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Flashcards in Neuro Interviews Deck (23)
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1

What is an important quality question related to dizziness?

Does it feel like the world is spinning

 

1

What are associated features to ask for with migraine?

Nausea

Vomiting

Photophobia

Phonophobia

Aura - visual, speech, sensory, hearing changes

1

What is dysaesthesia?

All positive sensory changes, whether due to a stimulus or not

2

What pattern of distribution can sensory disturbance present with?

Glove and stocking

Dermatome

Peripheral nerve distribution

Hemisensory

3

What are the 3 types of syncope that we must be aware of?

Vasovagal

Cardiac

Seizure

5

What are the associated features to ask about for dizziness?

Vision problems

Deafness/tinnitus

Fever

Nausea

Seizures

Headaches

Relation to posture

6

What are some way the quality of a sensory disturbance can be described?

Tingling

Burning

Sharp

Pins + needles

Numb

7

How does the site of pain differ between TTH and migraine?

Migraine is typically unilateral

TTH usually bilateral and may be described as band-like

7

What are some aggravating factors for cognitive impairment?

Being in a different setting eg outside the home

Evening vs day time

8

What are the two main types of headache?

Tension-type headache

Migraine

10

What are the 4 different types of dizziness?

Pre-syncope

Vertigo

Disequilibrium

Non-specific dizziness

11

What are some associated features of cognitive impairment?

Ahedonia

Dyarthria (muscle control problem)

Dysphonia (vocal cord control problem)

Dysphasia

Apraxia

Behavioural changes

Changes in executive function

12

What is the difference between hyperalgesia and hyperaesthesia?

Hyperalgesia is heightened response to a noxious stimulus while hyperaesthesia is increased in sensitivity to any stimulus

13

What are some possible associated features for muscle weakness?

Pain in muscles

Sensory changes

Speech changes

 

14

How is severity determined with cognitive impairment? 

How much it effects their daily lives

- eg cooking, shopping eg 

15

What is a possible associated feature of TTH?

Mild muscle tenderness

16

What is paraesthesia?

Abnormal sensation perceived without an abnormal stimulus

17

What are some associated features of sensory disturbance?

Weakness

Gait

Coordination problem

 

18

What is the onset of migraine like?

Gradual with crescendo pattern

19

How can you determine the severity of muscle weakness?

Ask them how it effects specific daily activities

- eg brushing hair

walking

20

What are some key differentiating features of seizures cf to other syncopes?

Tonic/clonic phase

Usually 1-2 minutes (cf

Tongue biting

Head turning

Cry or moan at onset

Frothing at mouth

Incontinence of urine

Slow recovery

Confusion afterwards

May feel exhausted and sleepy

22

What is the TC of TTH like?

Waxes and wanes

Variable duration

23

What are some causes of muscle weakness that have sudden onset?

Vasculature events

Trauma

Seizures/electrical disturbances