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Flashcards in neuro Deck (30):
1

B-amyloid peptide plaques and neurofibrillary tangles containing tau protein throughout neocortex

Alzheimer's disease

2

common etiologies of delirium

intoxication, drug withdrawal, alcohol, infection, hypo/hyperglycemia, neoplams, seizure, medications

3

TX for essential tremor

propranolol 60-240mg daily. if that doesn't work, alprazolam, topiramate, gabapentin, mirtazapine, clozapine

4

parkinson's triad

tremor, bradykinesia, rigidity

5

parkinson's treatment

levadopa with carbadopa

6

status epilepticus definition

occurrence of single unremitting seizure with a duration longer than 5-10 minutes or frequent clinical seizures without an interictal return to baseline

7

dx of status epilepticus

EEG showing continuous seizure activity is diagnostic. MRI may show lesions that trigger it.

8

continuous or repeated focal motor seizures, focal sensory sxs, or cognitive sxs without impaired consciousness

simple partial seizure

9

continueous or repeated episodes of focal motor, sensory or cognitive sxs with impaired consciousness

complex partial seizures

10

generalized tonic clonic seizure

impaired consciousness

11

altered awareness but not necessarily unconsciousness, typically confused or stuporous, myoclonus, eye blinking, perseveration, language difficulty, altered motor performance

absence seizure

12

frequent myoclonic jerks, usually in setting of altered mental status

myoclonic seizure

13

tx of seizure

first line is diazepam, lorazepam.
phenytoin used to prevent recurrence or for refractory seizure. phenobarbital

14

most common cause of bell's palsy

herpes simplex and herpes zoster

15

sudden onset unilateral facial paralysis, weakness, eyebrow sagging, inability to close eye, mouth drawn to non affected side, decreased tearing

bell's palsy

16

tx bell's palsy

artificial tears, ophthalmic ointment at night to protect cornea, glucocorticoid, valacyclovir

17

tx of cluster HA

sumatriptan and oxygen inhalation.

18

preventative therapy for cluster HA

verapamil

19

contraindications to triptans

pregnancy, ischemic heart disease, focal neuro sxs, uncontrolled HTN, PVD

20

tx for stroke

first r/o hemorrhage with non contrast CT. Altepase for thrombolytic therapy, aspirin 300mg, antihypertensive

21

low flow short lived often recurrent episodes of numbness or tingling in hand, arm, leg, face, tongue, cheeck

TIA

22

dx for TIA

CT or MRI. angiography used to ID source of stenosis. duplex US and transcranial doppler to eval carotids

23

tx of TIA

aspirin 300mg, start tx of HTN with ACE or CCB

24

cardiac causes of syncope

arrhythmias, accessory pathways, infarction, hypertrophy, AV block, sick sinus syndrome, aortic or pulmonary stenosis, pulmonary htn

25

what is the tilt table testing used for?

to determine if orthostatic hypotension is cause of seizure

26

another name for meniere disease

endolymphatic hydrops

27

2 known causes of meniere disease

syphilis and head trauma

28

episodic vertigo, tinnitus, sensorineural hearing loss

meniere disease

29

acute onset of continuous severe vertigo lasting several days to a week, hearing loss, tinnitus

labrynthitis

30

tx of meniere disease

low sodium diet and diuretic like acetazolamide