Case Review Summary Flashcards

1
Q

Best imaging modality for ischemic stroke?

A

MRI (DWI)

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2
Q

Where is the most common lesion in subarachnoid hemorrhage?

A

Berry Aneurysm

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3
Q

Where is the most common lesion in Subdural Hematoma?

A

Bridging Veins

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4
Q

Where is the most common lesion in Epidural Hematoma?

A

(extracranial) Middle Meningeal Artery

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5
Q

Acute demyelinating polyneuropathy – Dx?

A

GBS

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6
Q

Axonal polyneuropathy – Dx?

A

Diabetes

Others: B12-deficiency, Thiamine-deficiency, Hypothyroidism

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7
Q

Nerve Conduction Study diff. btwn Axonal vs. Demyelinating Polyneuropathy?

A

Axonal = speed is normal, but amplitude of response is lower

Demyelinating = Speed is slower

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8
Q

Describe CSF analysis in MS or Transverse Myelitis.

A
  • Pleocytosis
  • ↑IgG index
  • Oligoclonal bands
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9
Q

Subacute Combined Degeneration affects CNS, PNS, or both?

A

Both CNS & PNS

UMNs & LMNs

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10
Q

Delirium workup?

A
  • Everyone gets CT scan

if suspicion of focal, structural lesion, then:
- MRI

if not, then:

  • Toxic, Metabolic, Lab workup
  • X-ray/EEG
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11
Q

Defense Mech?

Student didn’t study for exam, so goes & gets drunk in Boston night before.

A

Acting out

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12
Q

Defense Mech?

Student angry that Brain course sucks & is required so goes home & kicks the cat around the room.

A

Displacement

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13
Q

Defense Mech?
Student thinks Brain is impossible, so develops paralysis of both arms & blindness for central vision the night before the exam. Roommate calls & says she can’t take exam b/c can’t read or write.

A

Conversion

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14
Q

Defense Mech?
Student becomes increasingly hopeless as he studies & Monday morning of exam comes, he takes off for the week completely forgetting he had an exam.

A

Repression

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15
Q

2 students know Brain exam is hard so they study & prepare appropriately for the exam.

A

Anticipation

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16
Q

Why was seizure complex partial instead of simple partial?

A

B/c patient was confused

17
Q

What is Brudzinski sign?

A

Flexion of the neck produces flexion of the hips

  • seen in Meningismus
18
Q

Most common source of complex partial seizure?

A

Temporal Lobe

19
Q

How to differentiate leaning towards Encephalitis vs. Meningitis

A

Encephalitis:

  • Profound alteration/depression of consciousness at the onset
  • Focal signs early on (aphasia, focal seizures, etc.)

**Key is that these happen EARLY ON, b/c meningitis can eventually develop these focal problems too

20
Q

Herpes Encephalitis has a predilection for what area of the brain?

A

Temporal Lobe