Life Long Learning in Neurology - part 3 ppt

... Lancet 2004 ;36 4 :33 1 -3 37 . 37 . Fetal malformations are most common in children exposed in utero to which of the following medications? A. Low-dose aspirin, oral B. Low molecular weight heparin, subcutaneous ... myocardial infarction (hazard ratio = 0.48, 95% confidence interval 0 .3 6-0 . 63) and stroke (hazard ratio = 0.47, 95% confidence interval = 0.2 7-0 .71), but a 7...

Ngày tải lên: 09/08/2014, 16:21

... 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 patients with transverse ... IgG index and oligoclonal bands B. Marked lymphocytic pleocytosis C. Elevated angiotensin-converting enzyme D. Increased complement C3 and C5 fractions E. El...

Ngày tải lên: 09/08/2014, 16:21

... approaches. Ann Neurol 19 83; 14:54 3- 5 53. Questions 32 and 33 refer to the following case vignette: A 28-year-old man has been experiencing prominent abdominal pain with waxing and waning diarrhea that ... 2-2 . 30 . Aside from lipid-lowering effects, 3- hydroxy -3 - methylglutaryl coenzyme A (HMG CoA) reductase inhibitors (statins) have anti-inflammatory actions that reduce athe...

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 ... after cardiac arrest. Neurology 1997;48 :35 2 -3 57. 40. Which of the following is the primary end point in determining pentobarbital dosing for treatment of status epilept...

Ngày tải lên: 09/08/2014, 16:21

... should 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 to ... gradual increase in difficulty climbing stairs and arising from a chair. On physical examination, she is cushingoid in appearance. Hip flexion in 3/ 5 bilaterally. Which of the fo...

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 ... dopamine-blocking properties. Typical antipsychotic agents may cause a functional decline in brain-injured patients, who may already have diminished dopamine circuits from frontal lobe injur...

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 p...

Ngày tải lên: 09/08/2014, 16:21

... Choline to creatine plus phosphocreatine (Cho/Cr) B. Choline to myoinositol (Cho/MI) C. Myoinositol to creatine plus phosphocreatine (MI/Cr) D. N-acetylaspartate to creatine plus phosphocreatine ... carbamazepine metabolism by CYP3A4, resulting in increasing plasma carbamazepine levels and risk of toxicity. Other drugs producing this effect include antivirals (delavirdine, indinavir, ri...

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 ... region. Symptoms of vertiginous seizures include dizziness, disequilibrium, unsteadiness, spinning, or room tilting as in this patient. 35 . A 9-year-old boy with partial-onset epil...

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 ... bradycardia during upright tilt B. Elevated plasma norepinephrine levels in the upright posture C. Hypotension in response to adrenoceptor agonists D. Increase in blood pressure...

Ngày tải lên: 09/08/2014, 16:21