Life Long Learning in Neurology - part 7 pps

... 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

... be avoided. 35. A 5 7- 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 ... hemodynamic 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...

Ngày tải lên: 09/08/2014, 16:21

... variance in C-reactive protein levels occurs on a familial basis. This suggests that low-grade systemic inflammation may be determined in part by several common gene polymorphisms. 24. A 75 -year-old ... 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 atheroscle...

Ngày tải lên: 09/08/2014, 16:21

... 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

... 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 interval = 3.3 - 18) ... 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 minut...

Ngày tải lên: 09/08/2014, 16:21

... regulatory element binding protein (SREBP) cleavage activating protein (SCAP) D. Increase in circulating LDL E. De-activation of sterol regulatory element binding proteins (SREBPs) Correct ... pleocytosis, this occurs in the setting of polyradiculopathy in immunosuppressed patients infected with HIV type 1. 33. A 6 7- year-old Native American from rural Arizona with non-insulin-dep...

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 ... 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....

Ngày tải lên: 09/08/2014, 16:21

... effect into the waking hours. Eszopiclone is an intermediate-acting nonbenzodiazepine benzodiazepine- receptor agonist (NBBRA) that is useful for combined sleep-onset and sleep maintenance insomnia. ... 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 phosphocre...

Ngày tải lên: 09/08/2014, 16:21

... of Neurology. Neurology 20 07; 68: 97 7- 9 84. 4. In attempting to define incidence of MS in a particular population, epidemiologists often have to rely on the time of disease diagnosis as the point ... 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 e...

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 ... forgotten condition. Clin Sci (Lond) 20 07 Feb;112(3):15 7- 1 65. 10. A 72 -year-old man with Parkinson's disease presents with episodes of choking and feeling as if food is cau...

Ngày tải lên: 09/08/2014, 16:21