Cns Nazary Flashcards

(49 cards)

1
Q

Cadiver glasow coma scale

A

3

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2
Q

Types of coma

A
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3
Q

Fluctusting course of muscle weakness

A

Myasthenia gravis
Periodic paralysis
Multiple sclerosis

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4
Q

Worsening of motor weakness with repeated muscle contraction is

A

Nmj myathenia gravis

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5
Q

Slowly progressive onset of muscle weakness

A

Periphral neuropathy myopathy tumor

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6
Q

Acute onset of muscle weakness

A

Acute. Asculaar event or toxic

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7
Q

Dd of lmnl

A
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8
Q

Lmnl with absent reflexes

A

Neuropayhy

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9
Q

Ncv in umnl lmnl

A

Umnl is normal
Lmnl is dec

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10
Q

Tia duration

A

Less than 24

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11
Q

RIND ?

A

Reversible ischemic neurological defeict with tia more thsn 24 h

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12
Q

Carotid tia cp

A

Hemiparesis aphasia blindness

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13
Q

Vertebro basiliar tia cp

A

Diplopia dysatrhria vertigo cirum oral numbness

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14
Q

Tt of tia

A
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15
Q

Causes of transiet hemiplegia

A

T ia
T odd paralysis
H ysterial
H emiplgic migraine
H upertensive encephalpathy
Ms

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16
Q

Hemiplegia site of damage

A

Unilat pyrimadal tract lesion at area 4 from cerebral cortex to 5th cervical segment

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17
Q

Commonest cause and site of intracerebral hgh

A

Mca
Htn

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18
Q

Shock stage is absent in hemiplegia when

A

Cause is gradual , neoplastic

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19
Q

Type of gait in hemiplegia

A

Circumduction

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20
Q

Decribe stage of flaciidty

21
Q

Describe pyrimadal distribution of hemiplegia

22
Q

If lesion is cerebral of hemiplegia crainal nerve affected

A

On opposite side of lesion
On same side of paralysis

23
Q

How to differentiate different cerebral lesion of hemiplegia

A

If coma conv aphasi agraphia so cortical
If paralysis more extensive and coma less so sub cortical
If no no no so capsular

24
Q

Crossed hemiplegia occur

A

Brain stem lesion

25
Level of brain stem lesion in correspond to nerve
Mid brain 3 4 Pons 5 6 7 Medulla 9 10 11 12
26
Site of lesion of brown sequerad syndrome
Between c1 c5
27
No cranial nerve affection with hemiplegia
Spinal hemiplegia
28
Hemi cord syndrome characters
No speech no coma no conv No cranial nerve affection
29
Difference between coma and syncope
Syncope transient alteration of consciousness
30
Physiological causes of,,,Coma
Small lesion in the ras system Bilateral extensive legion in cerebral cortex Increase intracranial pressure ischemia herniation
31
First approached to coma patient
Transfer the patient away from any source of danger ABC Coma cocktail glucose thia mine nalxone
32
Differential diagnosis of different respiration coma
33
Differential diagnosis of order of breath duringa coma
34
Most the cranial nerve affected?
Abducent
35
Third cranial nerve affection indicates
Herniation
36
Differential diagnosis of skin examination in case of, coma
37
What is the signs of lateralization?
38
Why you will make fundu this exam examination in coma
To execute the edema in case of increased ICT
39
Differential diagnosis of pupil, sign, pupil signs in case of coma
40
Mention signs of meningial irritation
Neck stiffness Opisthotous Kernig Lassegue
41
Dilated unilateral pupil
Third nerve compression
42
Bilateral pupil dilated
Atropine
43
Constricted unilateral pupil
Horner
44
Decerebrate
Lesion in upper pons
45
De corticate
Cortical lesion Normal brain stem
46
Brain stem reflexs
Doll eye Corneal Occulo vestibukar
47
Flase localizing sign
6th nerve palsy
48
Trans tentorial uncal herniation
Uni lat irreactive dilated pupil
49
Management of hypoglycemia