Neuro 💅

Question 1

Glasgow Coma Scale: 1st central pain assessment

Answer 1

do supraorbital pressure by feeling the rigid of the orbit, the trapezius squeeze which is uncomfortable, then the sternal rub (try other less horrific things FIRST) → if you do not respond to those then there is a problem

Question 2

Glasgow Coma Scale: 2nd peripheral pain assessment

Answer 2

testing the extremities for the responsiveness

Question 3

What kind of test are used in Neuro?

Answer 3

Labs

Xrays

CT

MRI

PET

MRS

EEG

Question 4

what does a CT do?

Answer 4

uses contrast and looks for structural changes

Question 5

what does a MRI do?

Answer 5

looks at soft tissue

Question 6

what does a PET scan do?

Answer 6

Looks for maligancies and cerebral blood flow

Question 7

what should you not give before a PET scan?

Answer 7

No metformin for 24 hours before

Question 8

What does a EEG do?

Answer 8

eval brain activity

Question 9

What is happening when you have a migraine?

Answer 9

Spasm of cerebral arteries

Question 10

Symptoms of a migraine

Answer 10

Unilateral front temporal throbbing pain

Question 11

Stages of Migraine (4)

Answer 11

Prodrome
Aura
Headache, then termination of same
Post prodrome

Question 12

Meds for migraines

Answer 12

NSAIDs

Triptans

Ergotamine derivatives

Question 13

What is a cluster headache?

Answer 13

Excruciating, non throbbing pain

Onset related to relaxation, naps or rem sleep

last for 30-90minsn

Question 14

Tension headaches

Answer 14

Present with neck shoulder and muscle tenderness, bilat pain at the base of the skull and forehead

lasts 4 hours

Question 15

SEIZURES: tonic

Answer 15

abrupt increase of significant muscle tone

Question 16

SEIZURES: clonic

Answer 16

rhythmic jerking of the extremities

Question 17

SEIZURES: absence

Answer 17

brief, blank stare, no postictal period

Question 18

SEIZURES: myoclonic

Answer 18

brief, involves, extremities either singly or in groups, may be symmetric or asymmetric

Question 19

SEIZURES: Atonic

Answer 19

drop attack

Question 20

SEIZURES: Complex partial

Answer 20

person loses consciousness, they may have automaticity, and they are unaware of what is going on and the event itself → usually involves the the temporal lobe

Question 21

SEIZURES: : simple partial

Answer 21

person remains conscious, they may have an aura, they may have a deja vu, they may perceive an offensive smell, could see increased HR, GI upset

Question 22

Seizure precautions!!!!

Answer 22

airway
suction
oxygen available
IV access
side rails up & padded

Question 23

What do you never do during a seizure

Answer 23

Use a mother fucking tounge blade
or
restrict movement

Question 24

Is it okay to drink when you are taking seizure meds?

Answer 24

HELL NO

Question 25

EPILEPSY

Answer 25

Chronic disorder with recurrent unprovoked seizures; may be caused by abnormality in electrical neuronal activity and/ or due to imbalance

Question 26

Triggers of Epilepsy

Answer 26

``` physical activity stress fatugue alc/caffeine flashing lights ```

Question 27

Parkinson’s disease

Answer 27

Progressive neurodegenerative disease affecting motor ability

Question 28

What are you losing when you have a Parks?

Answer 28

dopamine loss and norepinephrine loss

Question 29

Dementia

Answer 29

A syndrome of slowly progressive cognitive decline | Patient is chronically confused

Question 30

Delirium: hyperactive

Answer 30

restless, agitated, agressive just like a loon

Question 31

Delirium: hypoactive

Answer 31

quite and withdrawn

Question 32

what is MULTIPLE SCLEROSIS?

Answer 32

Chronic autoimmune disease Affects the myelin sheath and conduction pathway of the CNS

Question 33

what is the goal of MS treatment?

Answer 33

Treating the symptoms and the slow the progression

Question 34

Guillain Barre Syndrome

Answer 34

Acute autoimmune disorder; follows an acute illness Chronic inflammatory demyelinating polyneuropathy

Question 35

Treatment for GBS

Answer 35

Plasmapheresis (plasma exchange) Immunoglobulin (IVIG)

Question 36

Myasthenia Gravis

Answer 36

Chronic autoimmune disease of neuromuscular junction Primarily in muscles innervated by cranial nerves, as well as in skeletal and respiratory muscles. weak and fatigued

Question 37

MG is caused by the formation of ...

Answer 37

autoantibodies to acetylcholine receptors

Question 38

Treatment for MG

Answer 38

anticholinesterase Immunosuppressants IV immunoglobulin

Question 39

Myasthenic crisis

Answer 39

exacerbation of the symptoms caused by under-medication with the anticholinesterases:

Question 40

Cholinergic crisis

Answer 40

acute exacerbation of muscle weakness caused by overmedication with anticholinesterase drugs

Question 41

What should someone with MG avoid?

Answer 41

overheating, staying out of crowds, extreme changes in sleeping habits, or emotional extremes

Question 42

Bells Palsy

Answer 42

Acute inflammation of of the seventh cranial nerve Unilateral!!!