Cns case presentation and discussion and complete viva questions and answers for mbbs medicine practical examination
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Here is your complete CNS case presentation guide. Here's a quick orientation to what's included:
What This Contains
Part 1 - Full Case Presentation
- Realistic case: 62-year-old hypertensive diabetic male with left MCA stroke
- Complete history (presenting complaints, HPI, past history, social/family)
- Full neurological examination with expected findings, organized in standard examination order (Higher functions → Cranial nerves → Motor → Sensory → Reflexes → Cerebellum → Meningeal)
- Summary statement in examiner-ready format
Part 2 - Discussion
- Diagnosis with clinical basis
- Stroke classification table
- Investigations (acute + etiological) with expected results
- Complete management (ABC, BP management, tPA criteria/dose, thrombectomy, secondary prevention, rehabilitation)
- Complications
Part 3 - 40 Viva Questions and Answers covering:
- Definitions and classification
- Etiology and risk factors (including CHA2DS2-VASc, ABCD2 scores)
- Pathophysiology (penumbra, UMN vs LMN facial palsy, gaze deviation, tongue deviation)
- Vascular syndromes (MCA, ACA, PCA, Wallenberg)
- Aphasia types (Broca's vs Wernicke's)
- CT scan findings at each time point
- tPA eligibility, dose, and contraindications
- BP management rationale in acute stroke
- Mechanical thrombectomy, antiplatelets, anticoagulation
- Differentials (including hypoglycemia - most important mimic)
- Hemorrhagic transformation, malignant MCA, raised ICP
- Drugs in secondary prevention
- 10 practical exam tips
Do the same for cvs case presentation and discussion for ms ,mr,as,ar
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