Rosh Review-Neurology 294 Correctly Answered Questions Latest Update

One Step Further Question: Chronic migraine is strongly associated with which disorder? {Ans: Answer: Medication overuse (rebound phenomenon or rebound headaches).}One Step Further Question: What medication should be given to a patient with status epilepticus and a possible isoniazid overdose? {Ans: Answer: Pyridoxine}One Step Further Question: What is the most effective intervention to treat an acute ibuprofen overdose? {Ans: Answer: Activated charcoal.}A 44-year-old woman presents with involuntary movements of the neck, face and tongue. She reports that she was seen earlier in the Emergency Department for vomiting and received metoclopramide. What management is indicated? Benztropine intramuscular Lorazepam intramuscular MRI of the brain Noncontrast CT scan of the head {Ans: Correct Answer ( A ) Explanation: This patient presents with a dystonic reaction after the administration of metoclopramide and should be given benztropine. Acute dystonia is the most common adverse effect seen after the administration of neuroleptic agents and can occur in up to 5% of patients. It can also occur with medications that antagonize central and peripheral dopamine receptors such as metoclopramide. This reaction is caused by disruption in the balance between dopaminergic and cholinergic pathways in the basal ganglia. They tend to occur within 48