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Medicine SHELF Prep > Neuro > Flashcards

Neuro Flashcards

1
Q

Which CN palsy is most common with intracranial hypertension?

A

CN6

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2
Q

C/I to triptans

A

ischemic vascular disease, uncontrolled HTN

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3
Q

Tx cluster headache

A

oxygen (abortive), verapamil (ppx)

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4
Q

Which diagnosis? summer/early fall, most common aseptic meningitis

A

Enteroviral meningitis (echovirus, coxsackie virus)

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5
Q

Dx enteroviral meningitis

A

PCR

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6
Q

Dx arboviral meningitis

A

ELISA

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7
Q

Tx bacterial meningitis

A

vancomycin + ceftriaxone (age>50 add ampicillin); dexamethasone prior to abx

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8
Q

Tx bacterial meningitis in trauma/CSF shunt

A

Vancomycin + 4th generation cephalosporin

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9
Q

Tx HTN in stroke indications

A

> 220/120 or for tPA

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10
Q

Tx HTN in stroke agents (2)

A

Nicardipine, labetalol

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11
Q

Absolute C/I to tPA (4)

A

recent surgery, hemorrhage, prior hemorrhagic stroke, coagulopathy

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12
Q

F/U Tx stroke ppx

A

aspirin or DAPT x1-6months

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13
Q

Which dementia? cognitive decline, gait impairment, urinary incontinence

A

Normal Pressure Hydrocephalus

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14
Q

Which dementia? associated with visual hallucinations

A

Lewy Body

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15
Q

Which dementia? personality and behavioral changes

A

Fronto-Temporal Dementia

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16
Q

Tx mild Alzheimer

A

Cholinesterase Inhibitor

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17
Q

Tx mod-severe Alzheimer

A

Memantine

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18
Q

Tx agitation in delirium

A

Low dose anti-psychotic

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19
Q

Tx Guillain-Barre Syndrome

A

IVIG or plasmapheresis

20
Q

Which dementia? ataxia, dysautonomia

A

Multiple System Atrophy

21
Q

Inheritance Essential Tremor

A

AD

22
Q

Tx Essential Tremor (2)

A

Propranolol, Primidone

23
Q

Tx Dystonia (2)

A

Diphenhydramine, benztropine

24
Q

Tx Cervical Dystonia

A

Botox

25
Q

Which epilepsy syndrome? onset 10-30, focal +/- generalization, temporal spikes on EEG

A

Temporal Lobe Epilepsy

26
Q

Which epilepsy syndrome? onset 12-18, myoclonic/GTC, 4.5Hz multiple spike and wave

A

Juvenile Myoclonic Epilepsy

27
Q

Which epilepsy syndrome? onset 4-10, 3Hz generalized spike and wave

A

Absence

28
Q

Which epilepsy syndrome? Onset 2-adult, difficult to control, generalized slow spike and wave

A

Lennox-Gastaut

29
Q

Which AED? Hyponatremia, aplastic anemia, agranulocytosis, AV block

A

Carbamazepine

30
Q

Which AED? CYP inducers (4)

A

Carbamazepine, oxcarbazepine, phenytoin, topiramate

31
Q

Which AED? Only effective for absence seizures

A

Ethosuximide

32
Q

Which AED? sedation, DRESS syndrome, SJS

A

Gabapentin

33
Q

Which AED? AV block, cardiac arrhythmias, depression its suicidality

A

Lacosamide

34
Q

Which AED? Agranulocytosis, abdominal pain, hyponatremia, anaphylaxis

A

Oxcarbazepine

35
Q

Which AED? Gingival hyperplasia, drug-induced lupus, hepatotoxicity

A

Phenytoin

36
Q

Which AED? edema, jaundice, increased CK, sedation

A

Pregabalin

37
Q

Which AED? Diarrhea, tremor, SJS

A

Lamotrigine

38
Q

Which AED? SJS, psychosis, depression, few drug interactions

A

Levetiracetam

39
Q

Which AED? metabolic acidosis, glaucoma, hepatotoxicity, nephrolithiasis

A

Topiramate

40
Q

Which AED? edema, alopecia, weight gain, diarrhea, ototoxicity, pancreatitis

A

Valproic Acid

41
Q

Which diagnosis? antibody to muscle-specific tyrosine kinase

A

Myasthenia gravis

42
Q

Tx severe myasthenia gravis

A

IVIG, plasmapheresis

43
Q

Which antibodies in Lambert-Eaton?

A

Presynaptic voltage-gated calcium channels

44
Q

Tx Lambert-Eaton

A

3,4-diaminopyridine

45
Q

Tx ALS

A

riluzole

Medicine SHELF Prep (12 decks)

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