Neuro4 Flashcards

1
Q

neutrophils in SAH

A

bacterial meningitis

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2
Q

viral encephalitis cause can be what

A

autoimmune

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3
Q

encephalitis ix

A

LP, EEG, MRI

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4
Q

inflamed temporal lobe on MRI

A

viral encph

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5
Q

neisseria meningitides found where
how does it get to meninges
what are the ump due to
who is vaccinated against this

A

throats of healthy carriers
bacteria -> meninges via blood stream
endotoxin
military recruiters vaccinated with purified capsular polysaccharide to prevent epidemics

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6
Q

HI influenza part of what
requires whats for growth
how many types
commonest type for under 4s

A

normal thorax bacteria
blood factors
6
HiB

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7
Q

cochlear implants risk

A

pneumococcus meningitis

rare but v high mortality

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8
Q

cryptococcal meaning risk
dx
rx

A

HIV
serum and CSF cryptococcal antigen
IV amphoterin B/flucytosine. fluconazole

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9
Q

what happens in children within 24-36 hours of antibiotic treatment in meningitis

A

CSF culture negative

no sig change in cell count/chemistry

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10
Q

brain is how much of body weight

A

2%

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11
Q

how much CO does brian use
carried o2
carried glucose

A

15%
20%
12%

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12
Q

saccular aneurysms are what

A

true aneurysms with involevemtn of all layers of the vessel

arise at arterial bifurcaition points

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13
Q

what allele predisposes to alzheimers with some cluttering in families

A

e4

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14
Q

e2 in alzheimers

A

assoc with longitivtiy

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15
Q

traumatic extradural haematomas

if unrx

A

tempoparietak region that involves middle meningeal artery

mediastinal shift

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16
Q

subdural haem acute

chronic

A

related to injury - clotted blood

liquified blood - brian atrophy

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17
Q

why are neurones more susceptible to damage

A

can’t use anaerobic glycolysis

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18
Q

webers syn damage

A

midbrain of breianstem

vertibrobasilar - post

19
Q

CRRK 2
parkin
GBA mutations

A

dom PD
recessive PD
greatest genetic risk for PD

20
Q

primary dystonia physio abnormality

A

loss/reduction ire ciprocal inhibition
alterations in brain plasticity
alterations in sensory function

21
Q

who grading for astrocytic tumours

A

1 piloycyctic, pleomorphic, xanthaastrocytomas, subependymal giant cell
2 low grade
3 anaplastic
4 glioblastoma multiforme

22
Q

pilocytic astrocytomas

A

more common in childhood

23
Q

oligodendroglial tumoruss

A

sensitive to chemo

24
Q

first seizure and driving

A

6m 5y if HGV/PCV

25
epilepsy and driving
1y | 10y off med for HGV/PCV
26
watershed infarcts caused by
general hypotension
27
why is ceft given first line in mening and not penicilline
longer half life | penetrates CSF better
28
giving steroids in meningitis reduces what
longterm nerd cx
29
PNS myelination
schwanna cells
30
CNS myelination | difference
oligo | does multiple neurones at the same time
31
stomping gait / sensory gait
dorsal column problem
32
tysabri (rx for MS)
can cause AML
33
highest cause of deaths in under 40s
glioblastomas
34
GCT CT
iso or hyper dense
35
MS brainstem symp
RVI diplopia | RVII facial weakness
36
FXTAS MRI
T2 hypersensitivity in middle cerebellar peduncles
37
confirm FXTAS
molecular testing
38
chronic hereditary sensory motor neuropathy
CMTIa commonest - genetic testing
39
MND
loss of motor neurones from cortex of brain
40
AML
idiopathic | familial - gene on chromosome 21
41
myotonia
failure of muscle relaxation after use
42
myotonic dystrophy
trinucleate repeat disease with anticipation
43
bosilism
cleave pre synaptic proteins involved in vesicle formation and block vesicle docking with pre synaptic membrane