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Buzz Words & Brian Wallace > Neurology/BW > Flashcards

Flashcards in Neurology/BW Deck (46):
1

You believe a patient has a stroke. He presents with aphasia, loss of hearing in one ear and loss of vision in his left eye. Is the blockage likely in the anterior or posterior circulation?

Posterior

2

Under what conditions would aspirin or clopidogrel be used following a TIA as prophaylaxis?

These are antiplatelet medications. They would be used unless there is a known cardiac etiology for the embolism. Patients with a cardiac cause should use heparin or coumadin

3

A patient who is asymptomatic should consider having an endartectomy at what percent blockage of the carotid artery? How about in a symptomatic patient?

70% if asymptomatic and 60% if symptomatic

4

A patient presents complaining of the worst headache of his life. What might you expect his blood pressure to be?

This is the description for a subarachnoid hemorrhage. Blood pressure would be elevated.

5

Name abortive migraine drugs

triptans ( sumatriptan, zolmitriptan), ergotamine

6

An EEG showing focal rhythmic discharges at the onset of the seizure should make you think of what diagnosis

SImple partial seizure

7

What is the single most important thing to be concerned about with a patient in status epilepticus

Airway then managemnt of hyperthermia

8

Describe Brudzinski's sign

lift the patients head and bend at the hips

9

Name medications used to break a seizure

Diazepam, lorazepam, phenytoin or fosphenytoin.

10

There is an MRI result of multiple foci of demyelination in the white matter. What is the most likely diagnosis?

Multiple Sclerosis

11

List 3 medications used to treat multiple sclerosis

Steriods, interferon-beta, copolymer

12

What is the most common cause of dementia?

Alzheimers ( 80%)

13

What are the 4 chromosomes that have been linked to dementia?

1,14,19,21

14

Is the ankle jerk reflex or lumbar or sacral origin?

sacral

15

A study result comes back with intracellular neurofibrillary tangles and extracellular neuritic plaques. What is the most likely diagnosis?

Alzheimers

16

A patient complains of an aching headache which feels like a band around his head. What is the most likely diagnosis?

Tension Headache

17

A patient present with a tremor in his right hand. He states that the tremor goes away completely when he has a beer. What is the most likely diagnosis?

benign essential or familial tremor

18

Two medications to treat an essential tremor?

Beta blocker ( propanolol), Primidone

19

At what age do the symptoms of Huntington's appear?

30

20

A 35 year old patient comes to your office because his wife made him. He has been increasingly irritable and moody. She has also noticed that he is very restless. You order a CT scan which shows cerebral atrophy as well as atrophy of the caudate nucleus. What is the most likely diagnosis?

Huntington's

21

Medication of choice for a patient with Tourette's syndrome?

Haloperidol

22

slit lamp shows Kayser- Fleischer rings. Most likely diagnosis?

Wilson's Disease

23

Wilson's disease is associated with a build up of what mineral?

Buildup of copper because there is a deficiency of copper binding protein

24

What are the genetic characteristics of Wilson's disease?

Autosomal recessive, chromosome 13

25

What cranial nerve is affected with Bell's Palsy?

7

26

A LP for a patient with bacterial meningitis will show an increase or decrease in: WBC, glucose, protein?

elevated WBC and protein. Decreased glucose

27

What symptom is associated with a classic migraine

Having an aura

28

Elevated acetylcholine receptor antibodies should make you thin of what dx

myasthenia gravis

29

Duchenne's and Becker's muscular dystrophy have what genetic characteristic?

x linked recessive

30

Age range for Duchenne's muscular dystrophy?

3-5 years

31

An EEG showing generalized spikes and associated slow waves should make you think of what diagnosis?

generalized or absence seizure

32

Most common cause of subarachnoid hemorrhage aside from trauma?

ruptured cerebral aneurysm

33

Most common primary cancer sites that metastasize to the brain

Lung, breast, kidney

34

Resting or pill rolling tremor makes you think of what dx?

Parkinson's

35

Weakness and numbness in the left hand might be a blockage in which carotid artery?

right

36

A patient has an intracranial neoplasm causing auditory illusions, olfactory hallucinations and emotional changes. What lobe is the lesion likely in?

temporal

37

If you are looking for lesions associated with multiple sclerosis and you order an MRI do you order with gadolinium or without?

With gadolineum

38

Defining symptom of Alzheimer's?

progressive memory impairment

39

Nerve root responsible for knee jerk reflex?

L3-L4

40

An EEG showing interictal spikes should make you think of what diagnosis?

Complex partial seizure

41

Which is the most commonly herniated vertebral disc?

L4-L5 followed by L5-S1

42

Three symptoms of normal pressure hydrocephalus?

Gait disturbance, dementia, urinary incontinence

43

A patient presents with inability to speak and right sided weakness. He seems to understand speech and follows commands well. What type of aphasia should you be thinking of?

Broca's aphasia

44

Alcohol may be a major factor in which encephalopathy?

Wernicke's

45

A patient complains of muscle weakness and fatigability that improves with rest. What is the most likely diagnosis?

Myasthenia gravis

46

Lead pole of cogwheel rigidity should make you think of what diagnosis?

Parkinson's