Neuro 5 Flashcards Preview

DIT Step 2 > Neuro 5 > Flashcards

Flashcards in Neuro 5 Deck (35):
1

CN 4?

Lateral rectus

2

Optic tract lesion on the left?

Causes right homonymous hemianopsia

3

Temporal lobe interference with vision?

Upper quadrantic anopia

4

Parietal lobe lesion?

Loss of lower quadratic

5

lesion prior to pretectal nucleus?

Afferent defect. Doesn't constrict. But still sees light

6

Type of cancer in pan coast?

Non small cell

7

Near sighted is focused close

amypia

8

Ambluiopia is from what

tx?

Strabismus. Tx is vision training

9

Common cause of blindness in black?

Glaucoma

10

Tx bacterial conjunctivitis?

Erythromycin

11

Most common conjunctivits in first 24 hours of life?

CHEMICAL FROM ANTIBIOTIC EYE DROPS

12

B27 are seronegative arthritis. Whats the mnemonic?

TX?

PAIR

Psoriatic
Ankylosin spondylitis
IBD arthritis
Reactive arthritis

STEROIDS

13

CORNEAL ulcer think what?

Painful. HSV!!

14

Orbital cellulitis vs peri?

Orbital involved things in orbit like muscles

SO THINK ptosis. Think PAIN with movement. Unable to move eye.

RISK OF BLINDNESS OR DEATH

15

Chalazion

Hordeolum

Anterior blephartis

Submucosal in eye lids. Tx self limiting or excision if need be

Hordeolum is a stye and sebacias gland infected. Hot compress

Anterior blepharitis Eye lids infected with seborrhea. Wash with shampoo

16

Cataract treatment?

Lens replacement

17

Closed angle glaucoma symptoms?

PAIN unilateral HALOS!! IT LOOKS WEIRD TO SEE AN EYE WITH IT

18

Symptom of open angle glaucomea?

Gradual loss of peripheral vision and is permanent

19

Dx of glaucoma? KNOW!

Tenometry

Optic cup is more than half of optic disk

20

Open angle tx?

Prostoglandins, Timolol, Alpha 2 agonists (clonidine), pilocarpine is cholinergic agonist to close it!

21

What symptoms in most common cause of blindness in elderly?

macular degeneration. 2 types

lose middle of vision

dry has drusen

wet has neovascularization

22

Risk factor for mac degen?

SMOKING

23

Tx mac degen?

Antioxidents like beta carotene, vit C and E

AntiVegF ranibizumab

24

Cherry red spot in adult?

Think retinal vessel occlusion!!!!

25

Tx retinal artery occlusion?

Throbolytics, acetazolamid or mannitol, OXYGEN

26

What is bullous myringitis? What causes it? Tx?

Vesicle on tympanic membrane and painful ear infection

Mycoplasma pneumoniae is cause, GIVE MACROLIDE for Myringitis

27

Otitis externa tx if worried about pseudo or invasion into skull?

FLUOROQUINOLONE

28

Vertigo, nausea and vomiting?

Vestibular neuritis. IF HEARING LOSS IT IS LABYRINTHITIS

29

Tx for acute labyrinthitis?

SUBSIDES IN A FEW WEEKs, steroids might help.

30

What is Meniere disease?

Mnemonic?

Meniere is MANY-EAR symptoms. INCLUDES TINITIS

Distention of endolymphatic compartment of the ear causing vertigo

ACITE with nausea, vomigting, decreased hearing, tinnitus!!!

LOW FREQUENCY HEARING LOSS

31

Meniere history?

MANY EAR symptoms lasting several hours with exacerbations from nowhere.

Thiazides might help anticholinerics and antiemetics and antihistamines improve exacerbation

32

Diffinitive tx of meniere??

Surgical decompression and destroy ear

33

What is symptoms and what is acoustic neuroma?

Schwannoma of CN VIII

Hearing loss secondary to nerve conduction. Unilateral facial palsy, Dizziness. Decreased sensation

SENSORINEURAL HEARING LOSS

34

Conductive hearing loss in adults most common cause?

Sensorineural hearing loss in adults most common cause?

Conductive: otosclerosis

Sensorineural: presbycusus

35

Ramsay hunt tx?

Narcotic for pain
Steroids for inflammation
Valacyclovir (b/c it is zoster)