Neuro NBME 1

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Key: Incorrect in Red  B- Neurofibromatosis- given hx
1. A of tumor in other ear and
2. I tuning fork suggests it isn’t due
3. C (E? Subdural hematoma: can to obstruction/middle or outer
appear weeks after injury) ear/Presbycusis should have
4. B? normal weber
5. E 35. A
6. E?  E- Tonometry: to measure the
7. C increased pressure this acute
8. C angle closure glaucoma- the
9. D acetazolamide is recommended
10. D (A? Oral Acyclovir) 36. A
11. A  E? Probably metabolic/
12. C electrolyte imbalance due to all
13. C the nausea and vomiting
14. E 37. D
15. C 38. F
16. C (E? Intubation and 39. B
hyperventilation) 40. E
17. H 41. A
18. C 42. A
19. A 43. G
20. D (A? Bright illumination?) 44. B
21. A  A- Aspirin- pts with
22. E asymptomatic CAS should be
23. C placed on aspirin and statin-
24. C endarterectomy if occluded
 Ankylosing spondylitis: >70% in symptomatic or >80%
elevated ESR, doesn’t have to in asymptomatic
have swelling; (+) pain at 45. C (B? Discontinue
insertion sites metoclopramide?)
25. B 46. D (WTF? )
26. H  Thought this was OSA given his
 F- Heparin therapy; she is BMI and small body (throat
throwing thrombi so obstruction) but answer is
anticoagulate incorrect
27. F  Delayed sleep phase syndrome:
28. B this is possible. Common in
29. C adolescents- can’t find
30. B correlation to neck and knee
31. A weakness
32. B  Klein Levin Syndrome
33. B (“sleeping beauty syndrome”):
34. E cardinal symptoms= episodic
hypersomnia, cognitive
 disturbances, altered
perceptive state
(derealization), severe apathy;
also hyperphagia and
hypersexuality (variable
across patients). Less likely
option.
 Absence seizures- should not
have loss of muscle tone
47. B
48. A
49. D
50. E