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Flashcards in NEUROLOGY Deck (102)
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1

5 main lacunar syndromes

Pure motor hemiparesis, pure sensory, ataxic hemiparesis, sensorimotor, dysarthria clumsy hand syndrome.

2

SAH blood pressure goal

<150

3

BP meds to avoid in SAH

Nitroprusside, nitroglycerine

4

BP rx preferred to lower BP in SAH

labetalol

5

Name some medications or med withdrawals known for causing seizures

Buproprion, Buspirone, Enflurane, Benzos/barbs/ethanol, anti-epileptics. Theophylline OD. B6 deficiency.

6

Myoclonic seizures DOC

Valproic acid

7

Top 3 meds to treat partial seizures

Lamotrigine, Carbamazapine, Phenytoin

8

What neurologic defects seen with an infarction of anterior cerebral artery

contralateral loss of sensory/motor in legs ,feet, trunk

9

Target BP in patient with ischemic stroke

BP<220

If getting tPA, <185/110.

10

Name some medications or med withdrawals known for causing seizures

Buproprion, Buspirone, Enflurane, Benzos/barbs/ethanol, anti-epileptics. Theophylline OD. B6 deficiency.

11

Myoclonic seizures DOC

Valproic acid

12

What neurologic defects seen with basilar artery infarction

CN abnormalities Contralateral full body weakness Altered RAS Visual

13

Herniation of a cervical disc affects which nerve root?

Nerve root above. aka C5-C6 herniation more likely affects C5.

14

Herniation of a lumbar disc affects which nerve root?

Nerve root below. aka L2-L3 herniation affects L3 nerve root.

15

Sx of spinal artery syndrome

bilateral loss of pain and temp (one level below lesion) Bilateral spastic paresis (below lesion) Bilateral flaccid paralysis (level of lesion)

16

Sx of brown sequard

Ipsilateral loss of vibration and discrimination (below lesion) Ipsilateral spastic paresis (below lesion) Ipsilateral flaccid paralysis (level of lesion) Contralateral loss of pain and temperature (below lesion)

17

Contraindications to tPA

Stroke/significant head trauma in past 3 months

Arterial puncture in non-compressible site in past

INR>1.7

BP>185/110

Platelets < 50 

18

Best initial test for guillain barre

LP/CSF analysis

19

Most accurate test for guillain barre

EMG/nerve conduction studies

20

Most important measure to monitor in guillain barre

Pulmonary function tests (Vital capacity). Impending respiratory failure is predicted by:

Forced vital capacity <20

Max inspiratory pressure <30

Max expiratory pressure <40

 

21

What direction of nystagmus in central vertigo

Up-down, tends to be more visible with focused gaze.

22

What direction of nystagmus in peripheral vertigo

Side-to-side, tends to lessen with focused gaze.

23

Adults: brain cancer #1-3

GBM Meningioma Schwannoma

24

COMT inhibitors

Entacapone, tolcapone These are used to reduce fluctuations and adverse effects in PD, they DO NOT help any Parkinsons sx themselves.

25

When the pt with PD's response to dopaminergic begins to decline, what med class can be added?

MAO-B inhibitors. Selegiline, rasagiline.

26

MCC of complication/death after SAH (a pt that initially survives that rupture of an aneurysm)

Cerebral vasospasm

27

Most common cause of SAH

Trauma

28

Pts with parkinsons under the age of 60 with good management of ADL and minimal postural instability

Anti-cholinergic, such as trihexyphenyldyl or benztropine

29

Pts with parkinson over the age of 60 with good management of ADL and minimal postural instability

Amantadine. We want to avoid anticholinergics in the elderly population.

30

For increased effect in treatment of PD with carbidopa/levodopa, adjunctive therapy with what meds may be added?

DA agonists Pramipexole Ropinirole