indication for this drug?

    oromandibular dystonia

    spamodic dysphoia

    2-history oF URT infection ,, followed by ascending paralysis ?

* your diagnosis?

    (Guillain-Barre syndrome)

    *location of lesion?

* treatment?

    3- history of young adult patient came to ER with coma

* what is the neurological examination you will do to differentiate btw

    structural and metabolic cause ?

    papillary reflux

*two DDX?

hypoglycemia , SAH

* Two emergency management :) ?

    4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep ==) (cluster headache) ??

*mention three sign (not symptom ) of the disease?

*prophylactic-treatment ?

    calcium channel blocker

    * if he come to ER with acute attack , what is your treatment ? 100 oxygen

    5- history of loss of consciousness preceded by strange smell (aura) ?

*your diagnosis?

    complex partial seizure

*two investigation ?

    CT ,, EEG

*two treatment line?

    phenytoin , carbamazepine

    6- history of 35 years old male with sudden onset sever headache then loss of consciousness , came to ER , he can localize the pain and he open his eye spontaneously?

* you diagnosis?

    SAH

* what is the most common type of head injury?

    Concussion

* what is theglascow coma scale of the patient?

    7- history of pain in the lateral aspect of leg extent to the big toe ?

* what is the level of injury if it was posterio lateral ?

    L4-L5

* what is the level of injury if it was extreme lateral ?

    L5 - S1

    * what is the enervation of the blander ? S2-S3-S4

8- about tumor ?

    *most common tumor in intradural extramedullaryy? meningioma

    *most common supra tontorial tumor in children?

    *what is the name of grade III astrocytoma? anaplastic astrocytoma

9- picture of hydroceph (CT)?

*what is your diagnosis?

    hydroceph

*what is the non-obstructive cause ?

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عه ـ:ق?ف?;ل!ب نكل !?تا?(د

    ي~وشلا ن??ا~بإ & ?ل?جر د!?ز

thanks for the questions, i've thought i'd share the rest of the answers, they are in

    bold.if anything is wrong please tell me.

    good luck

    2-history oF URT infection ,, followed by ascending paralysis ?

* your diagnosis?

    (Guillain-Barre syndrome)

    *location of lesion?

    Peripheral myelinated nerves (myelin sheath)

    * treatment?

    IVIg, Plasmapharesis, supportive esp for RS failure

    3- history of young adult patient came to ER with coma

* what is the neurological examination you will do to differentiate btw structural

    and metabolic cause ?

    papillary reflux

*two DDX?

    hypoglycemia , SAH

* Two emergency management :) ?

    Intubation and airway control, thiamine + glucose infusion

4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep

    ==) (cluster headache) ??

*mention three sign (not symptom ) of the disease?

    Conjunctival injection

    facial flushing

    miosis

    ptosis

    eyelid edema

*prophylactic-treatment ?

    calcium channel blocker

    * if he come to ER with acute attack , what is your treatment ? 100 oxygen + Sumatriptan

    5- history of loss of consciousness preceded by strange smell (aura) ?

*your diagnosis?

complex partial seizure

*two investigation ?

    CT ,, EEG ---> MRI and EEG

*two treatment line?

    phenytoin , carbamazepine

6- history of 35 years old male with sudden onset sever headache then loss of

    consciousness , came to ER , he can localize the pain and he open his eye

    spontaneously?

* you diagnosis?

    SAH

    * what is the most common type of head injury? Concussion

    * what is theglascow coma scale of the patient?

7- history of pain in the lateral aspect of leg extent to the big toe ?

    * what is the level of injury if it was posterio lateral ? L4-L5

    * what is the level of injury if it was extreme lateral ? L5 - S1

* what is the enervation of the blander ?

    S2-S3-S4

8- about tumor ?

    *most common tumor in intradural extramedullaryy? meningioma

    *most common supra tontorial tumor in children? low grade supratentorial astrocytoma (I've researched it in uptodate)

    *what is the name of grade III astrocytoma? anaplastic astrocytoma

9- picture of hydroceph (CT)?

*what is your diagnosis?

    hydroceph

*what is the non-obstructive cause ?

    either blood clots blocking resorption at arachnoid villi, or damage to

    these, or choroid plexus tumor

==========================

عه ـ:ق?ف?;ل!ب نكل !?تا?(د

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