Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

zNeuro - clinmed 3 > Diagnosis/Diseases > Flashcards

Diagnosis/Diseases Flashcards

1
Q

Severe early bladder/bowel dysfx.
INCREASED DTR - Toe UP = + Babinski
weak and numb in lower limbs

A

CM- Saddle Anesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

major deficits lower ext motor and sensory
bowel and bladder dysfx
DECREASED DTR - Toe Down = - Babinski

A

CE- Cordae Equinae Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

5 areas of importance in B12 issues in regards to spine

A

Optic N, Dorsal Columns, Pyramidal tract, Cognition and peripheral N.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

General Category of Diseases:
genetic, progressive degeneration disorder of muscle.
Physical characteristic = symm PROX weakness
NORMAL sensory exam
weak muscles SYMMETRIC
NO PAIN
slow onset

A

Muscular Dystrophies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

RAPID, AREFLEXIVE, ASCENDING motor paralysis

A

GBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Rapid, fatigue, attack of MIDLINE muscles, weakness and FLUCTUATION.
- Babinski - NORMOREFLEXIVE
HM - 1st eyedrop, double vision, can’t swallow

A

Myasthenia Gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HYPERREFLEXIVE
Optic Neuritis, Diplopia
+ Babinski

A

MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Symmetric muscular distrophy. 3-5 yo.
CPK > 3000
Calf Hypertrophy

A

Duchenne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Onset Teen. Scapular winging, weak face, weak bi/triceps= POPEYE look

A

Fascio-scapular humeral - FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MULTISYSTEM - Cannot relax a contracted muscle
Frontal balding, cataracts, LOW IQ
Glucose intolerant

A

Myotonic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Gait impairment, unclear speech, hand incoordination, tremor and movements

A

Ataxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ridigity, Tremor @ REST “pillrolling”, Bradykinesa, Loss Postural reflex
Dysautonomia = loss BP standing

A

Parkinsons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

40-70yo immobile face, seborrhea, hypo phonic voice
Tx - Sinemet
good response to dopamine

A

Parkinsons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Chorea, Dementia, Personality disorder
FATAL
autoimmune dom onset 3-8yo
Tx - Haldol / Tertabenozin

A

Huntington’s Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do you treat Huntington’s Dz?

A

Tx - Haldol / Tertabenozin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How do you tx Parkinsons?

A

Tx - Sinemet - Dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define Status epilepticus

A

5+ min of seizure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

EEG HALLMARK for generalized absent seizures

A

3 Hz generalized spike and slow wave complexes. many waves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the MC epilepsy syndrome

A

Mesial Temporal Lobe epilepsy - focal seziure, EEG specific changes, MRI specific chafes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does dopamine affect Parkinsons vs Huntingtons?

A

Parkinsons - dopamin defecient

Huntington - dopamin excess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the MC hyperkinetic movement disorder

A

Tremor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

the patient can do anything but when it comes to holding a pen the hand contracts leading to an abnl posture
tx w/ Botox

A

writers cramp

23
Q

tremor 8-11hz worse w/ caffeine and better w/ ETOH
what else should you check?
how would you treat this?

A

essential tremor
TSH
Betablocker

24
Q

Drugs associated with Tremors

A 
Lithium
Depakote (Valproic acid)
THeophyline
Caffine
Chemo in CA pt
25
Q 
Tremor type:
slow - 3-5hz
resting tremor
check for rigidity, bradykinesia and pill rolling
2nd MC neurodegenerative dz
A

parkinsons tremor

26
Q 
Tremor type: 
fast - 8-12 hz
intention tremor
tremor relieved by ETOH
MC movement disorder
A

Essential tremor

27
Q

Tics, dystonia, chorea - caused by excessive use of Dopamine blocker use > 3 mon

A

Tardive Dyskinesia

28
Q

Involves sudden shock like, muscle jerks f/ CNS insult. hiccups, happens when falling asleep.
How to tx?

A

Myoclonus

Tx - Benzodiazepines, Valporate

29
Q

Urge to move legs bc irritation sensation.
worse at night
worse at rest
relieved w/ movement

A

RLS

30
Q

Atrophic muscle, HYPERREFLEXIVE, pain, weakness
+ Babinski = upgoing toe
Dysarthria and Furrowed tongue
sensory intact
Key: Atrophy, fasciculation, weakness and hyperreflexive

A

ALS

31
Q

Onset before age 21. OCD, vocal outbursts, hyperkinetic

How do you treat this?

A

Tourette’s syndrome
Tx : Clonidine (Catapress)
Dopamine blockers

32
Q

BILATERAL tightness in head, like a vice sensation, may last hours or days.
dull ache - wax and wane

A

Tension HA

33
Q

HEMIcranial - throbbing steady HA.

N/V, photo, phonophobia, scotoma, neuro defects

A

Migraine

34
Q

Pulsatile HA severe and intensified by motion of head, physical activity, cough, strain

A

Vascular HA

35
Q 
UNILATERAL - retroorbital
15min-2hrs
1-8x/d, nocturnal attacks 
Excruciating pain - boring, piercing 
Conjunctival injection, lacramation, nasal congestion
A

Cluster HA

36
Q

How do you treat Cluster HA

A

High flow O2 for acute attacks
-triptans
lido intranasal

Prophylax
verapamil, lithium, prednisone

37
Q

common migraine vs classic migraine

A

common - w/o aura

classic - w/ aura

38
Q

which CN is responsible for Optic Neuritis

A

2

39
Q

CN zoster division Most intense and dangerous

A

5

40
Q

CN affected in Bells Palsy

A

CN 7

41
Q

MC cause of bacterial Meningitis

A

Strep pneumo

42
Q

pt presents with FEVER, HA, NECK STIFFNESS

CSF opening pressure 200-500 and cloudy.

A

Meningitis

43
Q

How do you treat meningitis

A

ABX ASAP
Vanco, Ceftriaxone
if >50 add Ampicillin

44
Q

infection/infalmmation of the brain caused by virus (HSV, VZV, EBV, EEE)

A

Encephalitis

45
Q

How do you treat encephalitis

A

acyclovir

corticosteriods?

46
Q

ascending paralysis

A

GB

47
Q

easy fatigability which improves w/ rest

A

MG

48
Q

Relapseing and remitting sx

A

MS

49
Q

Issue with ash receptors

A

MG

50
Q

loss of tendon reflex

A

GB

51
Q

which type of seizure associated w/ generalized spike and slow waves

A

generalized seizue

52
Q

does the term tonic refer to jerky movement or muscle stiffness

A

muscle stiffness

53
Q

what is the age onset for Tourettes

A

2-15yo

54
Q

what is the 1st line tx for pt in status epilepticus

A

Barbiturates - Diazepam

zNeuro - clinmed 3 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions