54 36 1

RBC 102/mm3WBC 347/mm3

83% 1.5

periodicepileptiform discharges

bacterial meningitis
herpes simplex encephalitis
fungal meningoencephalitis
T.B. meningitis
55 vascular dementia
pseudobulbar palsy
focal neurological signs
emotional incontinence
decreased tendon reflex
56 38 2

45

Wests syndrome
Alpers disease
Bells palsy
Huntingtons disease
57 46
5 3

PostTrigeminal neuralgia
Giant cell arteritis

58 65

posterior communicating artery aneurysm

rupture
posterior inferior cerebellar artery occlusion
lenticulostriate artery occlusion
middle cerebral artery occlusion
45 myasthenia gravis
diaphragmatic weakness
ocular muscle weakness
dysphagia
wrist drop
46 Wilsons disease

D-penicillamine
prednisolone
D-penicillamine
47 absence, petit mal

15 20
automatism
EEGfocal spikes
hyperventilation
48 Alzheimers disease
neurotransmitter
dopamine
serotonin
acetylcholine
norepinephrine

49 3 II/VI

thrill

90/70 mmHg 84 /

50 24 3

pyridostigmine edrophonium

gentamicin
wheezing

bradycardia atropine

53 2 7

ESR
Huntingtons chorea
Sydenhams chorea
54
magnetic resonance imaging
electroencephalogram
O anti-streptolysine O, ASLO
cerebrospinal fluid

55 56

jaw jerk

amyotrophic lateral sclerosis

chronic inflammatory
demyelinating polyneuropathy
multiple sclerosis
syringomyelia
56 26 3
5 10

57 19

58 thalamic pain syndrome

homonymous hemianopia
dissociated
sensory loss
hemiplegia
hemihypesthesia

59 27 Barbiturate

172/116 mmHg 134

axonopathy

tick paralysis
mixed cryoproteinemia
acute inflammatory demyelinating
polyneuropathy
porphyria
60 Wallenbergs
Middle cerebral artery
Anterior inferior cerebellar artery
Posterior inferior cerebellar artery
Superior cerebellar artery
45 brain concussion
irreversible
sudden change in the
momentum
46

47 multiple sclerosis

Tumor Necrosis Factor, TNF

EBV HHV6
48 postherpetic neuralgia
dermatome

49 Narcolepsy
cataplexy
sleep walking
sleep paralysis
excessive daytime sleep
50 56

Right thalamic hemorrhage

Right middle cerebral artery occlusion
Right vertebral artery occlusion
Right internal capsule infarct
51
Stroke
Parkinsons disease
Alzheimers disease
Motor
neuron disease
52 70
non-throbbing pain

superficial
temporal artery

Rheumatoid factor, RF
Erythrocyte sedimentation rate, ESR
HLA-typing
Tumor markers
53

Parkinsons disease L-dopa

Benedikts syndrome Aspirin
Jacksonian seizure phenytoin
Guillain-Barr syndrome Vitamin B1
54 Huntington disease

55 53 Diurnal fluctuation

Myopathy
Neuromuscular junction disorders
Neuropathy
Motor neuron disease
56 36 15

24
7 lactic
acid modified Gomori trichrome stain

Wilsons disease
myasthenia gravis
thyroid disease
mitochondrial disease
57 60 diplopia

ptosis

light reflex

aneurysmal rupture of posterior communicating

artery
transtentorial herniation
third cranial nerve palsy of ischemic type
cavernous sinus syndrome

46 3

hyperkinetic child
generalized dystonia
Tourettes disorder
Huntington
s chorea
47
Anticholinergics
Haloperidol
Levodopa
Clonazepam
48
49 34

Central cord syndrome

Anterior spinal cord syndrome
Brainstem injury
Brown-Squard syndrome
50 Guillain-Barr syndrome
CSF
plasma
exchange
51 16 CT

Sinus venosus type atrial septal defect

Membranous type ventricular septal defect
Outlet type ventricular septal defect
Secundum type atrial septal defect

52 2 2
Nikolsky sign

staphylococcal scalded skin syndrome

53 26 bilateral
internuclear ophthalmoplegia

54
Periodic paralysis
Paramyotonia congenita
Myotonia congenita
Episodic ataxia
55 Wilsons disease

Kayser-Fleischer ring
Caf au lait spots
Cherry red spots
Lisch nodules
56 35 5

phenytoin 75 mg
57
propranolol
metoclopramide
sumatriptan
ergotamine

58
Autonomic neuropathy
Distal sensory neuropathy
Cranial nerve palsy
Polyradiculoneuropathy
59 Huntingtons chorea

rigid
60 upper motor neuron

Weakness
Fascicular twitching
Deep tendon reflex
Extensor plantar
reflex
61 Giant cell arteritis
Non-steroidal anti-inflammatory drugs
Sumatriptan
Prednisone
Morphine
62

46 cerebral infarction

local vasodilatation
stasis of the blood column, with segmentation of
the red cells
edema
necrosis of brain tissue

47 55 ataxia

Horner Horners syndrome

48 sleep apnea syndrome

obstructive sleep apnea

polysomnography

49 69 A
A A A

54
Brain MRI
A

transient global amnesia

Alzheimer

disease
amnestic stroke
epileptic seizures
50 pseudotumor cerebri
lateral venous sinus thrombosis
A

51
subacute combine degeneration
BB12
Korsakoff syndrome BB 1
neuropathic beriberi B
INHisoniazid BB
2
52 acute disseminated encephalomyelitis,
ADEM
demyelinating illness
acute inflammatory illness
meningeal infiltration
neuron
53 66

peripheral type facial palsy

54 dermatomyositis
target-shaped erythematous lesions on the extremities
a purplish discoloration around the eyes
shagreen patches
telangiectasis
55 40
Alzheimer disease
Wernickes encephalopathy
56

scintillating scotoma
57
migraine with aura
aura
tension-type headache

migraine without
cluster headache

58 Parkinsonism
akathisia
idiopathic Parkinsons disease
drug-induced
progressive supranuclear palsy
striatonigral degeneration
59 posterior section of internal capsule
brainstem
spinal cord
pyramidal systemMRI, T2

Hirayama disease
amyotrophic lateral sclerosis
spinocerebellar ataxia type III
progressive spinal muscular atrophy
60 plasma
exchange
myasthenia crisis
chronic inflammatory demyelinating
polyneuropathy
Guillain-Barr syndrome
limbic encephalitis
46 60 3

vibration
touch
temperature
pin-prick
47 30
15

48 85

49

50 35 155 85

papilledema

51 trinucleotide-repeat disorder
Huntingtons chorea
spinocerebellar ataxia type 3
Kennedy disease
motor neuron disease
52 Alzheimers disease
dysnomia
remote memory
53 Amyotrophic lateral sclerosis, ALS

Sensory loss
Dysphagia
Fasciculation
Babinski sign
54 small cell carcinoma of lung
repetitive nerve
stimulationincremental response

Lambert-Eaton myasthenic syndrome

Polymyositis
Chronic inflammatory demyelinating polyneuropathy
Polyradiculoneuropathy
55
CPKGOTLDH

56 30

1-2 5

myasthenia gravis
Guillain-Barr syndrome
cervical cord tumor
polymyositis
57 Behets disease
25-30%

58
multiple sclerosis
acute disseminated encephalomyelitis
adrenoleukodystrophy
Guillain-Barr syndrome
59 recurrent astrocytoma
radiation necrosis of brain
computed tomography, CT
magnetic resonance imaging, MRI
positron emission tomography, PET
single-photon emission computed tomography, SPECT
60 secondary prevention

Aspirin
Ticlopidine
Clopidogrel
Dipyridamole