Neuro Flashcards
Differentiate between primary and secondary headaches
primary is not associated with other diseases-examples are migraine, tension, cluster. Secondary is a result of tumor, meningitis etc the we will not treat.
What is the only neuro symptom in primary headaches?
photophobia
What type of headache is a pressing nonpulsatile bilateral headache?
tension
What type of headache is normally unilateral?
cluster and migraine
What headache occurs with nasal stuffiness?
cluster
What are good prophylactic meds for migraine prevention?
beta blockers, antidepressants, antieleptics
What type of CT should be ordered to assess for hemorrhage?
non contrast
what type of CT should be ordered to assess for tumor or abcess
contrast
How is giant cell arteritis treated?
high dose systemic corticosteroids
What lab values are likely elevated in giant cell arteritis?
ESR, CRP
Differentiate between Brudzinski’s and Kernigs signs
Brudzinski is when passive neck flexion in a supine position results in flexion of knees. Kernigs is when pt is supine and hip flexed at 90 degrees. Positive when this elicits pain in lower back or thigh.
what cranial nerves are responsible for fields of gaze?
III (oculomotor) IV (trochlear) and VI (abducens)
what cranial nerve is responsible for tongue movement?
XII (hypoglossal)
What cranial nerve is affected in bells palsy?
VII (Facial)
What is the romberg test and what is it indicative of?
with eyes closed standing with feet together, sways. nervous system disorder
