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Neurology and Neurosurgery

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Which drug is most suitable for the treatment of Alzheimer's disease?

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67 year old male had a short run to the bus last week. After boarding the bus, he felt rapid heartbeat, sweating and light shortness of breath. Then he became pale and fell without consciousness. Episode lasted 10-15 seconds, there were few uncoordinated leg movements in the end. There was no tongue bite or disorientation. What is the probable diagnosis?

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43 year old female was brought to hospital from a shopping mall, where she started seizing 1 hour ago. There is no additional information. Status praesens: cyanotic, pupils are symmetrical, light reflex – normal. There are no clear paresis or pathological

reflexes. Clonic seizures of the whole body.

Give preliminary diagnosis and further treatment.

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What is the subarachnoid hemorrhage?

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Which of the following conditions is an absolute contraindication for intravenous thrombolysis with rt-PA?

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A 28-year-old man presents with the inability to straighten his fingers and wrist. He has a history of a high-speed motorcycle crash and a humerus fracture. Upon examination: drooping of the hand, cannot extend the wrist and fingers, anaesthesia in the

dorsal surface of the hand.

Which peripheral nerve is injured?

wrist drop

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D

escribe preventive migraine treatment (main classes of medications,

indications and duration of treatment).

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What is the most appropriate treatment of benign

positional paroxysmal vertigo?

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37 year old male is in the Emergency department. He complains of progressive leg weakness. It started two days ago with tingling in his feet, then his legs became weak. Now he cannot stand on his legs or move. Two weeks ago he had episode of diarrhoea.

Neurological examination: arm strength – 5 pt. (proximal), 4(+) pt. (distal), leg strength – 3 pt. proximal, 2 pt. (distal) after modified MRC scale. Achilles reflexes are absent, patellar – hypoactive. Sense of vibration in the feet is diminished.

Which diagnosis is the most probable?

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What

are

clinical differences

between

Alzheimer's disease and frontotemporal dementia?

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