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Neurology 46

Neurology 46

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هذا الي كدرنا نجمعه اذا تذكرون شي او عندكم تعديل كتبوا وان شاء الله اعدله

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هذا الي كدرنا نجمعه اذا تذكرون شي او عندكم تعديل كتبوا وان شاء الله اعدله
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Final medicine (2).pdf
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Final medicine (2).pdf
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اكو احد جمع الاسئلة؟
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31. PARKINSONISM =Static tremors ↑ e' stress and during sleep, inability to sign his name, slowing in movement, mask face, slow monotonous speech. no sensory manifestations. 🔑 32.  MIGRAINE =Young female unilat. throbbing headache preceded by flashes of light, nausea and vomiting. 🔑 33.  STROKE MOSTLY VASCULAR HEMIPLEGIA= Female smoker + OCP, frequent chest infection, then marked weakness in rt arm, difficulty in walking, difficulty in expressing words. 🔑 34.  subdural hematoma =deterioration of level of consc. after a head trauma → hematoma in his skull resolved after weeks, reflexes are exaggerated. 🔑 35.  PSYCHOMOTOR OR TEMPORAL LOBE EPILEPSY pt feels that he saw events before and complains of unusual smell minor motor activities eg: swallowing walking aimlessly associated unconscious skilled activity eg: driving car, playing musical pieces, Then forgets what happened during seizure. 🔑 36.  GRAND-MAL EPILEPSY= Signs that he was afraid, he would cry, suddenly he lost consciousness, he suddenly mutated... his body became wooden... he twitched in a terrifying way. He gets upset.... 🔑 37. PETIT-MAL EPILEPSY= The child is sitting in the classroom, the last row in the media class. The school discovers with the correction that there is no line in the dictation... and this is repeated. 🔑 38.  MENINGIOCOCCAL MENINGITIS= Fever headache neck rigidity, rash + other meningeal irritation signs after splenectomy. 🔑 39.  If shock pupura → Meningio-coccal septicemia (Water House Friedreichson syndrome ) 🔑 40.  viral encephilitis : low Grade fever, flu ,+ drowsiness, neurological manifestations. 🔑 41.BRAIN ABSCES: high Grade fever + meningial irritation + localizing signs, nausea, vomiting, recurrent paranasal sinus infection,otitis media In CT scan regular hypodensity cavity. 🔑 42. Old age with repeats the same questions frequently and often does not remember what was said 5 minutes ago. But, if she talks about the old days, he can remember it in detail. = Alzheimer disease 🔑 43. Gradual decline in cognitive and intellectual ability, focal neurological signs, or seizures = Brain tumor 🔑 44. 12hours to 10 days ingestion food ) diplopia, ptosis, blurred vision, photophobia , Fixed dilated pupils = Botulism 🔑 45. Difficulty standing and walking, waddling gait with lumbar lordosis, shortening of the calf muscles with pseudohypertrophy by age 5 =Duchenne muscular dystrophy. ✏️✒️ 46. Gliomas most common primary brain tumor ✏️ ✅Astrocytomas most common gliomas tumor ✒️ ✅Glioblastoma most malignant brain tumor ✒️ ✅Oligodendroglioma best prognosis brain tumor ✒️ ✅Medulloblastoma Tumor of childhood. ✏️🔑📌🔑📌✏️ #Cases #وزاري.
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31. PARKINSONISM =Static tremors ↑ e' stress and during sleep, inability to sign his name, slowing in movement, mask face, slow monotonous speech. no sensory manifestations. 🔑 32.  MIGRAINE =Young female unilat. throbbing headache preceded by flashes of light, nausea and vomiting. 🔑 33.  STROKE MOSTLY VASCULAR HEMIPLEGIA= Female smoker + OCP, frequent chest infection, then marked weakness in rt arm, difficulty in walking, difficulty in expressing words. 🔑 34.  subdural hematoma =deterioration of level of consc. after a head trauma → hematoma in his skull resolved after weeks, reflexes are exaggerated. 🔑 35.  PSYCHOMOTOR OR TEMPORAL LOBE EPILEPSY pt feels that he saw events before and complains of unusual smell minor motor activities eg: swallowing walking aimlessly associated unconscious skilled activity eg: driving car, playing musical pieces, Then forgets what happened during seizure. 🔑 36.  GRAND-MAL EPILEPSY= Signs that he was afraid, he would cry, suddenly he lost consciousness, he suddenly mutated... his body became wooden... he twitched in a terrifying way. He gets upset.... 🔑 37. PETIT-MAL EPILEPSY= The child is sitting in the classroom, the last row in the media class. The school discovers with the correction that there is no line in the dictation... and this is repeated. 🔑 38.  MENINGIOCOCCAL MENINGITIS= Fever headache neck rigidity, rash + other meningeal irritation signs after splenectomy. 🔑 39.  If shock pupura → Meningio-coccal septicemia (Water House Friedreichson syndrome ) 🔑 40.  viral encephilitis : low Grade fever, flu ,+ drowsiness, neurological manifestations. 🔑 41.BRAIN ABSCES: high Grade fever + meningial irritation + localizing signs, nausea, vomiting, recurrent paranasal sinus infection,otitis media In CT scan regular hypodensity cavity. 🔑 42. Old age with repeats the same questions frequently and often does not remember what was said 5 minutes ago. But, if she talks about the old days, he can remember it in detail. = Alzheimer disease 🔑 43. Gradual decline in cognitive and intellectual ability, focal neurological signs, or seizures = Brain tumor 🔑 44. 12hours to 10 days ingestion food ) diplopia, ptosis, blurred vision, photophobia , Fixed dilated pupils = Botulism 🔑 45. Difficulty standing and walking, waddling gait with lumbar lordosis, shortening of the calf muscles with pseudohypertrophy by age 5 =Duchenne muscular dystrophy. ✏️✒️ 46. Gliomas most common primary brain tumor ✏️ ✅Astrocytomas most common gliomas tumor ✒️ ✅Glioblastoma most malignant brain tumor ✒️ ✅Oligodendroglioma best prognosis brain tumor ✒️ ✅Medulloblastoma Tumor of childhood. ✏️🔑📌🔑📌✏️ #Cases #وزاري.
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🔑🔑 مفاتيح حل اغلب حالات #Neurology System ✏️✏️✏️✏️✏️✏️✏️✏️✏️ 1. Old Male , Has All Risk Factors of Atherosclerosis , Developed Rt Weakness , Rt Homonemous, Hemianopia , Rt Facial Weakness & Rt Hypoglossal Paralysis ( Cerebrovascular Stroke due to Thrombosis of Lt Middle Cerebral Artery MCA). 🔑 2.  Severe HTN ,Coma , Repeated Vomiting , No Meningeal Irritation ( Intracerebral Hemorrhage). 🔑 🔑🔑🔑🔑 3.  Numbness in Right Arm Resolve Spontaneously. ( Transient Ischemic Attacks). 🔑 4. Old Woman , Dizziness , Vertigo , Vomiting, Numbness in Rt Face & Lt Arm ( Cerebrovascular Stroke in Vertebrobasillar System Most Likely Right PICA [Posterior Inferior cerebellar artery.)] 🔑 5.  Legs weak then Arms Weak ,, This is Rapid & Flaccid ,, ddx ? ( GuillanBarre Syndrome , Myasthenia Gravis , Myelopathy , Collagen Diseases). 🔑 🔑🔑🔑🔑🔑🔑 6.  If The Same Case + Abscence of Sensory Loss & Bilateral Plantar Response ( Guillan Barre Syndrome). 🔑 7.  Throbbing Headache in Left Temple with Flashes of Light, phonphopia, nausea, vomiting ( Migraine with Aura). 🔑 🔑🔑🔑🔑🔑 8.  Sudden severe Headache Never Felt Before , Nausea , Vomiting , Normal Lab. Values ( Subarachnoid Hemorrhage). 🔑 🔑 9.  Headache , Fever , Neck Rigidity , Can't Resist Light or Noise , Trunk Rash , Severe Pain on Extending Knee ( Bacterial Meningitis). 🔑 🔑🔑🔑🔑 10.  Low Back Pain Increased with Coughing , Loss of Normal Lumbar Lordosis ( Mechanical Dearrangement of Lumbosacral Spine due to Prolapsed Intervertebral Disc). 🔑 🔑🔑🔑 11. LL Weakness , Hesitancy of Micturition, Cough , Hemoptysis, ( Extramedullary Compression of Spinal Cord at Level of Mid Thoracic Vertebrae due to Bronchogenic Carcinoma). 🔑 🔑 12.  Weakness of LL + Micturation Troubles + No CNS Affection ( paraplegia). 🔑 13.  Back Pain + Loss of Lordosis ( Disc Degeneration). 🔑 14.  Rhythmic Flexion & Extension + Bitten tongue + Drowsiness ( Tonic Clonic Epilepsy). 🔑 15.  Paralysis + Loss of Pain & Temp. + Intact Deep + Anemia ( Subacute Combined Degeneration SCD). 🔑 🔑 16.  Increased ICp + Fever + Rash + Neck Regidity ( Meningitis). 🔑 🔑 17.  Any Neurological Deficit Recovers Spontaneously less than 24h  ( TIA). = Transient ischemia attack 🔑 18.  Increased ICp + Severe HTN + No Meningeal Sings ( Intracranial Hemorrhage). 🔑 19.  L’hermit sign + Paralysis + Early Loss of Abdominal Reflexes, eye pain ( multiple sclerosis (MS).  🔑 20.  Back Pain + Lost Ankle Preserved Knee + Meningitis ( Sciatica). 🔑 21.  LMN Facial Paralysis After Cold Exposure ( Bell’s Palsy). 🔑 22.  Ataxia + Hemiplegia + 5th Nerve Affection ( CPA Tumor [ Cerebello-Pontine Angle Tumor 🔑 23. LEFT CORTICAL HEMIPLEGIA= deviation of mouth to rt. side + rt. extensor plantar + aphasia + conjugate deviation of the eye to the left. 🔑 24.  LEFT CAPSULAR HEMIPLEGIA =deviation of the mouth to left side, right extensor plantar. 🔑 25.  BROWN SEQUARD Syndrome =pyramidal & post column tracts affection at the same side, spinothalamic at the opp. side. 26. Ddx of vascular hemiplegia in young ✏️Heart as a source of emboli eg MVD +AF or IEC 📌 ✏️Renal hypertension. 📌 ✏️Vasculitis SLE in young female or PAN in young male. 📌 Angiomatous malformation.✏️ 🔑 27.SUBACUTE COMBINED DEGENERATION= pancytopenia Vit B def, periph. Neuropathy glove & stock, hypothesia, pyramidal lesion post column Loss of vibration sense on both maleoli and ASIS. 🔑 28.  SCIATICA= pain & hypothesia along buttocks, back of the leg, back of the foot), hypotonia & Hyporeflexia in muscles supplied by the nerve. 🔑 29.  GUILLAIN BARRE Syndrome =Flu like manifestation then after 2-3 weeks the patient developed distal weakness of lower limb bilateral then ascending to upper , glove and stock hypothesia. 🔑 30. MYASTHENIA GRAVIS   young, middle age female, easy fatigue on repetition, better in the morning and symptoms with the day progression. 🔑
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🔑🔑 مفاتيح حل اغلب حالات #Neurology System ✏️✏️✏️✏️✏️✏️✏️✏️✏️ 1. Old Male , Has All Risk Factors of Atherosclerosis , Developed Rt Weakness , Rt Homonemous, Hemianopia , Rt Facial Weakness & Rt Hypoglossal Paralysis ( Cerebrovascular Stroke due to Thrombosis of Lt Middle Cerebral Artery MCA). 🔑 2.  Severe HTN ,Coma , Repeated Vomiting , No Meningeal Irritation ( Intracerebral Hemorrhage). 🔑 🔑🔑🔑🔑 3.  Numbness in Right Arm Resolve Spontaneously. ( Transient Ischemic Attacks). 🔑 4. Old Woman , Dizziness , Vertigo , Vomiting, Numbness in Rt Face & Lt Arm ( Cerebrovascular Stroke in Vertebrobasillar System Most Likely Right PICA [Posterior Inferior cerebellar artery.)] 🔑 5.  Legs weak then Arms Weak ,, This is Rapid & Flaccid ,, ddx ? ( GuillanBarre Syndrome , Myasthenia Gravis , Myelopathy , Collagen Diseases). 🔑 🔑🔑🔑🔑🔑🔑 6.  If The Same Case + Abscence of Sensory Loss & Bilateral Plantar Response ( Guillan Barre Syndrome). 🔑 7.  Throbbing Headache in Left Temple with Flashes of Light, phonphopia, nausea, vomiting ( Migraine with Aura). 🔑 🔑🔑🔑🔑🔑 8.  Sudden severe Headache Never Felt Before , Nausea , Vomiting , Normal Lab. Values ( Subarachnoid Hemorrhage). 🔑 🔑 9.  Headache , Fever , Neck Rigidity , Can't Resist Light or Noise , Trunk Rash , Severe Pain on Extending Knee ( Bacterial Meningitis). 🔑 🔑🔑🔑🔑 10.  Low Back Pain Increased with Coughing , Loss of Normal Lumbar Lordosis ( Mechanical Dearrangement of Lumbosacral Spine due to Prolapsed Intervertebral Disc). 🔑 🔑🔑🔑 11. LL Weakness , Hesitancy of Micturition, Cough , Hemoptysis, ( Extramedullary Compression of Spinal Cord at Level of Mid Thoracic Vertebrae due to Bronchogenic Carcinoma). 🔑 🔑 12.  Weakness of LL + Micturation Troubles + No CNS Affection ( paraplegia). 🔑 13.  Back Pain + Loss of Lordosis ( Disc Degeneration). 🔑 14.  Rhythmic Flexion & Extension + Bitten tongue + Drowsiness ( Tonic Clonic Epilepsy). 🔑 15.  Paralysis + Loss of Pain & Temp. + Intact Deep + Anemia ( Subacute Combined Degeneration SCD). 🔑 🔑 16.  Increased ICp + Fever + Rash + Neck Regidity ( Meningitis). 🔑 🔑 17.  Any Neurological Deficit Recovers Spontaneously less than 24h  ( TIA). = Transient ischemia attack 🔑 18.  Increased ICp + Severe HTN + No Meningeal Sings ( Intracranial Hemorrhage). 🔑 19.  L’hermit sign + Paralysis + Early Loss of Abdominal Reflexes, eye pain ( multiple sclerosis (MS).  🔑 20.  Back Pain + Lost Ankle Preserved Knee + Meningitis ( Sciatica). 🔑 21.  LMN Facial Paralysis After Cold Exposure ( Bell’s Palsy). 🔑 22.  Ataxia + Hemiplegia + 5th Nerve Affection ( CPA Tumor [ Cerebello-Pontine Angle Tumor 🔑 23. LEFT CORTICAL HEMIPLEGIA= deviation of mouth to rt. side + rt. extensor plantar + aphasia + conjugate deviation of the eye to the left. 🔑 24.  LEFT CAPSULAR HEMIPLEGIA =deviation of the mouth to left side, right extensor plantar. 🔑 25.  BROWN SEQUARD Syndrome =pyramidal & post column tracts affection at the same side, spinothalamic at the opp. side. 26. Ddx of vascular hemiplegia in young ✏️Heart as a source of emboli eg MVD +AF or IEC 📌 ✏️Renal hypertension. 📌 ✏️Vasculitis SLE in young female or PAN in young male. 📌 Angiomatous malformation.✏️ 🔑 27.SUBACUTE COMBINED DEGENERATION= pancytopenia Vit B def, periph. Neuropathy glove & stock, hypothesia, pyramidal lesion post column Loss of vibration sense on both maleoli and ASIS. 🔑 28.  SCIATICA= pain & hypothesia along buttocks, back of the leg, back of the foot), hypotonia & Hyporeflexia in muscles supplied by the nerve. 🔑 29.  GUILLAIN BARRE Syndrome =Flu like manifestation then after 2-3 weeks the patient developed distal weakness of lower limb bilateral then ascending to upper , glove and stock hypothesia. 🔑 30. MYASTHENIA GRAVIS   young, middle age female, easy fatigue on repetition, better in the morning and symptoms with the day progression. 🔑
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Hematology: 1- WBC count in acute leukemia: all of above 2- differentiated AML from ALL: auer bodies 3- false statement: spherocytosis is small cell with central pallor 4- true about IDA: dietary intake is important 5-all true about thalassemia, except: cause huge splenomegaly 6- all true about IDA dx, except: haptaglobin 7- G6PD deficiency is: hemolytic anemia 8-clinical features of anemia, except: ما اتذكر بس جان سهل 9-true statement: anemia classified according to the shape and cause 10- يمكن سؤال عن aplastic anemia ما اتذكره
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Hematology: 1- WBC count in acute leukemia: all of above 2- differentiated AML from ALL: auer bodies 3- false statement: spherocytosis is small cell with central pallor 4- true about IDA: dietary intake is important 5-all true about thalassemia, except: cause huge splenomegaly 6- all true about IDA dx, except: haptaglobin 7- G6PD deficiency is: hemolytic anemia 8-clinical features of anemia, except: ما اتذكر بس جان سهل 9-true statement: anemia classified according to the shape and cause 10- يمكن سؤال عن aplastic anemia ما اتذكره
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Neurology: 1- true about PPMS: treated by ocrilzumab 2- PPMS Criteria all except: one lesion in spinal cord 3- coma with constricted pupil: opioid toxicity 4- coma with hypoventilation:opioid 5-dementia:level of consciousness 6- familial paraplege: not affect sexual function 7- Parkinsonism: elation 8-180 minute: cluster headache 9- drug control impulsive: levodopa? 10- coma with fever: ethanol withdrawal 11-most common headache: tension 12-good prognosis of MS: كلها جانت bad prognosis عدا واحد مال اكزامنيشن هو الاختيار الصح 13- what cause necrotizing myelitis: NMO 14- motor disease of childhood, correct answer is: treatment by intrathecal Nusirasin 15- cause of pseudodementia: none of above 16- headache sensitive to indomethasine: coital ??17- Rituximab used for: NMO ??18- treatment of IIHT: Topiramate
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Neurology: 1- true about PPMS: treated by ocrilzumab 2- PPMS Criteria all except: one lesion in spinal cord 3- coma with constricted pupil: opioid toxicity 4- coma with hypoventilation:opioid 5-dementia:level of consciousness 6- familial paraplege: not affect sexual function 7- Parkinsonism: elation 8-180 minute: cluster headache 9- drug control impulsive: levodopa? 10- coma with fever: ethanol withdrawal 11-most common headache: tension 12-good prognosis of MS: كلها جانت bad prognosis عدا واحد مال اكزامنيشن هو الاختيار الصح 13- what cause necrotizing myelitis: NMO 14- motor disease of childhood, correct answer is: treatment by intrathecal Nusirasin 15- cause of pseudodementia: none of above 16- headache sensitive to indomethasine: coital ??17- Rituximab used for: NMO ??18- treatment of IIHT: Topiramate
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فاينل باطنية.pdf
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فاينل باطنية.pdf
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اسئلة مد الباطنية ممتأكدين من الحل اذا اكو غلط راسلونا
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اسئلة مد الباطنية ممتأكدين من الحل اذا اكو غلط راسلونا
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طلاب بهذا السؤال اكو كم شغلة حييل مهم تنتبهون عليها اولا اكو papilloedema ثانيا BMI=40 وهذا هو ال Typical presentation of Idi
طلاب بهذا السؤال اكو كم شغلة حييل مهم تنتبهون عليها اولا اكو papilloedema ثانيا BMI=40 وهذا هو ال Typical presentation of Idiopathic intracranial HTN
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طلاب بهذا السؤال اكو كم شغلة حييل مهم تنتبهون عليها اولا اكو papilloedema ثانيا BMI=40 وهذا هو ال Typical presentation of Idi
طلاب بهذا السؤال اكو كم شغلة حييل مهم تنتبهون عليها اولا اكو papilloedema ثانيا BMI=40 وهذا هو ال Typical presentation of Idiopathic intracranial HTN
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