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Neuro Exam - SAWA

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NEURO EXAM

B3

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‫عليكن السالم‬




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 ?

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

‫دعواتنا لكن بالتوفيق:ـ هع‬
‫زياد رجوله & إبراهين الشوري‬
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

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

‫دعواتنا لكن بالتوفيق:ـ هع‬

				
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