Unit 2

Question 1

What is the aka for Ramsay Hunt syndrome?

Answer 1

Herpes zoster optics
a shingles outbreak affecting facial nerves near the ears. Shingles painful rash that cause facial paralysis and hearing loss in affected ear.

Question 2

What is the treatment of care for herpes zoster?

Answer 2

analgesics

steroids

Question 3

Shingles dx is based on what?

Answer 3

history and physical findings

Question 4

The initial infection with varicella zoster virus (VZV) causes what?

Answer 4

acute, short lived illness chickenpox

Question 5

What condition is associated with a local anesthetic treatment as a sympathetic ganglion block?

Answer 5

complex regional pain syndrome

Question 6

Complex regional pain syndrome has no specific test to id condition. How is this dx?

Answer 6

based on physical exam and careful analysis of pt hx

Question 7

What is anesthesia dolorosa?

Answer 7

sensitivity to touch w/severe pain

Question 8

Allodynia and Hyperpathia are signs observed in what percentage of pt’s with CRS?

Answer 8

70-80
allodynia ie: pain to touch
hyperpathia ie:exaggerated réponse to painful stimuli

Question 9

In 1/2 pt population w/CRS edema is a secondary sign to what?

Answer 9

autonomic dysfunction aka hyperhydrosis

Question 10

70-80 percent of pt w/CRS experience allodynia and hyperpathia. However 80-90- percent have what sign?

Answer 10

impaired motor function

consist of paresis, pseudo paralysis, or clumsiness

Question 11

What are the symptoms for CRS

Answer 11

a. spontaneous pain cardinal feature
neglect like syndrome cognitive limb feels not your, motor direct mental/visual attn need to move limb
b. difficulty/inability using limb 
c. altered skin temp
d. rapid fatigability late stage

Question 12

What’s the cardinal feature/symptom of CRS?

Answer 12

spontaneous pain not limited to a single Peripheral n.
Burning most often, aching/throbbing/tingling
aggravated by activity but disproportionate to activity

Question 13

What is the AKA for Complex regional pain syndrome?

Answer 13

Reflex sympathetic dystrophy syndrome

Question 14

CRS is a chronic dz characterized by

Answer 14

severe pain, swelling and change in skin

Question 15

What are the clinical features of CRS

Answer 15

neurogenic inflammation, nociceptive sensitization, vasomotor dysfunction and maladaptive neuroplasticity

Question 16

CRS effects males or females more commonly? What is the peak age?

Answer 16

Females b/t 37-50

Question 17

What is the treatment for syringomyelia?

Answer 17

none
nero rehab care seeks to keep the remaining neurological functions and prevent complications of quadriparesis like infection

Question 18

What is the most sensitive test for syringomyelia?

Answer 18

MRI