1- movement dystonia: history about cervical dystonia *what is the treatment? botulinum toxin *mechanism of action?

it prevents the release of acetylcholine from the presynaptic axon of the motor end plate *two other indication for this drug? oromandibular dystonia spamodic dysphoia 2-history oF URT infection ,, followed by ascending paralysis ? * your diagnosis? (Guillain-Barre syndrome) *location of lesion? * treatment? 3- history of young adult patient came to ER with coma * what is the neurological examination you will do to differentiate btw structural and metabolic cause ? papillary reflux *two DDX? hypoglycemia , SAH * Two emergency management :) ? 4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep ==) (cluster headache) ?? *mention three sign (not symptom ) of the disease?

*prophylactic- treatment ? calcium channel blocker * if he come to ER with acute attack , what is your treatment ? 100 oxygen 5- history of loss of consciousness preceded by strange smell (aura) ? *your diagnosis? complex partial seizure *two investigation ? CT ,, EEG *two treatment line? phenytoin , carbamazepine 6- history of 35 years old male with sudden onset sever headache then loss of consciousness , came to ER , he can localize the pain and he open his eye spontaneously? * you diagnosis? SAH * what is the most common type of head injury? Concussion * what is theglascow coma scale of the patient? 7- history of pain in the lateral aspect of leg extent to the big toe ? * what is the level of injury if it was posterio lateral ? L4-L5 * what is the level of injury if it was extreme lateral ? L5 - S1

* what is the enervation of the blander ? S2-S3-S4 8- about tumor ? *most common tumor in intradural extramedullaryy? meningioma *most common supra tontorial tumor in children? *what is the name of grade III astrocytoma? anaplastic astrocytoma 9- picture of hydroceph (CT)? *what is your diagnosis? hydroceph *what is the non-obstructive cause ? ============ ========= =====
NEURO EXAM B3 ============ ========

1- movement dystonia: history about cervical dystonia *what is the treatment? botulinum toxin *mechanism of action? it prevents the release of acetylcholine from the presynaptic axon of the motor end plate *two other indication for this drug?

oromandibular dystonia spamodic dysphoia 2-history oF URT infection ,, followed by ascending paralysis ? * your diagnosis? (Guillain-Barre syndrome) *location of lesion? * treatment? 3- history of young adult patient came to ER with coma * what is the neurological examination you will do to differentiate btw structural and metabolic cause ? papillary reflux *two DDX? hypoglycemia , SAH * Two emergency management :) ? 4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep ==) (cluster headache) ?? *mention three sign (not symptom ) of the disease? *prophylactic- treatment ? calcium channel blocker * if he come to ER with acute attack , what is your treatment ? 100 oxygen 5- history of loss of consciousness preceded by strange smell (aura) ? *your diagnosis? complex partial seizure *two investigation ? CT ,, EEG *two treatment line? phenytoin , carbamazepine 6- history of 35 years old male with sudden onset sever headache then loss of consciousness , came to ER , he can localize the pain and he open his eye spontaneously? * you diagnosis? SAH * what is the most common type of head injury?

Concussion * what is theglascow coma scale of the patient? 7- history of pain in the lateral aspect of leg extent to the big toe ? * what is the level of injury if it was posterio lateral ? L4-L5 * what is the level of injury if it was extreme lateral ? L5 - S1 * what is the enervation of the blander ? S2-S3-S4 8- about tumor ? *most common tumor in intradural extramedullaryy? meningioma *most common supra tontorial tumor in children? *what is the name of grade III astrocytoma? anaplastic astrocytoma 9- picture of hydroceph (CT)? *what is your diagnosis? hydroceph *what is the non-obstructive cause ? 2-history oF URT infection ,, followed by ascending paralysis ? * your diagnosis? (Guillain-Barre syndrome) *location of lesion? Peripheral myelinated nerves (myelin sheath) * treatment? IVIg, Plasmapharesis, supportive esp for RS failure 3- history of young adult patient came to ER with coma * what is the neurological examination you will do to differentiate btw structural and metabolic cause ? papillary reflux *two DDX? hypoglycemia , SAH

* Two emergency management

:) ?

Intubation and airway control, thiamine + glucose infusion

4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep ==) (cluster headache) ?? *mention three sign (not symptom ) of the disease? Conjunctival injection facial flushing miosis ptosis eyelid edema *prophylactic- treatment ? calcium channel blocker * if he come to ER with acute attack , what is your treatment ? 100 oxygen + Sumatriptan 5- history of loss of consciousness preceded by strange smell (aura) ? *your diagnosis? complex partial seizure *two investigation ? CT ,, EEG ---> MRI and EEG *two treatment line? phenytoin , carbamazepine 6- history of 35 years old male with sudden onset sever headache then loss of consciousness , came to ER , he can localize the pain and he open his eye spontaneously? * you diagnosis? SAH * what is the most common type of head injury? Concussion * what is theglascow coma scale of the patient? 7- history of pain in the lateral aspect of leg extent to the big toe ? * what is the level of injury if it was posterio lateral ? L4-L5 * what is the level of injury if it was extreme lateral ? L5 - S1 * what is the enervation of the blander ? S2-S3-S4

8- about tumor ? *most common tumor in intradural extramedullaryy? meningioma *most common supra tontorial tumor in children? low grade supratentorial astrocytoma (I've researched it in uptodate)

*what is the name of grade III astrocytoma? anaplastic astrocytoma 9- picture of hydroceph (CT)? *what is your diagnosis? hydroceph *what is the non-obstructive cause ? either blood clots blocking resorption at arachnoid villi, or damage to these, or choroid plexus tumor ============ =========
-history oF URT infection ,, followed by ascending paralysis ? * your diagnosis? (Guillain-Barre syndrome) *location of lesion? Peripheral myelinated nerves (myelin sheath) * treatment? IVIg, Plasmapharesis, supportive esp for RS failure 3- history of young adult patient came to ER with coma * what is the neurological examination you will do to differentiate btw structural and metabolic cause ? papillary reflux *two DDX? hypoglycemia , SAH

* Two emergency management :) ? Intubation and airway control, thiamine + glucose infusion
4- history of periorbital pain radiate to the jaw < 90 min , awake from sleep ==) (cluster headache) ?? *mention three sign (not symptom ) of the disease? Conjunctival injection facial flushing miosis

ptosis eyelid edema *prophylactic- treatment ? calcium channel blocker * if he come to ER with acute attack , what is your treatment ? 100 oxygen + Sumatriptan 5- history of loss of consciousness preceded by strange smell (aura) ? *your diagnosis? complex partial seizure *two investigation ? CT ,, EEG ---> MRI and EEG *two treatment line? phenytoin , carbamazepine 6- history of 35 years old male with sudden onset sever headache then loss of consciousness , came to ER , he can localize the pain and he open his eye spontaneously? * you diagnosis? SAH * what is the most common type of head injury? Concussion * what is theglascow coma scale of the patient? 7- history of pain in the lateral aspect of leg extent to the big toe ? * what is the level of injury if it was posterio lateral ? L4-L5 * what is the level of injury if it was extreme lateral ? L5 - S1 * what is the enervation of the blander ? S2-S3-S4 8- about tumor ? *most common tumor in intradural extramedullaryy? meningioma *most common supra tontorial tumor in children? low grade supratentorial astrocytoma (I've researched it in uptodate)

*what is the name of grade III astrocytoma? anaplastic astrocytoma 9- picture of hydroceph (CT)? *what is your diagnosis? hydroceph *what is the non-obstructive cause ? either blood clots blocking resorption at arachnoid villi, or damage to these, or choroid plexus tumor