Day 2 - Neuro4 Quiz Flashcards Preview

Step 2 DIT Rapid Review > Day 2 - Neuro4 Quiz > Flashcards

Flashcards in Day 2 - Neuro4 Quiz Deck (13):
1

10 yo boy weakness over 3 days, now worsened to include symmetric facial weakness, DTRs absent, sensation intact

GBS

2

Causes of dislocation of lens of eye

Marfan's syndrome (upwards); Homocysteinuria (downward); Alport (can't see, can't pee, can't hear); Traumatic

3

Weber test: conductive v. sensorineural

heard best in affected ear - conductive; heard best in unaffected ear - sensorineural

4

BPPV dx & tx

Dix-Hallpike maneuver; Epley maneuver

5

Cherry red spot on macular

Tay-Sachs, Niemann-Pick, Central retinal artery occlusion

6

Tx macular degeneration

Atrophic - Vitamin supplementation - beta-carotene, C, E, copper, zinc; Exudative - intravitreal ranizumab (VEGF) or laser photocoagulation

7

Tx retinal detachment

Stop progression of retinal detachment w/ cryotherapy or laser photocoagulation; Reattach retina, which usually helps recover some of vision

8

Risk factors for cataracts

Trauma, especially caustic substances, Diabetes, Corticosteroid, Older, Sunlight exposure, Tobacco, Low education, Alcohol

9

Orbital v. Periorbital cellulitis

Orbital - limitation of eye movement, propotosis, pain on eye movement, decreased/double vision

10

Tx acute angle glaucoma

Eye drops (e.g., beta blockers, cholinergic agoinsts, alpha agonists, prostaglandin analogs) and Acetazolamide; If refractory and dx confirmed, IV mannitol; Laser peripheral iridotomy

11

Next step chemical burn to eye

Copious water irrigation, immediately

12

Easiest way to distinguish Hordoleum v. Chalazion

Eyelid margin v. In eyelid itself

13

Lesion to CN III

Fixed and dilated pupil, down and out eye

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