Life Long Learning in Neurology - part 6 doc

... 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

... and clinical characteristics. Brain 2003; 1 26: 68 5 -6 91. 10. A 65 -year-old man with a history of hypertension, hyperlipidemia, and intractable angina undergoes coronary artery bypass grafting with ... 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 atherosclerotic...

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 circul...

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

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 correc...

Ngày tải lên: 09/08/2014, 16:21

... prevention of death, myocardial infarction, and stroke in high-risk patients. BMJ 2002;324:7 1-8 6. 40. A 65 -year-old woman presents to her physician for counseling regarding risk factor reduction for ... answer is E. Brief counseling from medical professionals has been shown to increase smoking cessation by 69 % and should be included in all smoking-abstinence programs. Nicotine...

Ngày tải lên: 09/08/2014, 16:21

... 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 look ... cause. 7. A 32-year-old man awoke one morning with a sensation of severe spinning, nausea, and vomiting. He has no hearing loss. Upon evaluation in the emergency department 6 hours after...

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-old...

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

... cobalamin and renders methylcobalamin inactive, producing clinical manifestations of cobalamin deficiency, especially in patients with preexisting subclinical cobalamin deficiency. 10. A 54-year-old ... Hart RG, Kagan-Hallet K, Joerns SE. Mechanisms of intracranial hemorrhage in infective endocarditis. Stroke 1987;18 (6) :104 8-1 0 56. 11. A 67 -year-old man is admitted to the med...

Ngày tải lên: 09/08/2014, 16:21