Pediatric Neurology Discussion Assignment

Pediatric Neurology Discussion Assignment
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Pediatric Neurology Discussion Assignment
QUESTIONS
1. A 5-year-old boy presents to the clinic with a history of epilepsy, cognitive regression, and progressive blindness. A skin biopsy is done and
demonstrates intracellular accumulation that is yellow-green in color and
is fluorescent. How did the boy get this disease?
A. It is X-linked.
B. It is autosomal dominant.
C. It is autosomal recessive.
D. He has Trisomy 21.
E. None of the above
2. A 9-year-old boy presents to the clinic with a history of staring spells
about 20 times per day over the past 2 months. There is no family history
of seizure. An electroencephalography is performed and demonstrates a
3-Hz spike and wave during hyperventilation. Which of the following is
the best next step?
A. Order a magnetic resonance imaging brain scan.
B. Initiate phenytoin.
C. Initiate ethosuximide.
D. Report the family to social services.
E. There is nothing to do.
Pediatric Neurology Discussion Assignment
3. A 4-year-old girl presents with ataxia and skin lesions. She is diagnosed
with ataxia-telangiectasia. What should the parents look out for?
A. Leukemia
B. Renal cell carcinoma
C. Death before age 20
D. Pontine atrophy
E. None of the above
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Pediatric Neurology
CHAPTER
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98 Section I • Neurology
4. A mother brings her 1-week-old daughter to your clinic and states her
daughter’s face is “crooked.” As you evaluate the infant, you do not see
any abnormalities, but she then starts crying and develops a right-sided
facial droop. What is the best next step?
A. Lumbar puncture
B. Vitamin B12
C. Echocardiogram
D. Bone scan
E. None of the above
5. Patients with craniofacial syndrome have an abnormality on what
chromosome?
A. 1
B. 12
C. 16
D. 22
E. 2
6. Which of the following is not a cardinal feature of neuronal ceroid
lipofuscinosis?
A. Motor regression
B. Progressive blindness
C. Epilepsy
D. Ataxia
E. None of the above
7. A 12-year-old boy is found to have a Chiari malformation type II. Which
of the following does he also have?
A. Arachnoid cyst
B. Intracranial hypotension
C. Lumbar meningomyelocele
D. Hypoplastic cerebellum
E. All of the above
Pediatric Neurology Discussion Assignment
8. During gestation, at what week does gyri formation occur?
A. 6
B. 14
C. 24
D. 36
E. None of the above
9. A father brings his son in for a check-up. The child is able to wave hello,
plays peekaboo, and can crawl and sit without support. He has been developing appropriately. What age must he at least be?
A. 8 weeks
B. 8 months
C. 12 months
D. 24 months
E. None of the above
10. A term infant is found hypotonic and moderately weak at birth. Her mother has a history of myasthenia gravis. What percentage of infants born
to mothers with myasthenia gravis will develop neonatal myasthenia?
A. 1%
B. 15%
C. 50%
D. 99%
E. None of the above
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