Neurology Flashcards Preview

USMLE STEP 2, for real tho > Neurology > Flashcards

Flashcards in Neurology Deck (19):
1

Most common cause of status epilepticus

stroke
*acute reasons more likely

2

What is stat epilepticus

sz over 5 minutes practically (but also sorta 30 minutes)
causes permanent damage

3

Antibiotics that cause sz

aminoglycosides and fluoroquinolones

4

Non-Epileptic but Organic Seizure

Metabolic
Drugs
EtOH withdrawal
Febrile seizure

5

How do you treat status epilepticus

IM Midazolam 10 mg

IV lorazepam 4 mg (aka ativan)
IV diazepam 10 mg

6

If benzos fail at stopping status epilepticus, what med now?

Fosphenytoin 20 mg/ kilo

7

what two ways do pretty much all antiepileptics work by

Na channel block
modulate GABA

8

Lamotrigine titrated for ___ time b/c of ______

6 week titration
most likely to cause steven johnson/ten

9

What two drugs treat only focal sz

lacosimide- na block (SI*, arrhythmia)
Gabapentin- Ca block (Sedation*, ataxia)

10

Who do you screen/ how to screen to be on carbamazepine

asians with HLA screening to avoid skin rxns

1st line for trigeminal neuralgia

s/e: hyponatremia (realistically) moa is na block

11

Lamotrigine use

bi polar or sz drugs
na block

BEST IN CHILDBEARING WOMEN!!!

12

Sz drugs that are also mood stabilizer

valproate
gabapentin
lamotrigine

13

what sz drug is:
BEST IN CHILDBEARING WOMEN!!!

Lamotrigine

14

what sz drug is most teratogenic

valproic acid- neural tube defects

15

what is primidone

breaks down into phenobarbital
rx for essential tremor

16

what sz drug is the most cognitive dulling

topomax (aka dopamax)

17

valporic acid side effects

neural tube defects, fat, bald, and shaky

18

what is the worse meningitis

bacterial

ceftriaxone and acyclovir prophylaxis

19

what exactly does phenytoin and carbazapine do to babies

Fetal hydanation syndrome

mid face hypoplasia
microcephaly
cleft lip
digital hypoplasia
hirsutism
development delay