Multiple Sclerosis, Guillain-Barre, and ALS commonly appear on exams because of their similarities, but its the subtle differences and keywords you should look out for, especially on physical exam. While historically, the PANCE and PACKRAT are only 6% Neurology questions, these are a few that you shouldn’t miss. Do you know multiple sclerosis as well as you think you do? Would you be able to diagnose and work someone up for ALS if you saw their presentation in an ED? Guillain-Barre has its own special findings on lumbar puncture that you don't want to forget. If it's in your differential and you can rule out things like meningitis, make sure you know the things you'd expect on a lumbar puncture. These are all great points to know, though this is not meant to be an all-inclusive review. You'll definitely want to review multiple sclerosis medications before your exam, including which are first line and which are actually long term (disease modifying) vs. acute treatment. Good luck out there!
I hope this review helps you regardless of which avenue you find it useful. Make sure to check out TrueLearn’s free sample questions below! The vignette style questions are exactly what you need to prepare yourself for EOR, PANCE, PACKRAT, and PANRE-related questions.
