blueprints in neurology

... inflammatory cascade Neuhaus O, Strasser-Fuchs S, Fazekas F, et al Statins as immunomodulators: comparison with interferon-beta 1b in MS Neurology 2002;59:99 0-9 97 31 A 72-year-old woman was in ... Arthritis Rheum 19 90;33 :10 9 4 -1 10 0 39 A 38-year-old man has experienced several months of intermittent fevers and an involuntary weight loss of 10 lbs He has had problems with s...

Ngày tải lên: 09/08/2014, 16:21

... 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 myelitis 26 A 46-year-old man with systemic ... gene 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 a...

Ngày tải lên: 09/08/2014, 16:21

... 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) increase in bleeding 27 Which of the following ... 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 mo...

Ngày tải lên: 09/08/2014, 16:21

... activating protein (SCAP) D Increase in circulating LDL E De-activation of sterol regulatory element binding proteins (SREBPs) Correct Answer: The correct answer is B Statin mechanisms include up-regulating ... 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 epilepticus b...

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 look ... likely in this patient? A Deletion of D4Z4 repeats B Expansion of trinucleotide CTG repeats C Insertion in the dystrophin gene D Point mutation in the calpain-3 gene E Substitution...

Ngày tải lên: 09/08/2014, 16:21

... selegiline Although the occurrence of serotonin syndrome in patients taking a combination of an SSRI or a serotonin-norepinephrine reuptake inhibitor with selegiline appears to be rare, combination ... the 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 Begin l...

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 selectivity ... pain is unilateral and is usually not triggered by touching the face, eating, drinking, or talking, as in trigeminal neuralgia Causes of secondary headache must be ruled out with clini...

Ngày tải lên: 09/08/2014, 16:21

... phosphocreatine (Cho/Cr) B Choline to myoinositol (Cho/MI) C Myoinositol to creatine plus phosphocreatine (MI/Cr) D N-acetylaspartate to creatine plus phosphocreatine (NAA/Cr) E N-acetylaspartate to myoinositol ... and engaging in alerting activities prior to sleep Idiopathic insomnia is a long- standing, often lifelong, form of insomnia without associated etiologic factors or stressors A...

Ngày tải lên: 09/08/2014, 16:21

... 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 to the emergency department ... Academy of Neurology Neurology 2007;68 :97 7 -9 84 In attempting to define incidence of MS in a particular population, epidemiologists often have to rely on the time of disease d...

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 ... Hypotension in response to adrenoceptor agonists D Increase in blood pressure during straining in Valsalva maneuver E No increase in blood pressure after the release of straining dur...

Ngày tải lên: 09/08/2014, 16:21

... States 19 75 – 81 19 81 1973 – 77 19 74 19 70 – 77 19 80 19 84 19 79 19 84 19 90 – 92 19 80 19 89 19 82 – 88 19 90 19 91 19 91 – 92 19 89 – 92 19 89 – 91 1988 – 92 19 90 Incidence (%) 32.2 49.6 60.0 29.4 50.0 40 .1 ... 11 1 11 2 11 5 11 6 11 9 11 9 12 3 13 0 13 1 13 2 13 2 13 3 13 4 13 6 13 6 13 7 14 0 14 2 Demyelinating Disease and Brain Atrophy 14...

Ngày tải lên: 09/08/2014, 20:22

... ear infection This causes severe ear pain and a combination of lesions in nerves VI, VII, VIII, and V, and is known as Gradenigo’s syndrome Tsementzis, Differential Diagnosis in Neurology and Neurosurgery ... the affected eye and vice versa, with each stimulus lasting approximately one second and two to three seconds being left in beTsementzis, Differential Diagno...

Ngày tải lên: 09/08/2014, 20:22

... hemorrhagic infarction of the pituitary gland occurring usually in preexisting pituitary tumor – Retinal migraine – Coagulopathies Tsementzis, Differential Diagnosis in Neurology and Neurosurgery ... nerve becomes involved rapidly, and the disease progresses within a few months to total blindness and finally to death within a year Tsementzis, Differential Diagnosis in...

Ngày tải lên: 09/08/2014, 20:22

... Tsementzis, Differential Diagnosis in Neurology and Neurosurgery © 2000 Thieme All rights reserved Usage subject to terms and conditions of license  150 Demyelinating Disease and Brain Atrophy Intracranial ... Dopamine antagonists (e.g., phenothiazine-like drugs) Reserpine – α-methyl – Dopa Opiate derivatives (e.g., morphine) Prostaglandin F2α Thyrotropin-releasing hormone Es...

Ngày tải lên: 09/08/2014, 20:22