Neuro Complaint Flashcards

1
Q

What do you start a neuro exam with?

A

Alert and orientation questions! (A&OX4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

A reversible condition that is common in older adults during hospitalization

A

Delirium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A non-reversible condition with memory loss

A

Dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What must you rule out before diagnosing dementia?

A

Depression and Delirium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can be seen with a CN3 lesion?

A

ptosis, pupil asymmetry, opthalmoplegia = down and out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What can be seen with a CN4 palsy?

A

Eye drifts upwards, vertical diplopia (double vision when looking down like to walk down stairs), head tilting away from lesion side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What can be seen with CN6 palsy?

A

Inability to ABduct eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can be seen with a CN5 palsy?

A

Decreased sensation from face, loss of corneal reflex and jaw deviation towards weak side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Trigeminal neuralgia

A

Recurrent brief episodes of shock like pain that follow a CNV distribution on the face

  • Caused from compression via vein or artery
  • Can be elicited by touching face
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can be seen with CN7 palsy?

A

Paralysis of facial expression muscles, loss of corneal reflex, increased sensitivity to sound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bell’s palsy?

A

Loss of muscle control on one side of the face

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Crocodile tears syndrome

A

Crying while chewing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Vestibular division CN8 lesion?

A

Imbalance and nystagmus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cochlear division CN8 lesion?

A

Hearing loss and ringing in ears

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is nystagmus?

A

Rhythmic oscillations of the eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are a few tests to look for meningitis?

A

Nuchal rigidity, Brudzinski sign, Kernig sign

17
Q

Describe the Brudzinski sign

A

pt supine, physician slowly flexes their neck

(+) = patient flexes hips and knees involuntarily

18
Q

Describe the Kernig sign

A

pt supine, physician flexes at hip and knee
- Physician then extends knee but keeps hip flexed
(+) = pain/resistance to knee extension or passive flexion of neck

19
Q

Lhermitte’s Phenomenon

A

Transient shock like symptoms that occur down spine and into limbs with flexion of the neck

20
Q

What is Lhermitte’s Phenomenon associated with?

A

Multiple sclerosis

21
Q

Hyperactive DTR?

A

CNS lesion

22
Q

Hypoactive DTR?

A

PNS lesion

23
Q

Babinski reflex?

A

Stroke plantar surface of lateral foot from heal to ball of big toe
(+) = dorsiflexion of toes and fanning
Could indicate CNS lesion

24
Q

Types of headaches?

A

Tension, migraine, cluster

25
Q

Qualities of a tension headache

A

Minutes to days
Starts posteriorly and radiates forward
Non-constant pressure

26
Q

Qualities of a migraine headache

A

4-72 hours
Unilateral but can be bilateral in children
Severe, needs room with no stimulus (light)

27
Q

Qualities of a cluster headache

A

15 mins-3 hours
Always unilateral near eye/temple
Sharp stabbing pain

28
Q

What symptoms are red flags for a possible dangerous mass?

A

SNOOP

Systemic, neuro symptoms, old age, onset sudden, papilledema

29
Q

What to check for with dizziness?

A

TiTrATE
Timing
Triggers
A and a Target Examination

30
Q

Hallpike maneuver

A

Head rotated 45 degrees and then pt laid down supine

31
Q

What is syncope?

A

Fainting

32
Q

Possible causes of syncope?

A

Vasovagal

Carotid sinus syndrome

33
Q

Vasovagal

A

Over correction to a stimulus of SNS (pain, sight of blood, etc.)