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Flashcards in Adult - Neuro Deck (53):
1

Which gender more typically develops migraine?

female

2

Which gender more typically develops cluster?

male

3

Headache described as "vise-like"

tension

4

Are focal neurological symptoms such as flashes of light or zig zags in the vision associated with tension headache? Migraine?

not with tension

yes with migraine

5

When is the typical age of onset of migraine?

adolescence or early adulthood

6

What foods contain nitrates?

pickles
bologna

7

Is migraine usually unilateral or bilateral?

unilateral

8

What are some drugs that can be used prophylactically for migraine?

amitriptyline (Elavil) - anti-depressant
propranalol (Inderal) - beta blocker
gabapentin (Neurontin) - analgesic, anti-seizure
topiramate (Topamax) - anti-seizure

9

In new onset migraine what are the four laboratory studies to consider?

ESR
BMP
CBC
VDLR

10

In new onset migraine what are the imaging studies to consider? why?

CT to r/o brain tumor

11

What is the patho of migraine?

dilation and pulsation of branches of external carotid artery

follows the trigeminal nerve pathway (CN V)

12

What is the standard management of acute migraine?

sumatriptan (Imatrex) - subcutaneously

13

What is the standard management of an ugly migraine?

JUST KIDDING!! :-)

14

Which is more likely to be associated with family history - migraine or cluster?

migraine

15

What is the pattern of cluster headache?

severe, unilateral, periorbital pain occuring daily for several weeks

16

For which two types of headache is sumatriptan (Imatrex) used?

migraine and cluster

17

Prior to a triptan, what is a therapy that may help relieve a cluster headache?

100% O2

18

Does TIA have any residual effects?

no

19

What is TIA indicative of?

in many cases, an impending stroke

20

What vision symptoms may be present with TIA?

IPSilateral monocular blindness = same side, one eye

21

What motor symptoms may be present with TIA?

CONTRAlateral paresthesia of arm, leg, or face = opposite side of the body

22

How are vertibrobasilar TIAs characterized?

more "neuro" presentation - vertigo, ataxia, dizziness

23

How are carotid TIAs characterized?

more traditional "stroke-like" - altered LOC, aphasia, dysarthria

24

What imaging test is best for distinguishing between infarct, tumor, or hemorrhage?

CT

25

What imaging test is best for detecting ischemic infarcts?

MRI

26

If a CT is negative but the patient can't move part of the body, what is a likely cause?

ischemic infarct (not bleed)

27

What is the number one cause of heart failure?

hypertension

28

When is endarterectomy indicated?

in cases of > 70 - 80 % stenosis in symptomatic patients

29

What are pharm management options for TIA?

aspirin
clopidogrel (Plavix)
ticlopidine (Ticlid)

30

With what side effects is ticlopidine (Ticlid) associated?

agranulocytosis
thrombotic thrombocytopenia purpura
GI intolerance

** requires lab monitoring, not used as much as aspirin and plavix **

31

What is the most important diagnostic test for establishing the classification of a seizure disorder?

EEG

32

Why are imaging studies done following an initial seizure?

MRI or CT to r/o brain tumor

33

Which type of seizure does NOT involve loss of consciousness?

simple partial

34

What differentiates a complex partial seizure from a simple complex?

complex partial involves loss of consciousness

35

What neurotransmitter is lacking in Parkinson's disease?

dopamine

36

What is the trio of symptoms in Parkinson's disease?

rigidity
tremor
bradykinesia (slow movement)

37

What are the two categories of medication in Parkinson's disease?

those which increase available dopamine
and
anticholinergics which alleviate tremor and rigitity

38

Parkinson's complaint -
"my feet are sticking to the floor"
adjust which type of med?

dopamine

39

Parkinson's complaint -
"I have to rock several times to get up"
adjust which type of med?

dopamine

40

Parkinson's complaint -
"my tremor is much worse"
adjust which type of med?

anticholinergic

41

Parkinson's complaint -
"I'm feeling very rigid"
adjust which type of med?

anticholinergic

42

What is the marker for Parkinson's disease?

none known

43

Bell's palsy -
able to move forehead?

NO

44

Stroke -
able to move forehead?

YES

45

Bell's palsy -
theory on causation

reactivation of herpes virus

46

Bell's palsy -
abrupt or insidious onset?

abrupt

47

Bell's palsy -
which cranial nerve?

facial - CN VII

48

Bell's palsy -
treatment?

prednisone taper
acylcovir

49

Bell's palsy -
typical side of the face?

R

50

stabbing or electric shock type of pain on one side of the face

trigeminal neuralgia

51

Trigeminal neuralgia -
which cranial nerve?

trigeminal - CN V

52

Trigeminal neuralgia -
can be related to what other disorder?

MS

53

Trigeminal neuralgia -
management

anti-seizure drugs
muscle relaxants
tricyclic antidepressants