Neurology 2 exam experience

I had my neuro 2 exam today. The exam would start at 9 according to neptun, but the day before we got an e-mail that it would start at 8 instead. The exam was at the rehabilitation clinic next to the neurology department. The examiner was my teacher in Neurology 2, the course director of the subject, prof. Endre Pál.

I was one of the last persons to go in. I draw topic 28, with obstructive sleep apnoea syndrome and Huntington disease. We got a few minutes preparation time if we wanted, during which I made this:

28A. Obstructive sleep apnoea syndrome

I mentioned what I’d written down about OSAS. He asks about two indexes which are measured during polysomnography. I guessed one of them, the apnoea index. He told me that the other one is the oxygen saturation index. I don’t think I had any other questions on this topic.

28B. Chorea, Huntington disease

I begin by defining chorea, and mentioning the most common causes. He asks me what a stroke-induced chorea looks like, and I said hemichorea, which was correct.

I then talk about Huntington, just basically what I’d written down. He asked me which diseases it’s important to rule out in case of Huntington, and he remembered he’d mentioned in the seminar that it’s important to rule out Wilson and Parkinson. He asked how we could do that, and I answered serum/urine copper and ceruloplasmin for Wilson. For Parkinson I said SPECT or PET, which he said was a possibility. He asked me what Parkinson disease patients respond to, and I answered levodopa, which was correct. He said that in ambigous cases we could give levodopa to the patient. If the symptoms improve, it’s PD, if they worsen, it’s HD.

He asked me what anticipation was, which was funnily enough something I learned in genetics two weeks ago. I explained that it means that the disease becomes worse and worse with each generation, to which he agreed. He asked me a couple of other questions as well, but I don’t remember what. In the end he gave me a 5.

Finishing thoughts

Prof. Pál is a very kind person, a good teacher, and an excellent examiner. The atmosphere of the exam was calm, he was not strict, and I’m pretty sure he passed everyone that day.

My last exam is gynaecology on Thursday.

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