CNS

Question 1

Blue man syndrome

Answer 1

Amiodarone

Question 2

Parkinson features and Treatment

Answer 2

TRAP features
Syndopa

Question 3

Progressive supranuclear Palsy

Answer 3

Impaired downward gaze
Hummingbird sign

Question 4

Visual Hallucinations and Dementia

Answer 4

Lewy body dementia

Question 5

Hot cross bun sign

Answer 5

MSA-C

Question 6

Patient on anti Parkinson’s shows pathological gambling which drug is it

Answer 6

Pramipexole

Question 7

Idiopathic Intracranial Hypertension

Answer 7

Papilledema 6th CN palsy
T Tetracycline
O Obesity
A Vit A
D Danazol

Rx- Acetazolamide LP

Question 8

Migraine Management

Answer 8

First line NSAIDS
DOC- TRIPTANS
PROPH- Propranolol
5HT1F + LASMIDITAN
CGRP- RimeGIPANT

Question 9

Viral meningitis

Answer 9

WBC Protein increase
Opening pressure Glucose normal

Question 10

Fungal Meningitis

Answer 10

WBC Protein increase
Glucose decreases
Opening pressure Normal
Except in Cryptococcal increases

Question 11

Charcots Triad

Answer 11

Scanning speech
Intention tremors
Nystagmus

Question 12

Multiple sclerosis

Answer 12

Female 30
McDonald’s criteria
Lhermitte sign
Uthoff sign
ON -U/L
Dawson fingers
β interferons

Question 13

NMO

Answer 13

Devics disease
Anti-Aqp4 Ab
Area prostema syndrome
Diencephalon syndrome
Acute myelitis
ON-B/L

Question 14

Spinothalamic Tracts

Answer 14

C/L
Crude touch
Pain
Temperature

Decussation at level of spine

Question 15

Dorsal column

Answer 15

I/L
Fine touch
Proprioception
Vibration

Decussation at level of Medulla
Also in CST

Question 16

SMA

Answer 16

B/L AHC inv
SMN gene
Frog leg position
H/O floppy baby
Ragged doll appearance
Werdnig Hoffman disease, sign
Rx- Zolgensma Nusinersen
Risdiplam. Onasemnogene
(Find sma in words)

Question 17

ALS

Answer 17

AHC and CST
Lmn + umn lesion
Bunina bodies
Riluzole Edavarone Neuroprotective
Turusodiol Tofersen

Question 18

Myasthenia gravis

Answer 18

NMJ
Thymoma
Sensory, autonomic, DTR, Pupil. N
IOC- Anti-AchR ab level
Anti-musk Ab in ocular MG
Edrophonium test

Repetitive nerve stimulation Decremental response (in LEMS[anti-CA ab] incremental response)
Doc- Pyridostigmine
IVIG. PLEX

Question 19

Stroke localisation

Answer 19

Link

Question 20

West syndrome

Answer 20

Infant
Global developmental delay/Regression
Salaam spells
DOC-ACTH
DOC IN TSC- VIGABATRIN

Question 21

Absence seizures

Answer 21

Transient LOC
No loss of postural control
3 Hz spike and slow wave
DOC- Ethosuximide
Doc in atypical - Valproate

Question 22

JME

Answer 22

Early morning clumsy
3-6 Hz polyspike

Valproate

Question 23

LGS

Answer 23

Multifocal sz
<2.5 Hz spike and wave
Valproate
Clobazam

Question 24

Parinaud syndrome

Answer 24

Upward gaze palsy
Pineal lesion
Colliers sign- eyelid retraction

Question 25

C/L hemiplegia+ I/L CN 6+7

Answer 25

Millard Gubler Syndrome

Question 26

Midbrain syndrome

Answer 26

C/L Hemiplegia W- Weber 3rd CN palsy B- Benedict + Chorea tremors C- Claude + Hemiataxia Hyperkinesis

Question 27

Valproate s/e and antidote

Answer 27

Hepatotoxic Cyp inhibitor (only inhibitor in antiepileptic drugs) PCOD NTD Antidote- L-carnitine

Question 28

Gum hyperplasia

Answer 28

P phenytoin C cyclosporine V Verapamil

Question 29

Phenytoin

Answer 29

Gum hyperplasia Cyp inducer DRESS syndrome Hirsutism Osteopenia Purple glove Syndrome

Question 30

Carbamazepine S/e

Answer 30

Agranulocytosis Hepatotoxic Teratogenic Carbamazepine SJS Oxcarbamazepine SIADH

Question 31

Brain death

Answer 31

Criteria GCS 3/15 APNEA Test Brainstem reflex absent Signs TC99m HMPAO SPECT White cerebellar sign

Question 32

Osmotic demyelination Syndrome

Answer 32

Rapid overcorrection of Sodium

Question 33

Gaba transaminase inhibitor

Answer 33

Valproate Vigabatrin

Question 34

Chorea Athetosis Hemiballismus

Answer 34

Caudate Gap GP Subthalamic nucleus

Question 35

DBS for Parkinson's

Answer 35

STN>GPi