Life Long Learning in Neurology - part 4 docx

... 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 7 4- year-old hypertensive ... 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...

Ngày tải lên: 09/08/2014, 16:21

... Defining interferon beta response status in multiple sclerosis patients. Ann Neurol 20 04; 56 (4) : 54 8-5 55. Correct Answer: Tomassini V, Paolillo A, Russo P, et al. Predictors of long- term clinical ... directed against [alpha ] -4 integrins on circulating immune cells involved in the inflammatory response in MS. Correct Answer: The correct answer is D. 32. Intercalates with...

Ngày tải lên: 09/08/2014, 16:21

... sensorineural hearing loss: is there a relationship? J Clin Gastroenterol 1982 ;4: 25 1-2 52. 14. 14. A 45 -year-old woman with a history of metastatic breast cancer is begun on intravenous cyclosporine ... approaches. Ann Neurol 1983; 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 waxin...

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 ... encoding which of the following proteins? A. Proteolipid protein B. Myelin basic protein C. Spastin D. Paraplegin E. Spartin Correct Answer: The correct an...

Ngày tải lên: 09/08/2014, 16:21

... heparin or low molecular weight heparin until warfarin becomes therapeutic. Aspirin may be started within 48 hours of stroke onset and discontinued when the INR reaches target. 4. A 70-year-old ... 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 7.7-fold (95% confidence...

Ngày tải lên: 09/08/2014, 16:21

... right- beating positional nystagmus initially but would most likely be very minimal by the end of 4 months. 28. A 44 -year-old woman comes to the office because of a 3-month history of fullness in ... lesions. Finger-to-nose ataxia occurs with hemispheric cerebellar lesions. 34. A 44 -year-old woman comes to the office because of a 4- week history of mild vertigo, gait imbalance, a...

Ngày tải lên: 09/08/2014, 16:21

... Psychiatry 2003; 74: 81 7-8 19. Fink P, Steen Hansen MS, Sondergaard L. Somatoform disorders among first-time referrals to a neurology service. Psychosomatics 2005 ;46 : 54 0-5 48 . 24. A 44 -year-old woman ... serotonin-norepinephrine reuptake inhibitor with selegiline appears to be rare, combination of these agents with selegiline should be avoided. Rasagiline, a new monoamine...

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 ... Apomorphine was originally introduced in the mid-20th century, but its use was limited by side effects, including marked nausea. It is now administered with an antiemetic. 26. A 44 -year-ol...

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, rito...

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 5 4- 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 pressur...

Ngày tải lên: 09/08/2014, 16:21