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Flashcards in Neuro Review Deck (21)
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1
Q

Older woman, worsening bilateral low back pain, right leg pain radiating to buttock/back of leg

pain worse w walking/standing, improves w sitting

no reflex at right ankle, dec sensation over lateral right foot, weakness

cause of low back pain

A

narrowing of the spinal cord

2
Q

Suprahyoid stab from one side of neck to other

tongue deviates to right, no lost sensory modality

damage has occured to

A

right hypoglossal nerve

3
Q

older male, slow tremor at rest, improves w movement

problems walking, slow shuffling steps

dx is ___
damage hs occurred to ___

A

parkinsons dz

substantia nigra pars compacta

4
Q

loss of pain/temp on R side of face and L neck

Exam w partial paralysis of soft palata/larynx/pharynx/ataxia on r

thrombosis has occurred to ___

A

right posterior inferior cerebellar artery

5
Q

older woman, 1 yr of strange/inappropraite behavior

lost memory of people important to her

dx is ___
deficit in ___

A

alzheimers

ach

6
Q

young boy, not paying attention in class

stops and blinks and makes chewing movements, stares into space

EEG shows general spike/wave @ 3 Hz

type of seizure ___

A

absence

7
Q

fever, poorly localized HA, stiff neck

preceded by nasal congestion/muscle aches/chills

nuchal rigidity, photophobia
no papilledema

dx is

A

acute meningitis

8
Q

Younger woman, chronic hepatic dz, behavioral/personality change
difficulty walking, clumsy, slurred speech

dystonia/dysarthria, intention tremor/rigidity/ataxia

slit slamp w brown corneal ring

dx is __
decreased ____

A

wilsons dz

ceruloplasmin

9
Q

drug blocks demyelination in CNS

which cell does it target

A

oligodendrocytes

10
Q

woman w history of double vision, difficulty keeping eyes open, diffuse weakness

muscles tirre easy, limited horizontal/vertical movements in eyes

poor speech, ptosis

dx is ___
damage to the ___

A

myasthenia gravis

NM junction

11
Q

older woman, visual problems, hx of HA/scalp tenderness

visual acuity is different bilaterally

elevated ESR

dx is ___

A

temporal arteritis

12
Q

electric shock feeling in hands bilateral

worked as a computer man

atrophy of thenar eminence

positive tinels sign

dx is ___

compressed ___

A

carpal tunnel syndrome

median nerve

13
Q

older man, on haloperidol

problems walking/hand tremor, slow steps, rigidty of arms

dx is ____

due to ___ effects

A

parkinsonism

antidopaminergic

14
Q

too rapid correction of hypoNa

pt w flaccid paresis of upper/lower extremities

dx is ____

A

cerebral pontine myelinosis

15
Q

Bacterial meningitis

Opening pressure __
high ___
__ protein
___ glucose

A

high
PMN
high
dec

16
Q

fungal/Tb meningitis

opening pressure ___
inc ___
__ protein
___ glucose

A

inc
lymphocytes
inc
dec

17
Q

viral Tb

opening pressure __/__
inc ___
Protein is __/__
glucose is ___

A

n/inc
lymphs
n/inc
n

18
Q

older woman, left arm/leg weakness

hx of hTN/DM
HBP, inc HR
diminshed sensation to pinprick of left arm/leg

most appropriate pharm therapy ___

A

aspirin

19
Q

older man, foaming at the mouth/eyes tearing

V/D, grows corn
bradycardia/hypoTN

diffuse wheezes

toxicity due to ___

A

organophosphate

20
Q

sudden loss of vision, conjunctiva normal

blurred vision last year, went way

normal pupillary responses, responsive to swinging flashlight test

retina has normal vasculature

dx is ____

A

optic neuritis

21
Q

older man, gradually worsening hearing, esp w crowds

worsening ringing in ears

audiogram drops off around 2K

dx is ___

A

presbycusis