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For Each question there is one best answer.  Please select the best answer.

    1)The postulated cause of the brachial plexus damage seen following a cardiac bypass procedure is the following:

                    A--Upward damage from the ulnar nerve B--Compression of the lower trunk between the clavicle and he first rib C--Cardiac ischemia D--Compression of the middle trunk by the scalene muscle E--Stretching of the posterior cord

    2)The following is true about single fiber EMG in myasthenia Gravis:

                    A--It is always abnormal in myasthenia gravis B--It is less sensitive than repetitive stimulation C--Is best done after the patient is given Mestinon D--Should be abnormal if done on a clinically weak muscle E--Is normal in myasthenic syndrome

    3)All of the following are symptoms of Temporal Arteritis Except:

                    A--Headache B--Abnormal MRI of the brain C--Elevated Sed Rate D--Abnormal Temporal artery biopsy E--Elevated C reactive protein

    4)All of the following drugs are useful in treating recurrent Multiple Sclerosis Except:

                    A--gabapentin (Neurontin) B--Interferon beta 1B (Betaseron) C--Interferon beta 1A (Avonex) D--glatiramer (Copaxone) E--mitoxantrone (Novantrone)

    5)The following statements about cryptococcal meningitis are true Except:

                    A--Amphotericin B is an effective agent in its treatment B--Therapy in AIDS patients differ from that in non-AIDS patients C--High dose Penicillin is needed in therapy D--Amphotericin B and flucytosine are used in therapy E--fluconazole has been proposed as treatment

    6)The substantia nigra was first described by:

                    A--Dr. Steven Nigra B--Dr. Wolfgang Substantia C--Dr. Hughlings Jackson D--Dr. Ebling Erbs E--Dr. Samuel Von Soemmerring

    7)The following is true about carpal tunnel syndrome:

                    A--It can be diagnosed by nerve conductions alone. B--The diagnosis is clinical based on typical signs and symptoms. C--A Phalens sign is always seen in CTS. D--A Tinels sign is always seen in CTS. E--CTS is rarely the cause of workman's compensation claims.

    8)Contraindications to giving r-TPA for an acute stroke include all the following Except:

                    A--Symptoms appearing less than hour before presentation. B--Patient is currently on coumadin. C--Patient is currently on heparin. D--Patient has uncontrolled hypertension. E--Patient symptoms are improving rapidly.

     9)Treatment of primary progressive multiple sclerosis includes:

                    A--interferon beta 1b (Betaseron) B--interferon beta 1a (Avonex) C--mitoxantrone (Novantrone) D--glatiramer (Copaxone) E--gabapentin (Neurontin)

    10)Treatments of use in diabetic neuropathy include all of the following Except:

                    A--gabapentin (Neurontin) B--amitriptyline (Elavil) C--nortriptyline (Pamelor) D--topiramate (Topamax) E--digoxin (Lanoxin)