Flashcards in Neurologie Deck (238):
1
Management of respiratory problem in Myasthenia gravis(3)
Stop acetyl cholinesterase inhibitor
Monitor CV and tidal volume
antibiotics
2
What to monitor in ptient with myastenia gravis and respiratory problem
vital capacity
or Tidal volume
3
trigeminal neuralgia management
carbamazepine
4
Next step if medical rx fails in trigeminal neuralgia(2)
gangliolysis
or decompression of trigeminal nerve
5
Method of decompressing trigeminal nerve
suboccipital craniectomy
6
clue of trigeminal neuralgia
shock like wave sensation
knife like sensation
7
Dx of pseudotumor cerebri
Lumbar ponction
8
Feature of pseudotumor
High intracranial pressure
9
finding for pseudotumor in LP
opening pressure >250mm de HG
10
Anatomic abnormality in subdural hematoma
rupture of bridging veins
11
anatomic abnormality in epidural hematoma
artere meningee moyenne
12
risk factor for pseudo tumor(2)
obesity
med rich in vit A
13
risk factor for subdural hematoma(2)
alcohol
increase age during trauma
14
CT finding of subdural hematoma
semilunar hemorrage
15
Rx of parkinson disease
trihexyphenidyl
16
side effect of antichlinergic drug(6)
red-flushing
dry-mucous membrane
hot-
mad-agitation
blind-precipitation of glaucoma
full-constipation, retention urinaire
17
opthtalmologic problem with anticholinergic
precipitation of glaucoma
18
Urinary problem with anticholinergic
void impossibility
19
digestive problem with anticholinergic
constipation
20
Monitoring of respiratory difficulty in Guillain barre
Vital capacity
21
redflag VC in Guillain barre
<15
22
first symptom of lewy body demencia
visio-spatial impairment
23
late finding in lewy body dementia(2)
memory impairment
hallucination
24
specfic findings for lewy body
parkinsonism
25
Rx of lewy body(2)
rivastigmine
or atypical psychotic
26
indication of surgery in carotid stenosis (2)
> 60% stenosis asymptomatic
symptomatic
27
Quid of Todd's Palsy
paralysis transient after seizure
28
work up for weight loss
hiv test
29
Endocarditis plus hemiplegia
embolic stroke
30
Rx of stroke caused by endocarditis
Antibiotics
31
cause of cord compression(3)
injury
malignancy
infection
32
cord compression clue
Pain worse in reccubent position
33
Initial work up in intracerabral hemorrage
Ct scan of the head
34
clue for thalamic stroke(2)
no motor problem
sensesory problem
35
sensory problem in thalamic stroke(2)
anesthesia
dysesthesia
36
Quid of dyesthesia
stimulus to pain is exagerated
37
Most important feature of dementia
functionnal impairement
38
Differentiate aging from dementia
functionnal impairement=dementia
39
type of aphasia(3)
Broca
wernicke
conduction
40
features of broca aphasia (3)
difficulty speaking
hemiparesis
no comprehension problem
41
features of wernike(2)
no problem speaking but lack of meaning
comprehension problem
42
part of the brain involved in a right handed man with speech problem and right hemipresis
dominant frontal lobe
43
Quid of motor problem in wernike aphasia
controlateral visual field defect
44
Quid of motor problem in broca aphasia
contolateral hemiparesis
45
complication of increased intracranial pressure
blindness
46
Physical eye exam findings in patient with increased intracranial pressure
papilledema
47
Rx of multiple sclerosis acutely
corticosteroids
48
Management of MS rebellious to corticosteroids
plasma exchange
49
Physical eye exam in glaucoma
Mydriasis
50
Physical eye exam in cluster headache
Myosis
51
Dx of glaucoma
tonometry
52
quid of action tremor
essential tremor
53
Quid ot parkison tremor
resting tremor
54
rx for essential tremor
propranolol
55
alternative rx for essential tremor(2)
primidone
topiramate
56
what is the mx most commonly involved in Myasthenia gravis
extra occular muscle
57
Manifestation occular of Myasthenia gravis
diplopia
58
4 stages of pressure ulcers
redness
ulcer
ulcer plus subcutaneous fat
bone is seen tendon and muscle
59
Physiopatho of cerebral infarct after sub arachnoid hematoma
3 days after SAH ,vasospasm --->cause infarction
60
chronologic risk for patient with SAH
after 3 days risk of infarction
61
Physiopatho of difficulty walking in patient with cerebellar hemmorrage
balance problem
no mx weakness problem
62
Physiopatho af Myasthenia gravis
auto antibody against acetylcholine receptor
63
site of action of auto antibody in myasthenia gravis
Post receptor
64
organs run by upper motor neuron(2)
Moelle
cerveau
65
upper motor neuron findings in physical exam(3)
Hyperreflexia
Babinski +
Pronator drift
66
Cause of vertigo(5)
Benign paroxysmal positional vertigo
Migraine
vestibular neuritis
Meniere disease
brainstem /cerebellar stroke
67
Quid of Meniere disease(2)
Vertigo
auditory problem
68
Type of facial nerve palsy(2)
Peripherique
Central
69
quid facial paralysis below the pons
peripheric facial paralysis
70
Findings in facial paralysis below the pons(3)
problem in
eyebrows
palpebral ptosis
labial deviation
71
Findings in centrally located facial paralysis
Sensory problem in 2/3 inferior of hemi face
72
clue for cluster headache
horner syndrome=Myosis
73
Rx of cluster headache
100% oxygen
74
Clue for cavernous sinus thrombosis(2)
orbital cellulitis
vomiting
headache
75
Physiopatho of vomiting in cavernous sinus thrombosis
High intracranial pressure
76
Veins forming cavernous sinus(6)
Ethmoidale 2 ant et post
nasofrontale
lacrymale
ophtalmique 2 superieur et inferieur
77
Nerves that could be reached in case of cavernous sinus thrombosis(4)
3,4,5,6
78
Disease associated with acoustic neuroma
Neurofibromatosis
79
Dx of acoustic neuroma
MRI with gadolinium
80
Drug induced vestibulo cochleaire toxicity(2)
gentamycin(aminoglycoside)
furosemide
81
Clue for angle closure glaucoma(2)
Pain in eye
dilated pupil
82
Neurologic finding in dead person
Deep tendon reflexes still present
83
why deep tendon reflexes are still present in dead people
because spinal cord is still functionnal
84
cause of heat stroke(2)
Inadequate of thermoregulation
failure of thermoregulation
85
Cause of cerebellar dysfunction
alcohol
86
cerebellar signs(4)
gait problem
ataxia
nystagmus
tremor
87
Best initial rx in Myastheni gravis
Pyridostigmine
88
gold standard test to Dx herpes encephalitis
PCR
89
Management of cerebral hemorrage in patient on warfarin(2)
stop warfarin
give fresh frozen plasma
90
period of acting for vitk in case of warfarin side effect
8-12 h
91
CT finding in patient with anaerobic cerebral abcess
ring enhancing lesion
92
clue to make you think of anaerobic cerebral abcess
History of sinusitis
93
Manif of Hypokliemie(2)
Mx weakness
Hyporeflexia
94
EKG findings in hypokaliemia
flat and broad t waves
95
Dx for painless loss of vision
amaurosis fugax
96
Next step after dx amaurosis fugax
duplex of the neck
97
Quid of duplex of the neck
to see plaques in carotid artery
98
Med causing increase intracranial hypertension(2)
tetracyclines
vit A
99
Drug of choice of Parkinson(2)
carbilevodopa
trihexyphenidyl
100
Side effect of levo carbi dopa
hallucination
101
site of motor problem in cerebellar hemorrage
only in face
102
eye exam findings in cerebellar hemorrage
deviation of the eye towards the normal size
103
Cause of SAH
rupture of berry aneurysm
104
First site of hypertensive stroke
Putamen
105
Clinical dx of Multiple sclerosis(3)
Optalmoplegia
other neurological findings
Patchy neurologic problem
106
Best test to Dx Multiple sclerosis
MRI
107
Finding in steppage gait(2)
foot drop
Hip flexion
108
Cause of steppage gait(2)
Peroneal nerve problem or
L5 radiculopathy
109
Patient with spatial organisation problem after stroke,Dx
hemineglect syndrome
110
What part of the brain is affected in hemineglect
syndrome
parietal lobe ,the non dominant part
111
what test will help you to dx hemi neglect syndrome
the clock test
112
What 's the clock test from a patient with parietal lobe stroke
the pateint draws a clock and put number only in the right
113
symptoms of lewy body dementia(4)
visiospatial impairment
Hallucination
loss of memory
parkinsonism
114
Rx of restless leg syndrome
dopamine agonist
115
give me one dopamine agonist
pramipexole
116
cause of focal dystonia(2)
Trauma
medication
117
Long term treatment of Multiple sclerosis
interferon B
118
What's cushing reflexe
bradycardia in a context of high intracranial pressure
119
When to consider ICH
when the intracranial pressure > 20
120
clinical findings of craniopharyngioma(2)
Bitemporal loss of vision
Hypopituitarism
121
symptom of hypopituitarism in adult
sexual dysfunction
122
symptom of hypopituitarism in children
retarded growth
123
Dx of Cranyopharyngioma(2)
MRI or
ct scan of head
124
Rx of craniopharyngioma(2)
surgery/and or
radiotherapy
125
syncope while standing
neurocardiogenic syncope=vasovagal syncope
126
trigger of vasovagal syncope(3)
Pain
emotionnal stress
prolonged standing
127
Syncope with positional changes
orthostatic hypotension
128
syncope with exercice (4)
aortic stenosis
HOC
VTAC
anomalous coronary arteries
129
syncope associated with hypokaliemie and hypomagnesemie
torsades de pointes
130
syncope with bradycardia(3)
sick sinus syndrome
brady arrythmia
AV block
131
Syncope during sleep or with exercice or sudden noise
congenital long Qt syndrome
132
Measure of opening pressure in idiopathic intracranial pressure(pseudotumor cerebri)
>250
133
Rx of IIH(2)
acetazolamide
furosemide
134
frequet cause of increased intracranial pressure in
USMLE
IIH
135
Quid of shy drager syndrome
multiple system atrophy
136
triad of shy drager syndrome(3)
autonomic dysfunction
parkisonism
neurologic findings
137
quid automonic dysfunction(5)
importence
hyoptension orthostatic
gastroparesis
disturbance of bladder and bowel control
extreme salivation and lacrymation and sweating
138
what kill patient with shy drager(2)
Bulbar dysfunction
laryngeal stridor
139
Difference between syncope and seizure
tongue bite and/or
confusion after the spell
140
lower motor neuron dysfunction
fasciculations
areflexia
141
Patient diabetic IV drug user with paresis but no fever hyperreflexia,Dx
Epidural abcess
142
Confirmatory dx of epidural abcess
MRI
143
Symptom in statin induced myositis(2)
weakness
no eye involvement
144
Vessel involved in pure motor hemiparesis
lacunar infarct=internal capsule infarct
145
sympton of lacunar infarct(2)
only motor involvement
hemiaaresis invoving hemiface
146
Laps ot time to begin alteplase after ischemis stroke
within 3 a 4,5 H
147
Quid of wernicke encephalopathy
B1 deficiency
148
what part of the brain is involved in wernicke encephalopathy?
cerebellum
149
risk factor for wernicke
alcohol
150
what 's the cranial nerve most commonly involved in diabetic mononeuropathy
3
151
Manif of cranial nerve 3 diabetic mononeuropathy(3)
ptosis
eye go down and out
pupil reactive
152
why pupil is reactive in cranial nerve 3 neuropathy
because parasympathis fibers are intact
you have involvement of somatic fibers
153
Is there speaking problem in lacunar infarct
Never
154
Triad for creutzfeld Jacob
Dementia
Myoclonus
EEG changes
155
EEG changes in Creuztfeld Jacob
sharp,synchronic, triphasic discharge
156
Cause of creutz feld Jacob
Prion
157
other name for creutzfeld Jacob
spongiform encephalopathy
158
cancer causing eaton lambert syndrome
small cell carcinoma of lung
159
manif of eaton lambert syndrome
mx weakness
160
Physiopatho of eaton lambert syndrome
antibody against voltage gate channel calcium
161
site of neuromxar blockage in eaton lambert
presynaptique
162
Quid of pseudo dementia
Major depression in aging people
remember SIGECAP
163
the single test to differentiate Pseudodementia and dementia
dexamethasone suppression test
164
Disease involving upper and lower motor neuron at the same time
Amyotrophic lateral sclerosis
165
drug of choice for amyotrophisc lateral sclerosis
riluzole
166
what's riluzole
glutamate inhibitor
167
Quid of korsakoff syndrome
irreversible amnesia
168
cause of korsakoff syndrome
alcohol
169
What vessel is invoved in stroke anr aphasia
MCA
170
confirmatory dx for Eaton lambert syndrome
electrophysiological studies
171
Rx for eaton lambert syndrome(2)
Plasmapheresis
immunosuppresion drug therapy
172
Dx for ring enhancing lesion and EBV DNA positive
Primary CNS lymphoma
173
Best test in case of emergency patient wit seizure
CT scan of the head
174
Dx in elective situation for seizure
MRI
175
Dx in focal neurologic findings in HIV patient
progressive multifocal leukoencephalopathy
176
Dx of PML
MRI
177
cause of PML
JC virus
178
finding n MRI in cas of PML
Multiple ring enhancing lesions
179
prognosis in case of PML in HIV patients
6 months to live
180
risk factor for epidural abcess(3)
HIV
diabetes
IV drug user
181
Rx of epidural abcess
surgical decompression
182
Bugs involved in epidural abcess
staph aureus
183
Management acute of confusionnal state(4)
Dextrose
oxygen
Naloxone
Thiamine
184
Disease causing cord cavitation
syringomyelie
185
Manif of syringomyelia(4)
weakness of upper extremities
hyperreflexia of " " " "
pain and temperature absent
Position and vibration conservees
186
Manif of carpal tunnel syndrome(2)
Paresthesia of first 3 digits and half 4e
atrophy eminence thenar
187
Triad of huntington
Mood disturbances
choreiform mvt
dementia
188
Quid of choreiform mvts(5)
facial grimacing
dystonia
writhing mvts of extremities
ataxia
tongue protrusion
189
Transmission of Huntington
autosomal dominant
190
cerebellar tumor manifestation(3)
Nystagmus
Coordination problem
Ataxia
191
Dx differentiel of progressive ascending paralysis(2)
GBS
Lyme disease
192
Differnce entre GBS and Lyme(2)
No autonomic dysfunction in Lyme
CSF is normal
193
Physio patho of tick borne paralysis
relargage de Neurotoxine
194
First step in Lme disease
Meticulous search of tick
195
Role of spino thalamic tract
Temperature
Pain
Motricite
196
Patient with loss of pain and temperature depuis T12 and hemiparesis a droit .What 's the problem and what's the level(2)
Spinothalamic tract gauche
Level is at T10
197
Quid for alzheimer dementia(2)
memory problem first
visuo spatial later
198
When will see changes on CT after ischemic stroke
after 24 H
199
Benefit riluzole
prolong survival in Amyotrophic lateral sclerosis
200
Eye exam in opiod intoxication
Mioisis
201
Quid of brown sequard syndrome
Lateral spinothalamic tract damage
202
quid of apraxia
difficulty of using comb
203
Minimental score confirming dementia
< 24
204
CT findings scan in alzheimer(2)
Temporal atrophy
parietal atrophy
205
clue for fronto temporal dementia
deshinibition
206
Chorea of Huntington on CT
atrophy of caudate nucleus
207
# 1 Bug causing Guillain barre syndrome
Campylobacter jejuni
208
Triad of parkisonism
RBR
Rest tremor
Bradykinesia
rigidity
209
histopatho in alzheimer
neurofibrillary tangles
210
severe Pain management in drug addict
give morphine anyway
211
site of compression of ulnar nerve
elbow
212
Manif of Ulnar nerve compression
Paresthesia of 4e and 5e Finger
213
Cause of tremor in parkisonism
Basal ganglia problem
214
cause of tremor in alcoholics(2)
cerebellum atrophy
role de thiamine
215
Cause of physiologik tremor(3)
hyperthyroidie
caffeine intake
anxiety
216
Clue for essential tremor
it's relieved bay alcohol
217
what's Dejerine roussy syndrome
thalamic stroke
218
cause of ophtalmoplegia in MS
MLF dysfunction
Medial longitudinal fasciculus
219
Pseudo dementia rx
SSRI
220
Wallenberg syndrome manif (4)
vestibular cerebellar symptom
sensory problem
BulbarMx weakness
autonomic dysfunction
221
Quid of Wallenberg syndrome
Lateral medulla stroke
222
Vestibullar cerebellar symptom in Wallenberg syndrome(3)
vertigo
Nystagmus
limb ataxia (ipsilateral)
223
Sensory problem in Wallenberg syndrome(2)
facial pain
Loss of pain and T ipsilateral face and controlateral limbs and trunk
224
Bulbar MX weakness in Wallenberg syndrome Manif
Hoarseness
225
Autonomic dysfunction in Wallenberg
Horner syndrome ipsi lateral
226
Artery involved in lateral medulla syndrome
intracranial vertebral artery
227
horner's syndrome (3)
Miosis
Ptosis
anhidrosis
228
Painful loss of vision and neurologic problem
MS
229
Acute rx of migraine(3)
(iv)chlorpromazine + Nsaids
metochlopramide
Prochlorperazine
230
Patient with MS and absent sensation from the nipple downwards, paraplegia,rectal and urine incontinence localisation de la plaque
Upper thoracic localisation
231
Patient with MS and absent sensation from the umbilicus downwards paraplegia rectal and urine incontinence,quid de la localisation de la plaque
Lower thoracic
232
CSF findings in GBS(3)
dissociation albumino cytologic
high protein
Normal WBC
233
Rx of GBS (2)
Immunoglobuline IV and
Plasmapheresis
234
Rx of metochlopramide induced extrapyramidal syndrome
benztropine or
diphenidramine
235
differentiale parkison from lewy body(3)
Motor problem first
dementia later for parkinson
inverse pour Lewy body
236
non intrinsic neurologic cause of seizures(3)
flashlights in club
alcohol
sleep deprivation
237
first symtom in alzheimer
memory loss(dementia)
238