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Who is statistically more likely to get a stroke: men or women?
Men
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Who is statistically more likely to get a stroke: Caucasians or African Americans?
African Americans
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Which stroke type is more common: ischemic or hemorrhagic?
Ischemic (80%)
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Which is the more likely source of an ischemic stroke: thrombus or embolus?
Thrombus (2/3rds)
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What is the most common precipitating factor for hemorrhagic strokes: HTN or a-fib?
HTN
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By definition, a CVA lasts for: >24 hrs or <24 hrs?
>24 hrs
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In general, a left sided stroke would cause muscle weakness on which side: right or left?
Right (contralateral)
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CVA in the anterior circulation (ACA/MCA) are more likely to cause: hemiparesis or ataxia?
Hemiparesis (hemispheric signs: aphasia, apraxia, hemisensory loss, visual field defects)
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CVA in the posterior circulation (PCA/basilar) are more likely to cause: hemiparesis or ataxia?
Ataxia (coma, vertigo, nausea, vomiting)
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What is the best modality for diagnosing acute hemorrhagic stroke: CT or MRI?
CT
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What is the best modality for diagnosing acute ischemic stroke: CT or MRI?
MRI
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If you suspect hemorragic stroke but CT is negative, what is the next test you should do: MRI or LP?
LP
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What is the gold standard for diagnosing CVA: MRI or cerebral angiography?
Angiography
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The goal time for thrombolytic therapy in CVA is: 3 hrs or 12 hrs?
3 hrs (can be given up to 4.5 hrs)
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What is the biggest complication of tPA in CVA: bleeding or seizure?
Bleeding
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Antiplatlet therapy is indicated in which type of stroke: ischemic or hemorrhagic?
Ischemic
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TIAs are most likely due to issues with: carotid stenosis or DVT?
carotid stenosis (also vertebral artery issues)
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Focal neurologic deficits that only partially clear after 24 hours: CVA or TIA?
CVA
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Workup for CVA or TIA should include labs to identify: coagulopathies or dyslipidemias?
Both
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Cardioembolic TIAs or CVAs require which form of treatment: antiplatlet or anticoagulation?
Anticoagulation
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Back-to-back seizures where the patient does not regain full consciousness between is one form of status epilepticus: true or false?
True (other is seizures failing to cease spontaneously)
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Seizures that involve loss of consciousness are classified as: generalized or partial?
Generalized
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What is the most beneficial test in the diagnosis of a seizure disorder: EEG or ECG?
EEG
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Isolated involuntary movements without impaired consciousness would represent what type of seizure: simple partial or clonic?
Simple partial
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Seizure aura, impaired consciousness, and focal clonic activity would represent what type of seizure: complex partial or Jacksonian?
Complex partial
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Do single unprovoked seizures without exam or diagnostic abnormalities require treatment: yes or no?
No
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What is the best way to maintain an airway in someone who is having a seizure: recovery position / head-tilt or use of a bite block?
Recovery position / head-tilt
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Initial treatment of refractory seizures includes: benzos or propofol?
Benzos
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Is MS a disease of the central or peripheral white matter?
Central
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MS is more likely to affect who: women or men?
Women
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Facial weakness + arm weakness, more likely to be: CVA or MS?
CVA
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Diplopia + urinary incontinance, more likely to be: CVA or MS?
MS
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Initial treatment for acute MS includes: corticosteroids or cyclophosphamide?
Corticosteroids
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The most common type of brain tumor is a: glioma or meningioma?
Glioma
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What type of dementia is more common: Alzheimer's or vascular?
Alzheimer's (70%)
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Pseudodementia is related to: depression or psychosis?
Depression
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Dementia associated with behavioral symptoms and compulsive disorders is: Lewy-body or frontotemporal?
Frontotemporal
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Dementia that progresses in a stepwise fashion is more characteristic of: Alzheimer's or vascular?
Vascular (AKA multi-infarct dementia)
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Tremor that improves with alcohol is more characteristic of: essential or parkinsonian?
Essential
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Tremor that is bilateral and symmetric is more characterisic of: essential or parkinsonian?
Essential
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Tremor that is unilateral and asymetric is more characteristic of: essential or parkinsonian?
Parkinsonian
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For your patient with HTN and essential tremor, what medication may help to improve both: atenolol or propranolol?
Propranolol
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Parkinson's is related to what neurotransmitter: seratonin or dopamine?
Dopamine
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Motor symptoms in Parkinson's disease include: postural instability or autonomic dysfunction?
Postural instability
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Progressive chorea is associated with which disease: Huntington's or Coryza?
Huntington's
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Bell's palsy is paralysis of cranial nerve: five or seven?
Seven (Facial)
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The most common cause of mixed peripheral polyneuropathy is: diabetes or MS?
Diabetes
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Symmetrical weakness that begins distal and progresses proximal is: Guillain-Barre or botulism?
Guillain-Barre
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Increased muscle weakness and fatigability that resolved by rest is characteristic of: Guillain-Barre or Myasthenia gravis?
Myastenia gravis
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The most appropriate lab test for myastenia gravis would be: CK or anti-ACh?
anti-ACh
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