PANCE Neuro 8/11/20 Flashcards

1
Q

what is the autodominate neurodegenerative disorder that affects chromosome 4

A

Huningtons

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2
Q

what are the three areas affected by hubtingtons

A
  1. behavorial
  2. chorea
  3. dementia
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3
Q

what the the CT show of hungtigtons

A

cerebral and caudate nucleus atrophy

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4
Q

what age for huntingtons

A

30-50

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5
Q

what age for essential (benign tremor)

A

60

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6
Q

what is another name for essential tremor

A

benign

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7
Q

what is the tx for essential tremor

A

propanolol

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8
Q

idopathic dopamine depletion

A

parkinsons

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9
Q

what is the #1 tx for tourette’s

A

habit therapy

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10
Q

what disease is a necrosis of both upper and lower motor neuron

A

ALS

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11
Q

what 3 things are spared in ALS

A
  • sensation
  • eye movements
  • urination
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12
Q

tx for ALS

A
  • riluzole
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13
Q

what are the 2 dopamine agonist used in RLS

A
  • praminpexole

- ropinirole

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14
Q

what supplementation may you use in RLS

A

iron

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15
Q

what infection increases the chances of someone getting GBS

A
  • campylobactor jajuni
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16
Q

what direction is GBS

A

ground up (Gbs)

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17
Q

what is the CSF in GBS

A

high protein

normal WBC

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18
Q

what Tx is contraindicated in GBS

A

prednisone

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19
Q

what are the two tx for GBS

A
  • plasma pharesis

- IVIG

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20
Q

what condition involved autoimune antiobodies against ACH

A

myasthenia Gravis

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21
Q

what muscles are most effected with myasthenia Gravis

A

eyes

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22
Q

myasthenia Gravis eye movement that is most effected

A

upward gaze

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23
Q

what is the treatment for myasthenia Gravis

A

“stigmines”

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24
Q

what dx is similar to myasthenia Gravis but improves with movement

A

lambert eaton syndrome

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25
Q

lambert eaton syndrome is associated with what condition

A

small cell lung cancer

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26
Q

what autoimmune condition is unilateral eye pain that gets worse with movement

A

MS

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27
Q

what are the 2 dx of MS

A

MRI: what matter plques
LP: oligoclonal bands

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28
Q

what is the primary tx for MS flares

A

corticosteroids

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29
Q

what medication is helpful with fatigue in MS

A

amantadine

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30
Q

what is a ulilateral facial nerve palsy of CN 7

A

bells palsy

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31
Q

what condition is bells palsy associated with

A
  • herpes
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32
Q

what are the two treatments for bells palsy

A
  • steroids

- artificial tears

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33
Q

what is a tension HA described as

A

“tight- Band like”

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34
Q

what is the MC type of HA

A

tension

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35
Q

what are the 3 1st line tx for tension HA

A

asprin
acetaminophen
NSAID

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36
Q

what is the suspected cause of migraine HA

A

dilation of blood vesicles by the trigeninal nerve

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37
Q

what are the 2 primary tx for migranes

A
  • triptans

- ergoatamines

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38
Q

what medicaton class is used as a prophalacitic tx for migranes

A

antihypertensives

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39
Q

what is the CI to triptans and ergots

A

CAD, PVD

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40
Q

what medication is the tx for trigenial neralgia

A

carbamazapine

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41
Q

what is the dx for idiopathic intracranial HTN

A

LP with elevated pressure

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42
Q

what is the tx for idiopathic intracranial HTN

A

acetazolamide

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43
Q

what is the triad for NPH

A

dementia
gait disturbance
urinary incontinence

44
Q

what is the ventriculoperitonial shunt used for

A

NPH

45
Q

what is the best test for brain injury

A

CT

46
Q

acute abrupt transient confused state

A

delirum

47
Q

what is the best test for alzheimers

A

CT (Atrophy of cortex)

48
Q
  • donexpzil

- memantine are used to tx what

A

alzheirmers

49
Q

what is the most imortant risk factor for vascular dementia

A

HTN

50
Q

what is the MC brain cancer in adults

A

GBM (this is a type of astrocytoma)

51
Q

what type of brain cancer is associated with NF 1

A

menigioma

52
Q

jefferson fx is what level

A

C1

53
Q

hangmans fx what level

A

C 2

54
Q

clay shovalers fx

A

C 7

55
Q

clay shovalers fx

A

C 7

56
Q

Brown swquard syndrome

A

motor ipsilateral

pain and temp contralateral

57
Q

SCI loss of vibratory sense only

A

posterior cord syndrome

58
Q

what symptoms does an occultion if ICA cause

A

amaurosis fugax

59
Q

after a CT to confirm it’s a TIA what meds

A

aspirin

plavix

60
Q

what medication for ishemic stroke

A

TPA

61
Q

what you think it’s a stroke what is the test

A

non contrast CT

62
Q

managemnet of hemmoragic stroke

A

shunt

63
Q

what is the cause of bacterial meningitis 18- 50

A

step penumo

64
Q

bacterial meningitis LP

  • Protein:
  • Glucose:
  • WBC:
A
  • Protein: elevated
  • Glucose: decreased
  • WBC: elevated
65
Q

viral meningitis LP

  • Protein:
  • Glucose:
  • WBC:
  • Lymphocyte:
A
  • Protein: normal
  • Glucose: normal
  • WBC: normal
  • Lymphocytes: elevated
66
Q

viral meningitis LP

  • Lymphocytes
  • gram stain:
A
  • Lymphocytes: +

- gram stain: -

67
Q

how do you tell the difference between enphalitis and menngitis

A

enchephalitis associated with abdormal cebral function

68
Q

lip smaking what type of seizure

A

complex partial

69
Q

tx petit mal seizure

A

ethusuximide

70
Q

tx of grand mal seizure

A

valproic acid

71
Q

how do you treat strep pneumo meningitis 1-18

A

ceftriaxone + vanco

72
Q

how do you treat strep pneumo meningitis 18- 50

A

ceftriaxone + vanco + ampcillin

73
Q

MCC encehpahlitis (viral)

A

HSV -1

74
Q

MCC menengitis (viral)

A

coxackie

75
Q

what % of GBS recover after 1 year

A

60%

76
Q

MG is associated with a dysfunction in what organ

A

thyroid

77
Q

if someone OD on their MG meds “sigmines” what do you do 2

A

plasmapheresis

IVIG

78
Q

what is charcots neurologic triad associated with

A

MS

79
Q

what medication for relapmsiing remiting MS

A

glatiramir

80
Q

honers syndrome is associated with what

A

cluster HA

81
Q

how do you tx cluter HA

A

O2

- sumatriptan

82
Q

fungal Meningitis CSF

  • Glucose:
  • WBC:
A
  • Glucose: decreased

- WBC: lymphocytes

83
Q

LP with xanthocromia what

A

subarachnoid hemorrhage

84
Q

what is cushing reflex 3

A
  • irregular respiration
  • HTN
  • Bradycardia
85
Q

what is cushing reflex associated with

A

GBM

86
Q

CNS lymphoma associated with what

A

large B cell lymphoma

87
Q

CNS lymphoma risk factor

A

EBV

88
Q

loss of pain and temp + light touch + Lower extremity motor

what area of the cord

A

anterior

89
Q

shawl distribution

what area of the cord

A

central

90
Q

what area of the brain is affected

  • flat affected
  • impaired judgement
A

right

91
Q

what area of the brain is affected

- poor math skills

A

left

92
Q

Brocas and wernicke area affected by what artery

A

Middle cerebral

93
Q

MC location of a berry

A

COW

94
Q

MOI for epidural hematoma

A

temporal bone fx

95
Q

lenticular shaped bleed on CT

A

epidural hematoma

96
Q

tering of cortical briding veins due to blunt trauna what type of hematoma

A

subdural

97
Q

what shape for subdural hematoma on CT

A

cresent shape

98
Q

bacterial meningitis < 1 month cause

A

Strep agalactate

99
Q

bacterial meningitis 1 month - 18 years cause

A

N meningitdis

100
Q

PEP meningitis

A

cipro

101
Q

tx for viral encepalitis

A

valacyclovior

102
Q

what type of seizure if conscientious maintained

A

simple partial

103
Q

no post ictal phase what seizure

A

absense

104
Q

how do you tx status epilepticus

A

bezos

105
Q

ramusy hunt what nerve

A

facial