Convulsive and Other Paroxysmal Disorders

Convulsive and Other Paroxysmal Disorders
Order 5898213
Convulsive and Other Paroxysmal Disorders
627. Inepilepsy, valproic acid
is not readily absorbed from the GI tract
may have an efect on the metabolism of gammaaminobutyric acid
when administered concomitantly with phenobarbital
may depress phenobarbital plasma concentration
when administered concomitantly with phenytoin sodium
consistently raises phenytoin plasma concentration
may produce severe side effects, often requiring discontinuance of therapy
= 50BD
628. Syncope may occur
after coughing or voiding
on compression of the carotid sinus
on sudden exposure to cold
Band C but notA > POO A and B but not C
157
158 / Convulsive and Other Paroxysmal Disorders
629.
630.
631.
632.
633.
In migraine, one does NOT find
transient dysphasia may occur
paresthesias may occur
visual disturbances may occur without the headache
A and C but not B D SOR none of the above
In tic douloureux
A. the pain is almost constant
B. the eye may close and have tears
C. onecan usually demonstrate small areas of hypalgesia
D. disseminated sclerosis is present in about 25% of the
cases
E. Dilantin is of no value
All of the following are postulated mechanisms of headache
EXCEPT
A. dysfunction of extracranial arteries
B. traction on intracranial vessels
C. pressure on cranial nerves
D. pressure on cerebral parenchyma
E. cervical spondylosis
Trigeminal neuralgia
may involve any branch of the nerve
is more common in younger age groups
is usually due to either Gasserian ganglion tumors,
herpes, or vascular anomaly
characteristically involves the same facial region as that
of herpes zoster
none of the above
A> °
eo
= igraine
is more common in men
does not cause EEG changes
invariably produces headache contralateral to the visual or sensory deficits
patients may have muscular-contraction headaches be- tween migraine attacks Oe> mo none of the above
Convulsive and Other Paroxysmal Disorders / 159
634. A migraine attack
635.
636.
637.
638.
A.
ee ke
usually begins suddenly
may last for weeks
is often preceded by scotomata
often includes peripheral scotomata which advances
toward the center
none of the above
In migraine, symptomatology may include
A.
ele ie
partial aphasia but not teichopsia
hallucinations of smell but not taste
maniacal outbreaks but not depression
hemianopsia, amaurosis, and disorientation
none of the above
In migraine
the scalp is not sensitive
permanent hemianopsia does not occur
gastric disturbances occur in the common variety but not
the classical
the common variety is approximately as frequent as the
classical type
none of the above
In the treatment of trigeminal neuralgia, improvement has
been reported with
Dilantin 0.2-0.3 gm daily
carbamazepine 200 mg daily
high cervical cordotomy
valproic acid 500 mg daily
none of the above
In tic douloureux
remissions are almost invariably of a few weeks duration
permanent disappearance of symptoms is not unusual
the attack-free intervals become longer with age
suicide is not uncommon
none of the above
160 / Convulsive and Other Paroxysmal Disorders
639.
640.
641.
642.
Tic douloureux may be differentiated from
A. glossopharyngeal neuralgia by anesthetizing the tonsillar
area, when there is a possibility of second trigeminal
division involvement
B. intracranial tumors by loss of the corneal reflex, weakness of masseters, in the latter conditions; Gasserian
ganglion tumors do not cause paroxysmal pain
C. degenerative changes in the temporo-mandibular joint by
x-rays and stellate ganglion block
D. postherpetic neuralgia only by the latter’s continuous
nature
E. none of the above
In hyperventilation syndrome, one does NOT find
A. tightness in the chest, precordial oppression, and epigastric discomfort
tetany with carpopedal spasm
perioral paresthesias
a sense of unreality moOe none of the above
In hyperventilation syndrome
hyperbaric oxygenation can prevent the high voltage slow
wave activity in the EEG
serum phosphate does not change
recumbency does not alter the symptoms
Chvostek’s sign does not occur
none of the above
e
FDO®S Oo ough syncope
occurs equally often in men and women
is not more likely to occur in brain tumors or in cerebral
stenotic arterial disease
often occurs with chronic lung disease in the adult; with
pertussis in children
does not occur in recumbency 0 mo BD may be preceded by focal neurologic symptoms
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