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Goljan HY CNS

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Question
Answer
show choroid plexus in ventricles; enters subarachnoid space; removed by arachnoid granulations  
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show less protein and glucose than serum; scant number of cells; ↑ chloride  
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Xanthochromia   show
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Papilledema of optic nerve   show
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show intracranial hypertension; medial portion temporal lobe through tentorium cerebelli  
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S/S   show
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show compression of parasympathetic system  
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show intracranial hypertension  
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show ↑ CSF volume with distention of ventricles  
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Non-communicating   show
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show choroid plexus papilloma; scarring of arachnoid granulations  
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Adults with hydrocephalus   show
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Open neural tube defects   show
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Spina bifida occulta   show
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Meningocele   show
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Meningomyelocele   show
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Arnold Chiari syndrome   show
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show hydrocephalus, syringomyelia, meningomyelocele  
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Dandy Walker syndrome   show
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show enlarged cervical cord; fluid filled cyst in cervical spinal cord  
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show loss pain/temperature upper extremities (spinothalamic); motor loss in hands (anterior horn cells)  
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Tuberous sclerosis   show
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Tuberous sclerosis   show
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Neurofibromatosis   show
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Associations   show
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Meningitis   show
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CSF findings viral meningitis   show
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show ↑ CSF protein, ↓ CSF glucose, ↑ neutrophils  
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Encephalitis   show
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show MCC viral meningitis  
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show hemorrhagic necrosis in temporal lobes  
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show skunk and bat common vectors; Negri bodies in neurons; hydrophobia; flaccid paralysis  
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CMV   show
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Polio virus   show
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Subacute sclerosing panencephalitis   show
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show slow virus disease due to JC virus; common in AIDS  
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show prions; spongiform encephalopathy  
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show contact with human brain or contaminated beef (bovine disease)  
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Meningitis newborn   show
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Listeria monocytogenes   show
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Neisseria meningitidis   show
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show MCC meningitis >18-yrs-old  
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show complication primary TB; base of brain meningitis with vasculitis  
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Neurosyphilis   show
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show vasculitis causing strokes  
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show syphilis with dementia and brain atrophy  
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show posterior root ganglia/posterior column; ataxia; absent deep tendon reflexes; Argyll-Robertson pupil  
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show pupil accommodates but does not react to direct light; THINK  
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Cryptococcus neoformans   show
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show frontal lobe abscess in diabetic ketoacidosis  
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Toxoplasma gondii   show
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show calcification basal ganglia; blindness; mental retardation  
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Naegleria and Acanthamoeba   show
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Taenia solium   show
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Cysticercosis   show
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show contusions at site of injury  
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show contusion on opposite side of injury; frontal and temporal lobes  
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Epidural hematoma   show
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show tear bridging veins; venous blood clot; fluctuating levels of consciousness  
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Hypoxic injury   show
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show liquefactive necrosis at watershed areas in cortex  
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Atherosclerotic stroke   show
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Causes atherosclerotic stroke   show
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MCA stroke   show
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show loss vision described as curtain going down and then up  
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Cause   show
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show vertigo, ataxia, ipsilateral sensory loss face/contralateral hemiparesis/sensory  
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show hemorrhagic infarction extending to periphery cerebral cortex due to embolization  
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show complication hypertension  
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show rupture of aneurysm of lenticulostriate vessels  
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show basal ganglia MC site  
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show rupture of congenital berry aneurysm; severe occipital headache  
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Lacunar stroke   show
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show posterior limb internal capsule  
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Pure sensory stroke   show
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Multiple sclerosis   show
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show scanning speech, intention tremor, nystagmus, paresthesias, weakness  
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show multiple sclerosis; demyelination MLF  
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CSF with oligoclonal bands   show
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show rapid intravenous correction of hyponatremia in alcoholic  
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Alzheimer’s disease   show
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Alzheimer’s disease   show
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show ↑ density of neurofibrillary tangles and senile plaques  
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show develop Alzheimer’s disease at early age; 3 functioning chromosome 21s  
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Apo E gene allele ε4   show
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show depigmentation substantia nigra neurons; Lewy bodies; ↓ dopamine  
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show extrapyramidal (muscle rigidity), resting tremor, festinating (shuffling) gait  
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show CO poisoning, Wilson’s, MPTP (meperidine derivative), drugs  
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Huntington’s disease   show
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show movement disorder; dementia  
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show degeneration of lower/upper motor neurons; no sensory changes  
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show childhood type of ALS  
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show AR; excess copper; cystic degeneration of putamen/globus pallidus  
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show posterior column (↓ proprioception, vibration); lateral corticospinal tract (UMN)  
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Alcohol   show
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show thiamine deficiency; IV with glucose can prompt acute attack  
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Wernicke encephalopathy   show
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show confusion, ataxia, nystagmus, ophthalmoplegia  
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Korsakoff's psychosis   show
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Acute intermittent porphyria (AIP)   show
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show drug induced (alcohol, barbiturates); abdominal pain (“bellyful of scars”); dementia  
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show urine in AIP colorless; turns port wine color with exposure to light (porphobilin)  
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Rx   show
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Adult brain tumors   show
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Childhood brain tumors   show
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Adult brain tumors (descending order)   show
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show high grade astrocytoma; hemorrhage and necrosis; may cross corpus callosum  
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Meningioma   show
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show schwannoma of the VIIIth nerve; tinnitus; sensorineural hearing loss; neurofibromatosis  
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show astrocytoma cerebellum (MC), medulloblastoma  
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Astrocytoma   show
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show malignant tumor cerebellum; invades fourth ventricle  
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show arises in 4th ventricle in children and cauda equina in adults  
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Oligodendroglioma   show
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CNS lymphomas   show
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Metastasis   show
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Schwannoma   show
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AIDS dementia   show
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CMV retinitis   show
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Peripheral neuropathy   show
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Peripheral neuropathy   show
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show MCC autoimmune demyelination of peripheral and spinal nerves  
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show M. pneumoniae, influenza vaccine, Campylobacter jejuni  
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S/S   show
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show AD; common peroneal nerve palsy; inverted bottle appearance  
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Idiopathic Bell’s palsy   show
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show facial nerve MC cranial nerve involved; bilateral Bell’s palsy  
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show Staphylococcus aureus  
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Viral conjunctivitis   show
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show amaurosis fugax, central retinal artery or vein occlusion  
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Uveitis   show
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Optic neuritis   show
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Glaucoma   show
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show blindness; pale disc; glaucoma, optic neuritis  
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show MCC permanent visual loss in elderly  
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Meniere’s disease   show
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show MCC sensorineural hearing loss in elderly  
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Otosclerosis   show
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Impacted wax in outer ear canal   show
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show conduction loss left ear  
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show sensorineural hearing loss right ear  
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Otitis media   show
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show Pseudomonas aeruginosa  
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