Neuromuscular Part Four Flashcards

1
Q

is peripheral neuropathy present with AIDS

A

yes - hypersensitivity, sensory loss, pain

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2
Q

what is cerebral hemorrhage

A

abnormal bleeding as a result of rupture of ablood vessel

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3
Q

with LMN injury, what happens to motor unit potentials

A

decreased (denervated muscles)

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4
Q

purpose of PET scan for brain

A

images cerebral blood flow

brain metabolism

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5
Q

muscle fasciculations are common with

A

LMN injuries

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6
Q

electromyography is good at diagnosing

A

LMN disease

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7
Q

what is encephalitis

A

severe infection and inflammation of the brain

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8
Q

acute bleeding in the brain is indicative of

A

hemorrhage in developing stroke

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9
Q

increased protein in the CSF may indicate

A

tumors or inflammation

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10
Q

normal protein CSF adult

A

15-45 mg/dl

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11
Q

normal CSF child

A

60-100 mL

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12
Q

when is insertional activity increased

A

in denervated muscle and muscle diseases

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13
Q

when is cerebral edema seen following stroke

A

3 days post-stroke

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14
Q

complications of lumbar puncture

A

severe headache (relieved by lying down)

infection

epidural hematoma

uncal herniation

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15
Q

normal appearance of CSF

A

crystal clear/colorless

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16
Q

normal protein CSF neonates

A

15-100 mg/dL

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17
Q

what is cerebral anoxia

A

lack of oxygen supply to the brain

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18
Q

when is TPA most effective

A

3-4.5 hours post-stroke

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19
Q

1/3 of patients with AIDS present with

A

CNS or PNS deficits

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20
Q

what is an echoencephalogram used for

A

lumen of carotid artery and analyzing flow and detection of plaques in carotid arteries

21
Q

MRI contraindications

A

metal implants

pacemakers

22
Q

normal CSF pressure child

A

10-100 mmH20

23
Q

normal CSF pressure adult

A

90-180 mm H20

24
Q

purpose of lumbar puncture

A

withdraws CSF to see protein, glucose, immunoglobulin content, cell count

25
when does irreversible anoxic damage to the brain occur
4-6 minutes
26
intracranial pressure is measured via
lumbar puncture
27
PT role for meningitis
bed positioning PROM skin care
28
for blood flow, is PET or MRI better
MRI
29
what is cerebral thrombosis
formation or development of a blood clot within the cerebral arteries or branches
30
what is a transient ischemic attack
brief warning episodes of dysfunction (less than 24 hours)
31
brain MRI is best used for
blood flow within medium and larger arteries tumors demyelination
32
what type of stroke is TPA most effective for
thrombolitic stroke
33
normal CSF adult
90-150 mL
34
what is cerebral infarction (pathophysio)
irreversible cellular damage
35
when is cerebral infarction seen post-stroke
3-5 days
36
what is a precursor to stroke for 1/3 of patients
transient ischemic attack (TIA)
37
what are fasciculations
spontanous contractions of all or most of the fibers in a motor unit muscle twitches that can be observed or palpated
38
what is the clot busting drug for stroke
TPA
39
what spinal level is lumbar puncture performed
L1-L2
40
complete LMN only display...
fibrillation potentials
41
best diagnostic imaging for acute stroke
MRI
42
what does ADC stand for and what is it
AIDS dementia complex confusion, memory loss, disorientation
43
what motor loss is present with AIDS
ataxia weakness tremor loss of fine motor control
44
when is fibrillation evident after losing a nerve
1-3 weeks
45
what are fibrilations
spontaneous independent contractions of individual muscle fibers
46
what is insertional activity and when is it seen
burst of action potentials when EMG needle is inserted into normal muscle
47
risk factors for CVA
atherosclerosis HTN cardiac disease diabetes/metabolic syndrome
48
seizures are best visualized with what diagnostic test
electroenchalography
49
what is cerebral embolism
traveling bits of matter that produces occlusion and infarction in the cerebral arteries