Formative/Buzzwords Flashcards

1
Q

What is a common cause of central cord syndrome?

A

syringomyelia

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2
Q

What is syringomyelia often associated with?

A

arnold-chiari malformation where the cerebellar tonsils have herniated down out of foramen magnum

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3
Q

What does an uncal herniation commonly cause?

A

unreactive dilated pupil due to compression of the parasympathetics of the 3rd CN

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4
Q

What is the DANISH of cerebellar dysfunction?

A
  • dysdiadochokinesis
  • ataxia
  • nystagmus
  • intention tremor
  • scanning dysarthria
  • heel-shin test
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5
Q

Where is the primary auditory cortex?

A

superior temporal gyrus

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6
Q

Where is Broca’s area?

A

inferior frontal gyrus

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7
Q

Where is Wernicke’s area?

A

superior temporal gyrus/ tempero-parietal area

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8
Q

Where is the centre for temperature regulation?

A

hypothalamus

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9
Q

Where is the primary visual cortex?

A

occipital lobe

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10
Q

Where is the primary motor cortex?

A

precentral gyrus

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11
Q

Where is the primary somatosensory cortex?

A

postcentral gyrus

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12
Q

How do you differentiate between an upper and lower MN lesion for a 7th nerve palsy?

A
  • UMN- forehead sparing

- LMN- forehead involvement

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13
Q

Thunderclap headache

A

subarachnoid haemorrhage

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14
Q

Xanthochromic lumbar puncture

A

subarachnoid haemorrhage

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15
Q

lucid period after head trauma then collapse or sudden deterioration

A

extradural haemorrhage

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16
Q

cogwheel rigidity

A

Parkinson’s (spasticity over rigidity)

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17
Q

Woody texture muscle swelling

A

Duchenne or Becker muscular dystrophy

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18
Q

raised CKD

A

muscular dystrophy

19
Q

toe walker or positive gowers sign

A

muscular dystrophy

20
Q

mask-like expression

A

Parkinson’s disease

21
Q

fluctuating cognitive deficit

A

Lewy body dementia or delirium

22
Q

acute onset cognitive disturbance that fluctuates

23
Q

personality/behaviour changes and then dementia

A

frontotemporal dementia (Pick’s disease)

24
Q

memory and personality problems in someone with a history of cardiovascular disease

A

vascular dementia

25
stepwise deterioration
vascular dementia
26
pain on loud noise
facial nerve palsy
27
painful third nerve palsy
aneurysm
28
myalgia + myositis + myoglobulinaemia/uria
rhabdo
29
inflammatory myopathy with poor response to steroids
inclusion body myositis
30
weakness + frontal balding + cataracts + ptosis
myotonic dystrophy
31
leg symptoms + midline shift
falcine herniation
32
back pain worse on coughing
slipped disc
33
headache worse on coughing
posterior fossa issue
34
BL sciatica + male sexual dysfunction
cauda equina
35
pleocytosis on CSF
rules out bacterial meningitis
36
migraine prophylaxis
1st line propranolol, topiramate or amitriptyline; 2nd line valproate, pizotifen, gabapentin, pregabalin (if one drug does not work by 3/12, try another)
37
injury upper brachial plexus
Erb's palsy (waiters tip)
38
injury lower brachial plexus
Klumpke's palsy (claw hand)
39
+ve Simmond's test
Achilles tendon rupture
40
What would a lesion in Wernicke's area cause?
receptive dysphagia
41
What would a lesion in Broca's area cause?
expressive dysphagia
42
What is the triad of Wernicke's encephalopathy?
- acute confusion - ataxia - opthalmoplegia
43
diplopia worse going downstairs and when reading a book
fourth nerve palsy
44
ptosis, diplopia (horizontal) and dilated pupil
third nerve palsy