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Flashcards in Neurology Deck (28):
1

Unilateral, severe periorbital HA w/ tearing and conjunctival erythema

Cluster HA

2

Prophylactic tx for migraine

Antihypertensives, antidepressants, anticonvulsants, dietary changes

3

Most common pituitary tumor. Tx?

Prolactinoma. Dopamine agonists (eg, bromocriptine)

4

55 y/o pt presents w/ acute "broken speech". What type of aphasia? What lobe and vascular distribution?

Broca's aphasia. Frontal lobe, left MCA distribution

5

MCC of SAH

Trauma, 2nd MCC is berry aneurysm

6

Crescent-shaped hyperdensity on CT that does not cross the midline

Subdural hematoma - bridging veins torn

7

Hx significant for initial AMS w/ an intervening lucid interval. Dx? Most likely source? Tx?

Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation.

8

CSF findings w/ SAH

Elevated ICP, RBCs, xanthochromia

9

Albuminocytologic dissociation

Guillain-Barre syndrome (increased protein in CSF w/o significant increase in cell count)

10

Cold water is flushed into a pt's ear, and the fast phase of the nystagmus is toward the opposite side. Normal or pathologic?

Normal

11

Most common 1` sources of metastases to the brain

Lung (80%) > Breast > Unknown > Skin (melanoma) > Kidney > GI tract

12

May be seen in children who are accused of inattention in class and confused w/ ADHD

Absence seizures

13

Most frequent presentation of intracranial neoplasm

HA. 1` neoplasms are much less common than brain mets.

14

MCC seizures in children (2-10 y/o)

Infection > febrile seizures > trauma > idiopathic

15

MCC seizures in young adults (18-35 y/o)

Trauma > alcohol withdrawal > brain tumor

16

First-line med for status epilepticus

IV Benzodiazepine

17

Confusion, confabulation, ophthalmoplegia, ataxia

Wernicke's encephalopathy due to thiamine deficiency

18

What % lesion is an indication for carotid endarterectomy?

60% if the stenosis is sx

19

MCC dementia

Alzheimer's and multi-infarct

20

A combined UMN and LMN disorder

ALS

21

Rigidity and stiffness w/ unilateral resting tremor and masked facies

Parkinson's dz

22

Mainstay of Parkinson's therapy

Levodopa/carbidopa

23

Tx for Guillain-Barre syndrome

IVIG or plasmapheresis. Avoid steroids.

24

Rigidity and stiffness that progress to choreiform movements, accompanied by moodiness and altered behavior

Huntington's dz

25

6 y/o girl presents w/ a port-wine stain in the V1 distribution as well as w/ mental retardation, seizures, and ipsilateral leptomeningeal angioma

Sturge-Weber syndrome. Tx symptomatically. Possible focal cerebral resection of the affected lobe.

26

Multiple café au lait spots on skin

Neurofibromatosis Type 1

27

Hyperphagia, hypersexuality, hyperorality, and hyperdocility

Kluver-Bucy syndrome (amygdala)

28

May be administered to a symptomatic pt to dx myasthenia gravis

Edrophonium