Neuro Final

Question 1

Tx: Streptococcus pneumoniae

Answer 1

Penicillin G

Vancomycin for resistant

Question 2

Tx: Neisseria meningitidis

Answer 2

Penicillin G

Chloramphenicol

Question 3

Tx: Listeria monocytogenes

Answer 3

Ampicillin + Gentamicin

Question 4

Tx: Enterobacteriaceae

Answer 4

Ceftriaxone + Gentamycin

Question 5

Empiric Tx: Preterm-1 mo

Answer 5

Ampicillin + Gentamicin

Question 6

Empiric Tx: 1 mo-50 yr

Answer 6

Cefotaxime

or

Ceftriaxone + Vancomycin + Dexamethasone

Question 7

Empiric Tx: >50, ETOH, immunosuppressed

Answer 7

Cefotaxime

or

Ceftriaxone + Vancomycin + Dexamethasone + Ampicillin

Question 8

Herniation of subarachnoid and brain tissue

Answer 8

Meningoencephalocele

Question 9

Herniation of subarachnoid, brain tissue, and ventricular fluid

Answer 9

meningohydroencephalocele

Question 10

Interstitial pneumonia

Answer 10

Varicella Zoster Virus

Question 11

Imaging used to evaluate dural sinus for cerebral venous thrombosis

Answer 11

Magnetic resonance venography (MRV) and CTV

Question 12

Pseudotumor cerebri

Answer 12

potential vision loss

Question 13

Tx: Taeniasis

Answer 13

Niclosamine

Question 14

Tx: Neurocysticercosis

Answer 14

Praziquantel

or

Albendazole

Question 15

Duration w/ continuous infusion

Induction

Contraindicated in porphyria

Answer 15

Thiopental

Question 16

Anti-emetic action

Metabolic acidosis, hyperlipidemia, rhabdo, liver enlargement

Answer 16

Propofol

Question 17

Induction in pts with cardiovascular diseases

Answer 17

Etomidate

Question 18

Induciton in pts at risk for hypotension and bronchospasm

Profound analgesia

Increased intracranial pressure

Answer 18

Ketamine

Question 19

2 Inhaled anethetics w/ risk of renal toxicity

Answer 19

Enflurane

Sevoflurane

Question 20

2 inhalational anesthetics w/ pungent smell

Not for induction

Answer 20

Isoflurane

Desflurane

Question 21

Induction in children

Sweet smell

Answer 21

Sevoflurane

Question 22

Risks/contraindications of N2O

Answer 22

Diffusional hypoxia

Air filled cavities

Vit B12 deficiency

Question 23

Inhalational anesthetics (LIST)

Answer 23

Halothane

Isoflurane

Enflurane

Sevoflurane

Desflurane

N20

Question 24

IV anesthetics (LIST)

Answer 24

Thiopental

Propofol

Etomidate

Ketamine

Question 25

blocking ______ delays labor

Answer 25

COX II

Question 26

Blocks phospholipase A2

Answer 26

Corticosteroids

Question 27

Inhibits COX 1 more than COX2

Answer 27

Aspirin

Question 28

Used as prophylaxis for heart attack or stroke

Answer 28

Aspirin

Question 29

Tx for delayed closure of ductus arteriosus Tx for preterm labor

Answer 29

indomethacin

Question 30

Increases risk of CV events

Answer 30

Celecoxib

Question 31

Inhibits COX 1 and COX 2 in the CNS

Answer 31

acetaminophen

Question 32

Mechanism of opioids

Answer 32

Close Ca Open K

Question 33

Tx for cough

Answer 33

Dextromethorphan

Question 34

Anti-diarrheal

Answer 34

Loperamide

Question 35

Contraindication to all opioid use

Answer 35

Monoamine oxidase inhibitors

Question 36

Opioid tolerance does not develop to what 2 effects

Answer 36

Miosis Constipation

Question 37

Opioid antagonist

Answer 37

Naloxone

Question 38

Bacterial and tb/mycoses CSF analysis both have \<45 glucose and similar WBC What sets them apart?

Answer 38

Bacterial PMN is \>60 TB/mycoses PMN is \<50

Question 39

Normal CSF analysis Opening pressure = WBC = %PMN = Glucose = Protein =

Answer 39

60-180 0-5 WBC 0 PMN \>60 Glu \<30 protein

Question 40

Histology stains of cryptococcus

Answer 40

GMS Mucin Stain

Question 41

Tx for Naegleria fowleri | (Primary Amoebic Meningoencephalitis)

Answer 41

Miltefosine

Question 42

Tx for disseminated or CNS toxoplasmosis

Answer 42

Pyrimethamine-sulfadiazine

Question 43

Damage to which vessels off of the middle cerebral a. cause neurological deficits disproportionate to their size

Answer 43

Lenticulostriate vessels - supply deep structures of diencephalon and telencephalon