Life Long Learning in Neurology - part 1 doc

... ataxia. Neurology 2002;58 :12 2 1- 1 226. 3. A 25-year-old primigravida is seen in urgent consultation shortly after experiencing a first generalized tonic- clonic seizure. She is 1 day postpartum ... sensorineural hearing loss: is there a relationship? J Clin Gastroenterol 19 82;4:25 1- 2 52. 14 . 14 . A 45-year-old woman with a history of metastatic breast cancer is begun on in...

Ngày tải lên: 09/08/2014, 16:21

... pleocytosis, this occurs in the setting of polyradiculopathy in immunosuppressed patients infected with HIV type 1. 33. A 67-year-old Native American from rural Arizona with non-insulin-dependent diabetes ... enzymes B. Increase in number of LDL receptors C. Suppression of sterol regulatory element binding protein (SREBP) cleavage activating protein (SCAP) D. Increase in circula...

Ngày tải lên: 09/08/2014, 16:21

... following is the most appropriate management option for this patient's inappropriate laughing and crying? A. Discontinue interferon beta-1b B. Begin desipramine C. Begin gabapentin D. ... serotonin-norepinephrine reuptake inhibitor with selegiline appears to be rare, combination of these agents with selegiline should be avoided. Rasagiline, a new monoamine oxidase type B-inhibitor...

Ngày tải lên: 09/08/2014, 16:21

... Monthly brain magnetic resonance imaging scans in patients with clinically isolated syndrome. Mult Scler 2005 ;11 (4):39 0-3 94. 13 . A 30-year-old teacher with a diagnosis of relapsing-remitting MS ... of brain magnetic resonance imaging abnormalities at presentation with clinically isolated syndromes suggestive of multiple sclerosis. A 5-year follow-up study. Brain 19 93 ;11 6(pt...

Ngày tải lên: 09/08/2014, 16:21

... angiotensin-converting enzyme D. Increased complement C3 and C5 fractions E. Elevated interleukin-6 and 1 4-3 -3 proteins Correct Answer: The correct answer is E. Increased levels of interleukin-6 ... been linked to autosomal dominant, pure forms of disease (SPG13). 11 . A 32-year-old man with AIDS complains of progressive leg weakness, paresthesias, gait unsteadiness, and urinary...

Ngày tải lên: 09/08/2014, 16:21

... Scollo-Lavizzari G, Bassetti C. Prognostic value of EEG in post-anoxic coma after cardiac arrest. Eur Neurol 19 87;26 :16 1- 1 70. 52 A. 10 minutes B. 25 minutes C. 50 minutes D. 75 minutes ... hydrochlorothiazide, lisinopril, metformin, and niacin. His blood pressures have varied from 11 5/70 mm Hg to 12 5/75 mm Hg. Fasting blood sugar is 11 5 with glycosylated hemoglobin...

Ngày tải lên: 09/08/2014, 16:21

... examination, he is a thin man who is somewhat restless and perspiring. Vital signs are: blood pressure 13 0/70, P -1 1 5 R -1 5 afebrile. Neurological examination is unremarkable except for a fine ... be avoided. 35. A 57-year-old man is evaluated for a 3-month history of episodic spinning sensation triggered by turning in bed, arising from bed in the morning, or extending his neck t...

Ngày tải lên: 09/08/2014, 16:21

... Rasagiline is a relatively selective inhibitor of monoamine oxidase-B (MAO-B). Monamine oxidase-A (MAO-A) in the gut metabolizes ingested tyramine. The dose at which rasagiline loses its MAO-B ... absolute response to indomethacin. 40. A 39-year-old man reports a 1- year history of sharp, stabbing pain behind or above the left eye lasting 5 to 10 seconds and recurring multiple times...

Ngày tải lên: 09/08/2014, 16:21

... engaging in alerting activities prior to sleep. Idiopathic insomnia is a long- standing, often lifelong, form of insomnia without associated etiologic factors or stressors. 9. A 45-year-old ... carbamazepine metabolism by CYP3A4, resulting in increasing plasma carbamazepine levels and risk of toxicity. Other drugs producing this effect include antivirals (delavirdine, indinavir, ritona...

Ngày tải lên: 09/08/2014, 16:21

... Hart RG, Kagan-Hallet K, Joerns SE. Mechanisms of intracranial hemorrhage in infective endocarditis. Stroke 19 87 ;18 (6) :10 4 8 -1 056. 11 . A 67-year-old man is admitted to the medical intensive care ... cobalamin and renders methylcobalamin inactive, producing clinical manifestations of cobalamin deficiency, especially in patients with preexisting subclinical cobalamin deficienc...

Ngày tải lên: 09/08/2014, 16:21