semmelweis university 2 0 1 2 / 2 0 1 3

A. Lumbar puncture (investigation of CSF)
B. EEG, EMG, ENG, Transcrnial magnetic stimulation
C. CT, MRI, SPECT, PET
D. Carotid and transcranial ultrasound
III. Disorders of motor function
A. Differentiate between upper and lower motor neuron lesion (UMN, LMN).
B. UMN facial weakness and LMN facial weakness.
C. Disorders of coordination. Recognize symptoms of cerebellar disorders.
Define ataxia, dysmetria, wide-based gait, and discuss the localization.
D. Define and differentiate involuntary movement disorders:tremor, rigidity, spasticity, athethosis, chorea,
dystonias, myoclonus, tics.
Discuss the findings and treatment of: Parkinson’s disease, essential tremor, tardive dyskinesia,
Huntington’s chorea, Wilson’s disease.
IV. Disorders of sensation
A. Differentiate central sensory disorders from peripheral sensory disorders.
V. Disorders of vision
A. Localize the lesions causing vision disorders and visual field defects.
B. Differentiate papilledema from papillitis.
C. The innervation deficit of the ocular muscles.
D. Recognize gaze problems and nystagmus.
E. Assess rystalli abnormalities.
VI. Episodic disorders
A. Seizure disorders: generalized and partial seizures, distinguish seizure from syncope.
B. Describe Todd’s postictal phenomenon.
C. Evaluation of a patient for new-onset seizure.
D. The anticonvulsants, their indications and side effects.
E. Management of a patient in status epilepticus.
F. Narcolepsy and obstructive sleep apnea.
VII. Cerebrovascular diseases
A. Define the following: asymptomatic carotid bruit, TIA, amaurosis fugax, ischemic infarct, lacunar infarct,
hemorrhagic infarct, parenchymal hemorrhage, SAH.
B. The clinical features of various territorial infarcts.
C. Treatment options to prevent infarction in atrial fibrillation and carotid stenosis.
D. The clinical features for hypertensive parenchymal hemorrhage.
E. The clinical picture and diagnosis of SAH. Early medical/surgical management of a patient with a SAH.
VIII. Multiple sclerosis (MS)
A. The criteria for the clinical diagnosis of MS.
B. The treatment of MS.
SEMMELWEIS UNIVERSITY / FACULTY OF MEDICINE
IX. Head trauma
A. Define the temporal profile, symptoms and treatment of: commotion, concussion, anterograde and
retrograde amnesia, subdural hematoma, epidural hematoma, contusion or hemorrhage, liquorrhea.
X. Dizziness and disorders of hearing
A. Define vertigo, and contrast it with other type of dizziness.
B. Describe nystagmus, hanging head test (Hallpike maneuver), calorics.
C. Identify the clinical features of: benign paroxysmal positional vertigo, vestibular neuronitis, Meniere’s
disease, brainstem TIA with vertigo, acoustic neuroma.
Faculty of Medicine
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