Neurology — Flashcards

Flashcard 191: Autonomic symptoms and ocular signs occur _____ in parkinson plus syndromes

Answer: early

Flashcard 192: _____ sign is a brief upshoot of the eyelid as the eyes saccade from depression to the primary position, in Myasthenia Gravis

Answer: Cogan twitch

Flashcard 193: _____ aphasia, which is seen with lesions in the _____.

Answer: Anomic; angular gyrus

Flashcard 194: The standard of treatment for patients with Wernicke's encephalopathy is to give _____ 100 mg intravenously _____ administering _____-containing IV fluids.

Answer: thiamine; before; glucose

Extra: Thiamine must be administered before or along with glucose to avoid precipitating or worsening Wernicke's encephalopathy. While 100 mg is a classic textbook dose often cited for initial management or prophylaxis, modern guidelines (e.g., EFNS/Royal College of Physicians) recommend higher doses (e.g., 500 mg IV thrice daily) for the treatment of manifest encephalopathy.

Flashcard 195: _____ is preferred in the management of primary progressive multiple sclerosis (PPMS)

Answer: Ocrelizumab

Flashcard 196: The window period for thrombolysis in case of stroke is _____ hours.

Answer: 4.5 hours

Flashcard 197: There is a high risk of developing an ischemic stroke after a TIA, especially for the first _____ months following a TIA.

Answer: 3

Flashcard 198: _____ disease is a form of vascular dementia caused by multifocal vascular diseases like cerebral arteriosclerosis

Answer: Binswanger's

Flashcard 199: _____ aphasia, which is seen with lesions in the angular gyrus.

Answer: Anomic

Extra: Anomic aphasia (the most common type of aphasia) is characterized by a specific difficulty in naming objects (anomia), while fluency, comprehension, and repetition remain intact. It is classically associated with lesions in the angular gyrus, though it can occur with various localized or diffuse brain injuries.

Flashcard 200: Perception of pain in an area that lacks sensation is known as _____.

Answer: anesthesia dolorosa