Day 1 - Neuro Part 1 Quiz Flashcards Preview

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Flashcards in Day 1 - Neuro Part 1 Quiz Deck (18):
1

Spinal cord lesion: fasciculations, spastic paralysis

ALS aka Lou Gehrig's disease

2

Spinal cord lesion: impaired proprioception, pupils not relate to light

Tertiary Syphilis

3

Spinal cord lesion: loss of pain and temp below lesion, Hand weakness

Syringomyelia

4

Spinal cord lesion: Bilateral loss of vibration sense & spastic paralysis of legs then arms

B12 deficiency

5

Spinal cord lesion: Bilateral loss of pain and temp below lesion, B/l spastic paralysis below lesion, B/l flaccid paralysis at level of lesion

Anterior spinal artery occlusion (Note: bilateral)

6

Brown-Sequard syndrome classically p/w

All tracts affected on one side; Ipsilateral loss of vibration/touch discrimiation, spastic paralysis, flaccid paralysis, contralateral loss of pain/temp 1-2 levels below

7

Most likely HA: 40 yo F, made worse by bending over

Sinus headache

8

HA: 30 yo F, left temporal region, vision of flashing lights

Migraine HA

9

First-line med for acute tx of migraine HA

Triptans

10

Preferred antihypertensive chronic HTN & recurrent migraine

CCBs or Beta blockers

11

Most effective med in tx trigeminal neuralgia

Carbamazepine

12

Med given to close contacts of patients w/ HiB or S. pneumo meningitis

Rifampin

13

4 most common sequelae of meningitis in kids

(1) Hearing loss (2) Mental retardation (3) Seizure disorder (4) Spastic paralysis

14

Tx for fungal meningitis

Amphotericin B intrathecally

15

Tx for Tb meningitis

Rifampin, Isonazid, Pyrazinamide, Ethambutol

16

Cerebral artery infarct: Aphasia

MCA

17

Classic CSF findings differ in bacterial, fungal, or viral meningitis

Bacterial/Fungal/Tb - decreased glucose, increased protein, elevated pressure; Bacterial - PMNs, Fungal/Tb - Lymphocytes; Viral - pressure not as elevated, protein & glucose normal, Lymphocytes

18

CSF culture for meningitis shows: (1) gram (+) diplococci (2) gram (-) diplococci (3) small pleomorphic coccobacilli (4) gram (+) coccobacilli

(1) S. pneumo (2) N. meningitidis (3) H. influenzae (4) Listeria

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