Life Long Learning in Neurology - part 2 pptx

... Elevated interleukin-6 and 1 4-3 -3 proteins Correct Answer: The correct answer is E. Increased levels of interleukin-6 or 1 4-3 -3 proteins in CSF may predict the severity of long- term disability in ... encoding which of the following proteins? A. Proteolipid protein B. Myelin basic protein C. Spastin D. Paraplegin E. Spartin Correct Answer: The correct answer is C. The h...

Ngày tải lên: 09/08/2014, 16:21

... gluten ataxia. Neurology 20 02; 58: 122 1-1 22 6. Hadjivassiliou M, Boscolo S, Davies-Jones GA, et al. The humoral response in the pathogenesis of gluten ataxia. Neurology 20 02; 58: 122 1-1 22 6. Pai JK, ... Hadjivassiliou M, Boscolo S, Davies-Jones GA, et al. The humoral response in the pathogenesis of gluten ataxia. Neurology 20 02; 58: 122 1-1 22 6. 3. A 25 -yea...

Ngày tải lên: 09/08/2014, 16:21

... prevention of death, myocardial infarction, and stroke in high-risk patients. BMJ 20 02; 324 :7 1-8 6. 40. A 65-year-old woman presents to her physician for counseling regarding risk factor reduction for ... B. Aspirin, 325 mg/d plus clopidogrel, 75 mg/d C. Aspirin, 25 mg plus extended-release dipyridamole, 20 0 mg; 1 capsule 2 times a day D. Aspirin, 25 mg 2 times a day plus...

Ngày tải lên: 09/08/2014, 16:21

... reduction in cerebral blood flow and increase in cerebral blood volume. The vasodilation results in an increase in intracranial pressure and reduced intracranial compliance. 32. A 74-year-old hypertensive ... varicella-zoster virus E. Continue acyclovir, as HSV-1 PCR obtained within 72 hours may be false-negative Correct Answer: The correct answer is E. The clinical features and...

Ngày tải lên: 09/08/2014, 16:21

... horizontal-rotatory nystagmus. Vertical nystagmus after horizontal head shaking (cross-coupling) indicates a central lesion. 20 . A 28 -year-old man has had a feeling of mild disequilibrium since ... 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

... 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 ... concern until 24 months of age. Absence of hand gesturing rather than excessive meaningful hand gesturing at 12 months of age is concerning. 32. A 4 2- year-old woman with a 14-year histor...

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 ... suppress her anxiety- induced, enhanced physiological tremor. 15. About an hour after receiving codeine and promethazine for a severe headache, nausea, and vomiting, a 2 2- year-old pregna...

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

... 1999:353 (20 );96 4-9 69. Correct Answer: Rudick RA, Lee JC, Simon J, Fisher E. Significance of T2 lesions in multiple sclerosis: a 13-year longitudinal study. Ann Neurol 20 06;60 (2) :23 6 -2 42. 22 . A 30-year-old ... against the CD20 receptor on circulating B cells. Correct Answer: The correct answer is E. 32. Activity directed against [alpha ]-4 integrins on circulating immu...

Ngày tải lên: 09/08/2014, 16:21

... cobalamin and renders methylcobalamin inactive, producing clinical manifestations of cobalamin deficiency, especially in patients with preexisting subclinical cobalamin deficiency. 10. A 54-year-old ... the brain and cervical spine shows moderate anterior subluxation of C1 over C2 and basilar invagination. Which of the following spinal abnormalities results in basilar invagination?...

Ngày tải lên: 09/08/2014, 16:21