Answer for Question 23, Neurology

Eccentric topic of the Week, Neurology
Question 23:

A. Above the elbow, 3.0 mm/day

B. Between the elbow/wrist and the knee/ankle, 1.5 mm/day

C. Distal to the wrist/ankle, 0.5 mm/day

   1. Average: 1 mm/day
   2. Axonal regrowth is faster in the proximal limbs than in the distal limb. 

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Answer for Question 22, Neuropharmacology

Eccentric topic of the Week, Neuropharmacology
Question 22:

The correct answer is D, cabergoline

Cabergoline is less effective than octreotide but it is available in an oral preparation. Octreotide suspension must be injected intramuscularly.

   A.   Octreotide -> Somatostatin analogue -> More than 90% of patients show a reduction in growth hormone levels, only approximately 50-60% achieve levels of less than 2 ng/ml
   B.  Nimodipine -> Calcium channel blocker -> No role in treating acromegaly
   C.  Pegvisomant -> Growth hormone receptor blocker -> growth hormone levels cannot be measured in routine assays because the drug itself interferes with growth hormone assays but pituitary-derived growth hormone increases by a third, serum IGF-I levels are normalized in over 90% of patients
   D.  Cabergoline -> Dopamine agonist -> approximately 60% of patients will show a reduction in growth hormone levels, only about 10-15% achieve a mean level of less than 2 ng/ml.

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Question 23, Neurology

Eccentric topic of the Week, Neurology
Question 23:

What is the approximate rate (in millimeters per day) of axonal growth in each of the following anatomic areas?

A. Above the elbow.
B. Between the elbow/wrist and the knee/ankle.
C. Distal to the wrist/ankle.


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Question 22, Neuropharmacology

Eccentric topic of the Week, Neuropharmacology
Question 22:

The first line ORAL medication used to treat acromegaly is:

A. Octreotide
B. Nimodipine
C. Pegvisomant
D. Cabergoline

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Answer for Question 21, Neurocritical Care

Eccentric topic of the Week, Neurocritical Care
Question 21:

The correct answer is C, lung hyperinflation.

Assisted-control ventilation (ACV) assists each spontaneous breath regardless of the respiratory rate, leading to hyperinflation, respiratory alkalosis and increased work of breathing in patients with tachypnea. 

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Colen Publishing looking for Drupal Web Developer

Colen Publishing is looking for a energetic and self-motivated Drupal Web Developer! 

Anyone who are: 
1. Proficiency in Drupal web language 
2. Proficiency in overall web design and computer programming 
3. Positive Demeanor 
4. Self-Motivated 
5. Great group Work Ethic 
6. Punctuality Professionalism 
7. Lives in Metro-Detroit Area 

Please forward this to anyone who may be eligible. If you have any question, please send an e-mail to frank@doctorpal.net Have a great day everyone!