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Flashcards in Neurology Deck (28):
1

Prophy tx for migraine

Anti-HTNsives, anti-depressants, anti-convulsants

2

MC pituitary tumor. Tx?

Prolactinoma
-Tx: DA agonists (ex: bromocriptine)

3

55 yo pt presents with acute "broken speech." What type of aphasia? What lobe and vascular distribution?

Broca's aphasia. Frontal lobe, L MCA distribution.

4

MCC of SAH

1) Trauma
2) Berry aneurysm

5

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

Subdural hematoma (bridging vv. torn)

6

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

-Dx: epidural hematoma
-Source: middle meningeal a.
-Tx: neurosurgical evacuation

7

CSF findings with SAH

Elevated ICP, RBCs, xanthochromia

8

Albuminocytologic dissociation

Guillain Barré syndrome (increased protein in CSF without a significant increase in cell count)

9

Cold H2O is flushed into a pt's ear, and the fast phase of the nystagmus is toward the opposite side. Nl or pathologic?

Nl

10

MC 1˚ sources of mets to the brain

"Lots of Bad Stuff Kills Glia": Lung, Breast, Skin (melanoma), Kidney, GI tract

11

May be seen in kids who are accused of inattention in class and confused with ADHD

Absence szs

12

Most frequent presentation of intracranial neoplasm

H/A

13

MCC of szs in kids (2-10 y/o)

Infxn, febrile szs, trauma, idiopathic

14

MCC szs in YA

Trauma, EtOH w/d, brain tumor

15

1st line medication for status epilepticus

IV benzo

16

Confusion, confabulation, ophthalmoplegia, ataxia

Wernicke's encephalopathy d/t thiamine deficiency

17

What % lesion is an indication for carotid endarterectomy?

70% if stenosis is sxic

18

MCCs of dementia

Alzheimer's and multi-infarct

19

Combined UMN and LMN d/o

ALS

20

Rigidity and stiffness with resting tremor and masked facies

Parkinson dz

21

Mainstay of Parkinson's therapy

Levodopa/carbidopa

22

Tx for Guillain-Barré syndrome

IVIG or plasmapheresis

23

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

Huntington's dz

24

6 yo F presents with a port-wine stain in the V2 distribution as well as mental retardation, szs, and IPSI leptomeningeal angioma. Dx? Tx?

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

25

Café-au-lait spots on skin

Neurofibromatosis type I

26

Hyperphagia, hypersexuality, hyperorality, and hyperdocility

Klüver-Bucy syndrome (amygdala)

27

May be administered to a sxic pt to diagnosis myasthenia gravis

Edrophonium

28

U/l severe periorbital H/A with tearing and conjunctival erythema

Cluster H/A