Life Long Learning in Neurology - part 9 docx

... 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 epilepsy is brought ... of Neurology. Neurology 2007;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 diagn...

Ngày tải lên: 09/08/2014, 16:21

... after cardiac arrest. Neurology 199 7;48:35 2-3 57. 40. Which of the following is the primary end point in determining pentobarbital dosing for treatment of status epilepticus by induction of pharmacological ... regulatory element binding protein (SREBP) cleavage activating protein (SCAP) D. Increase in circulating LDL E. De-activation of sterol regulatory element binding proteins...

Ngày tải lên: 09/08/2014, 16:21

... 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 plaque inflammation ... increased activation of the inflammatory cascade. Neuhaus O, Strasser-Fuchs S, Fazekas F, et al. Statins as immunomodulators: comparison with interferon-beta 1b in MS. Neurology...

Ngày tải lên: 09/08/2014, 16:21

... 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 history and findings ... 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 disab...

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) ... 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....

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 ... and vomiting. Although the severe symptoms resolved in 2 days, she continued to feel weak and remained in bed for the following 10 days. Since then, she has complained of chronic dizzines...

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

... 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 3 9- 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

... 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 ... 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