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Flashcards in All Deck (31)
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1
Q

Behavioral changes, chorea, and dementia prior to 50 y/o. Disease?

A

Hungtington

CT scan shows ccerebral and caudate nucelus atrophy

2
Q

Idiopathic dopmaine depletion with Lewy bodies. Condition?

A

Parkinson

3
Q

Signs of Parkinsons

A
  1. Resting tremor-pill rolling that is lessened with ovluntary activity
  2. Bradykinesia
  3. Rigidity
  4. Fixed facial expressions
  5. Shuffling gait
4
Q

Treatment of Parkinsons

A

Levodopa/Carbidopa

5
Q

What type of weakness pattern do patients with Guillain Barre Syndrome show?

A

Ascending weakness and presthesias that are usually symmetric-decreased DTR

6
Q

CSF shows high protein with normal WBC count. Recent infection with Campylobacter. Treatment?

A

Plasmophresis or IVIG

*Prednisone contraindicated

7
Q

Autoimmne antibodies againist acetylcholice postsynaptic receptor

A

Myastehnia gravis

8
Q

Pt comes in ocular weakness, seeing double, inability to look up w/ eyes. Pupil response is normal. Muscle weakness worse with movement. What do you order?

A
  1. Acetylcholine receptor antiboides
  2. Tensilon test-improvement
  3. Ice pack test shows improvement after ten mins of ocular sx
9
Q

Management of MG?

A
  1. Acetycholinesterase inhibitors: Pyridostigmine or Neostigmine
10
Q

Cholingergic crisis

A

Weakness, miosis, diarrhea, seating, vomiting, salivation

11
Q

Defect of what cranial nerve in Bells palsy?

A

CN 7

12
Q

Pt presents with facial weakness. Upon evaluation of forehead, you notice wrinkling of both sides with downward slanting of mouth. Dx?

A

CVA

13
Q

Trigeminal neuralgia affects what nerve?

A

CN 5

14
Q

Trigeminal neuralgia in young patient should make you think of what dx?

A

MS

15
Q

Prophylactic tx in cluster HA

A

Verapamil

16
Q

First line treatment for cluster HA

A

O2

17
Q

Dilation of the cerebral ventricles with normal opening pressure on LP

A

Normal pressure hydrocephalus

18
Q

What treatment should patients with hx of TIA have?

A
  1. Aspirin

2. Plavix

19
Q

Trauma to the temporal area with brief LOC. CT shows hyperechoic area that does not cross suture line. D?

A

Epidural hematoma- Middle meningeal artery

20
Q

Venous bleed with tearing of briding veins.

A

Subdural hematoma- MC in older patients

21
Q

CP shows xanthochromia, and increased CSF

A

Subarchnoid hemorrhage

22
Q

Management of SAH

A
  1. Supporitive-bed rest, stool softner to ower icp
  2. surgical coilingor cliniping
  3. lower bp gradually with Nicardipine
23
Q

Pte has petecehial rash with meningeal irritation. What organism do you suspect?

A

N. meningitidis

24
Q

Prophylaxis for contact exposure

A

Cipro or Rifampin

25
Q

CN

A
  1. Optic- light reflex
  2. Oculomotor-check eye movement
  3. same as above
  4. Close jaw, grind teeth, touch face
  5. gaze
  6. facial expression
  7. hearing
  8. gag
  9. 10
  10. shoulder shrug
26
Q

Bilateral fracture of anterior and posterior arches of C1

A

Atlas

27
Q

Bilateral fracture of vehicles or pars of c2

A

Hangman caused by hyperextension

28
Q

Ruinous process allusion fracture due to forced flexion after MVA

A

Clay shovlers

Put in hard collar

29
Q

Central cord syndrome

A
  1. Extension injury causing loss of pain and temp
30
Q

Anterior Cord Syndrome

A

Caused by flexion compression injuries

Lower extremity deficit with bladder dysfunction

31
Q

What is tv for increased ICP

A

IF mannitok and elevated head of bed