NUMBNESS/WEAKNESS

Question 1

TIA DDx:

4

Answer 1

1. Hypoglycemia.
2. Seizure.
3. Stroke.
4. Facial nerve palsy.

Question 2

TIA workup:

9

Answer 2

1. CT head.
2. CBC.
3. Electrolytes, glucose.
4. Fasting lipid panel.
5. ECG.
6. MRI brain.
7. Doppler US — carotid.
8. Echocardio.
9. EEG.

Question 3

Stroke DDx:

4

Answer 3

1. TIA.
2. Seizure.
3. Intracranial neoplasm.
4. Subdural or epidural hematoma.

Question 4

Stroke workup:

9

Answer 4

1. CT head.
2. CBC.
3. Electrolytes.
4. PT/PTT/INR.
5. Fasting lipid panel.
6. MRI brain.
7. Doppler US—carotid.
8. Echocardio.
9. ECG.

Question 5

Guillain-Barre DDx:

5

Answer 5

1. MS.
2. Polymyositis.
3. MG.
4. Peripheral neuropathy.
5. Tumor in the vertebral canal.

Question 6

Guillain-Barre workup:

9

Answer 6

1. CBC.
2. Electrolytes.
3. CPK.
4. LP-CSF analysis.
5. MRI spine.
6. EMG.
7. Nerve conduction studies.
8. Tensilon (edrophonium) test.
9. B12.

Question 7

MS DDx:

7

Answer 7

1. Stroke.
2. Conversion disorder.
3. Malingering.
4. CNS tumor.
5. Syph.
6. Syringomyelia.
7. CNS vasculitis.

Question 8

MS workup:

6

Answer 8

1. CBC.
2. ESR.
3. VDRL/RPR.
4. MRI brain, spine.
5. LP—CSF analysis.
6. Retinal evoked potentials.

Question 9

Diabetic peripheral neuropathy DDx:

5

Answer 9

1. Alcoholic peripheral neuropathy.
2. B12.
3. Hypocalcemia.
4. Hyperventilation.
5. Paraproteinemia/myeloma.

Question 10

Diabetic peripheral neuropathy workup:

6

Answer 10

1. HbA1c.
2. ESR.
3. Calcium.
4. B12.
5. UA.
6. SPEP/UPEP.

Question 11

MG DDx:

4

Answer 11

1. Horner.
2. MS.
3. Intracranial neo compressing CN III, IV, VI.
4. ALS.

Question 12

MG workup:

6

Answer 12

1. Tensilon test.
2. Serum ACh receptor abs.
3. CXR.
4. CT chest.
5. MRI brain.
6. EMG.

Question 13

Todd’s paralysis DDx:

4

Answer 13

1. TIA.
2. Stroke.
3. Complicated migraine.
4. Malingering.

Question 14

Todd’s paralysis workup:

5

Answer 14

1. CBC.
2. Electrolytes.
3. EEG.
4. MRI brain.
5. Doppler US — Carotid.

Question 15

Carpal tunnel syndrome 2o to hypothyroidism DDx:

2

Answer 15

1. Overuse injury of median nerve.

2. Medial epicondylitis.

Question 16

Carpal tunnel syndrome 2o to hypothyroidism workup:

4

Answer 16

1. Phalen maneuver’s and Tinel’s sign.
2. Nerve conduction studies.
3. TSH.
4. CBC.