Neuro-Final Flashcards Preview

Integrative Week Two > Neuro-Final > Flashcards

Flashcards in Neuro-Final Deck (91):
1

confabulation

mammillary bodies

2

medulla nerves

CN 9,10,11,12

2

subacute ascending demyelination of neurons

GB

2

left hemianopia with macular sparing

PCA infarct

3

Creutzfield-Jacob disease

rapidly progressive dementia myoclonic jerks EEG with periodic sharp waves

4

RMCA infarct

unilateral neglect

4

Phenytoin

ataxia hepatic dysfunction gingival hyperplasia

5

Charcot-Marie-Tooth

sprained ankles distal calf atrophy hammer toes, sensory loss, palpable peripheral nerves

6

ALS

fasciculations upper and lower motor neuron signs

6

Sturge Weber

port wine stain in V1 opthalamic seizures, MR hemiparesis, glaucoma

6

acute angle-closure glaucoma

acute visual loss, PAIN headache, red eye, mid-dilated fixed pupil

7

Listeria

gram+ meningitis in babies, elderly

7

felbamate

for Lennox-Gastaut syndrome aplastic anemia hepatic failure

8

gliosis of caudate nucleus

Huntington's disease

8

JC virus

HIV, low CD4 visual sx - hemianopia gait ataxia non-enhancing white matter lesions

9

medulloblastoma

pediatric cerebellar tumor

10

carpel-tunnel

median n first three and a half digits tinnels, phalens sign

11

radial wrist drop

often after passing out and putting pressure on wrist/hand

12

Steven's Johnson syndrome

ethosuxidmide phenytoin lamotrigine carbamazepine

12

Botulism

diplopia, dysphonia, dysarthria, dysphagia desc flaccid paralysis honey

14

ulnar neuropathy

last one and a half digits

16

subarachnoid hemorrhage associations

aneurysms Berry aneurysm Polycystic kidney disease

17

meningioma

slow growing midline tumor

18

rebound headaches

chronic daily headaches daily analgesic use

19

right anopia

right optic nerve

20

complex vs. simple seizure

complex - lose consciousness

20

subdural hematoma

-slow onset of mental status changes - at risk: elderly with falls, alcoholics - torn bridging veins from shearing

22

metoclopramide

drug induced parkinsons

22

Benign position vertigo

sudden onset of vertigo triggered by positions otolitihs in semi-circular canal treat with Epley maneuver

23

HSV

encephalitis confusion, fever, headache, CN findings RBCs in CSF

23

vertebrobasilar infarct

Vomiting, vertigo, ataxia, dysarthria, CN palsies, diplopia hemiparesis or hemisensory loss

24

Mydriasis

dilate sympathetic

24

acoustic neuroma

unilateral hearing loss, vertigo, tinnitus bilateral in NF2

26

subarachnoid headache

worst headache of my life blood in csf

28

Neisseria

gram- meningitis

28

Tuberous sclerosis

hamartomas in skin and CNS adenoma sebaceum Ash leaf spot/hypopigmented macules MR, AD

29

trigeminal neuralgia

intense facial/jaw/teeth pain

31

absence seizure

little kids staring spells

32

mid shaft of the humerus

radial n.

33

ACA stroke

contralateral foot and leg weakness behavioral changes, confusion impairment of gait and stance (ataxia) akinetic, mutism, incontinence,

34

Left homonymous hemianopia

right optic tract

34

Von Hippel-Lindau

AD, ch 3 cavernous hemagiomas in skin bilateral renal cell (clear cell) hemangioblastoma in retina brainstem, cerebellum, pheo

35

Myasthenia Gravis

muscle weakness, ptosis, dysarthria worse as day progresses abs against ach receptor

36

left lower quadrantic anopia

right parietal lesion, MCA

37

Death from Guillan-Barre

respiratory acidosis

38

midbrain nerves

CN 3,4

39

left upper quandrantic anopia

right temporal lesion, MCA

41

cherry red spot near fovea

central retinal artery occlusion

42

West Nile Virus

Encephalitis, fever, muscle weakness, flaccid paralysis, Parksinon features, tremors

43

Treatment for Listeria

ampicillin

44

Horner syndrome

ptosis anhidrosis miosis spinal cord lesion above T1

45

treatment of pseudotumor cerebri

LP, acetazolamide

47

Lennox-Gastaut syndrome

seizures in babies

47

Meniere's disease

tinnitus, hearing loss, vertigo increase in endolymphatic fluid damaging hair cells

49

posterior communicating artery aneurysm

headache one pupil not responding to light (CN III)

50

Carbamazepein

hyponatremia hepatic dysfunction

52

normal pressure hydrocephalus

dementia incontinence ataxic gait

53

Guillan-Barre pathogen

Camplylobacter jejuni or resp. infection

54

Miosis

constricts parasympathetic

56

pons nerves

CN 5,6,7,8

57

lesion in left temporal cortex

right superior homonymous quandrantopia

59

4 year old awakes screaming, inconsolable, no memory

night terrors/sleep terrors

60

LMCA infarct

aphasia

62

MCA stroke

contralateral face, arm weakness and sensory loss eyes deviate towards lesion

63

thiamine def/Wernicke

opthalamoplegia (nystagmus) ataxia confusion

64

Toxoplasmosis

HIV, low CD4 headache multiple ring enhancing lesions

65

Cause of Lambert Eaton Syndrome

antibodies against voltage gated P/Q calcium channels

66

bitemporal hemianopia

optic chiasm

66

Central retinal vein occlusion

abrupt onset of painless visual loss, hemorrhages, cotton wool spots

67

migraine treatment

triptans, NSAIDs

68

Lambert Eaton syndrome

lung mass muscle weakness autonomic symptoms better with activity

69

valproic acid

acute hepatic failure pancreatitis teratogen

71

spinal stenosis

"pseudoclaudication" pain in calves when walking better going uphill (lean forward and relieves pressure on spinal area)

72

Thyoma

Myasthenia Gravia anterior mediastinal mass

73

loss of pigmentation in substantia nigra

parkinson's

74

peroneal n.

foot drop

76

Lower motor neuron signs

weakness, atrophy fasiculations decreased reflexes, tone flaccid paralysis

77

Upper motor neuron signs

weakness increased reflexes and tone + Babinski spastic paralysis

78

accumulation of amyloid plaques

alzheimer's

78

epidural hematoma

middle meningeal artery rapid onset after lucid interval temporary skull fracture

79

pseudotumor cerebri/idiopathic intracranial HTN

overweight young women bilateral papilledema

80

Central scotoma

macular degeneration

81

Neurosyphilis

CN palsy posterior column signs general paresis, dementia pupil accomodates but doesn't react

82

meralgia parasethetic

lateral femoral cutaneous nerve decreased sensation in lateral outer thigh

84

cluster headache treatment

triptans, oxygen

85

Levetiracetam

irritability, depression

86

juvenile myoclonic epilepsy

stress-sleep deprivation involuntary jerks: tonic-clonic

87

lip smacking spaced out

temporal lobe

89

Topiramate

kidney stones, wt loss glaucoma, metabolic acidosis

90

retinal detachment

sudden onset, floater, peripheral vision first affected days to weeks

91

progressive deficits in upper and lower motor neurons

ALS