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NEURO Flashcards

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1
Q

CN XII deficit presents?

A

weakness of the ipsilateral side and protrusion of the tongue towards the affected side- hypoglossal

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2
Q

CN XI deficit presents?

A

weakness turning head- spinal accessory

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3
Q

CN X deficit presents?

A

aphonia, mostly GI and cardio related- vagus

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4
Q

CN IX deficit presents?

A

dysphagia- glossopharyngeal

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5
Q

CN VIII deficit presents?

A

tinnitus, vertigo

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6
Q

CN VII deficit presents?

A

complete or partial numbness- facial

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7
Q

CN VI deficit presents?

A

medial turning of the affected eye- abducens

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8
Q

CN V deficit presents?

A

corneal drying, anethesia of the forehead, decreased salvation

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9
Q

CN IV deficit presents?

A

vertical diplopia- trochlear nerve

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10
Q

CN III deficit presents?

A

outward and downward- oculomotor

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11
Q

CN II deficit presents?

A

complete or partial blindness- optic

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12
Q

CN I deficit presents?

A

smell is impaired- olfactory

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13
Q

What med to use in alzheimers patient to cholinesterase inhibitor?

A

memantine

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14
Q

Beta amyloid plaques and neurofibrillary tangles?

A

alzheimer’s brain on autopsy

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15
Q

Short term/temp confusion or AMS?

A

delrium

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16
Q

Acute meningitis and purpura?

A

meningococcal meningitis

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17
Q

Rapidly progressing encephalopathy with hepatic dysfxn?

A

reye sx

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18
Q

Negri bodies found in neurons indicate?

A

rabies

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19
Q

Viral meningitis has what cell predominate in CSF?

A

mononuclear; bacterial and neutrophils

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20
Q

Non progressive disorder with spastic rigidity and slow writhing movements?

A

CP

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21
Q

Myasthenia gravis has what AB?

A

acetycholine

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22
Q

Tx myasthenia gravis?

A

pyridostigmine

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23
Q

Proximal to distal motor weakness?

A

myasthenia gravis

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24
Q

CSF for gullian barre?

A

albuminocytologic dissociation

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25
Bug for cxing gullian barre?
campylobacter
26
Does guillian barre have intact DTR?
NO
27
Tx for huntington dz?
tetrabenazine
28
Initial tx for parkinson over 65?
levodopa + carvidopa
29
Cx of intentional tremor?
brain trauma, MS, cerebellar dz
30
Tx for parkinson before 65?
dopamine agonist: bromocriptine
31
Resting tremor that goes away with movement?
parkinson
32
When can athlete return to play after concussion?
1wk with no sx
33
HA, irritability, loss of memory after concussion?
post concussive sx
34
Tx for complex seizure?
phenytoin
35
Tx for partial seizure?
carbamazepine or iamotrogine
36
Tx for status epilepticus?
IV lorazapam and IV phenytoin
37
Seizure limited to part of one hemisphere with impaired consciousness?
complex partial seizure
38
Seizure limited to part of one hemisphere with NO impairment of consciousness?
simple partial seizure
39
Acute medical tx for ICP?
mannitol, hyperventilation, head elevation
40
Vessels involving subdural hematoma?
bridging veins
41
What artery is involved in a epidural hematoma?
middle meningeal artery
42
Transient loss of consciousness after lucid interval d/t?
epidural hematoma
43
Which brain tumor has cerebral nerve palsy?
brainstem tumor
44
Which brain tumor has hallucination?
occipital
45
Which brain tumor has smacking and gustatory prob?
temporal
46
Which brain tumor has seizures and sensory loss?
parietal
47
Loss of speech, vertigo, ataxia, nystagmus?
posterior stroke
48
Contralateral paralysis, able to wrinkle forehead?
anterior stroke
49
Facial paralysis of ipsilateral side of herpes zoster?
ramsay hunt sx
50
Unilateral paralysis of facial from herpes simplex?
bells palsy
51
Hereditary peripheral neuropathy affecting both sensory and motor?
charcot marie tooth
52
Type of polyneuropathy only affecting motor?
mylenation
53
Type of neuropathy that is symmetrical affecting sensory?
axonal
54
Dz related to restless legs?
iron def, parkinson, diabetes, MS, pregnancy
55
Symmetrical, distal burning and sensory loss?
peripheral
56
Tx for complex regional pain sx?
anticonvulsants, tricylic antidepressants, amitriptyline
57
Unilateral burning pain with cyanotic cool extremity with urinary urgency?
complex regional pain sx aka reflex sympathetic dystrophy
58
Prophylaxis tx for cluster HA?
verapamil
59
Unilateral ptosis, miosis, anhydrosis?
horner sx
60
Migrain prophylaxis?
BB, if over 60yo then verapamil, tricylic
61
Delirium vs dementia?
delirium is acute d/t underlying dz, dementia is alzheimers and memory loss
62
What bugs are common in neonates with meningitis?
group b strep and e. coli
63
Meningitis vs encephalitis?
encephalitis has AMS
64
What bug are common in community acquired meningitis?
s. pneumonia, n. meningitidis
65
Tx for mysthenia gravis in 60yo younger?
thymemoctomy
66
CSF shows oligoclobands?
MS
67
Tx for MS patient with severe attacks?
plasma exchange
68
What childhood dz process can be diagnosed with the onset of chorea?
rheumatic fever
69
What dz has an intention tremor?
stroke, MS, cerebellar dsyfxn
70
Football player is having post concussive sx, what to do next?
MRI
71
What medication needs regular blood draws to check therapeutic levels to tx epilepsy seizures?
phenytoin
72
What is the drug of choice to tx simple and complex seizures?
carbamazapine
73
A man hit his head and was unhurt but 2wks later c/o HA and lightheaded?
subdural hematoma
74
What is recommended tx for subdural hematoma?
burrhole
75
Pt has worst HA ever but CT is neg, what is the next step?
lumbar puncture
76
Pt with TIA + CAD should be put on what type of antiplatelet meds?
clopidogrel
77
What is the mainstay tx for bells palsy?
steroids +/- antivirals
78
Pt is obese and has neuropathy, what med would help with neuropathy and wt loss?
topiramate
79
Charcot marie tooth has sensory, motor, or both lost?
both
80
Charcot marie tooth has what type of sensory loss?
propioception and vibration
81
24 yo male is c/o complex regional pain sx and is already taking neurotin, what's the next drug tx?
steroids
82
30yo female has unilateral HA with colorful aura, tx of choice?
sumatriptan
83
Prophylaxis for tension HA?
antidepressant: amytriptaline

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