Neurologie Flashcards Preview

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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

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

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

Late findings in alzheimer(3)

visio spatial
Hallucination
Difference with lewy body