Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

UW3 (2020) > UW3 (06 neuro) > Flashcards

UW3 (06 neuro) Flashcards

1
Q

Concussion

Initial management?
How to return to activity? 3

A

Rest > 24h

Gradual return to activity

1) Light exercise
2) Non-contact sports
3) Contact sports

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Location of brain lesion?

1) Construction apraxia / Dressing apraxia
2) Gerstman (Acalcula, Agraphia, L+R contusion)
3) Homonymous Upper Quadrant Anopia, Auditory Agnosia
4) Language / Aphasia

A

1) Parietal NonDominant
2) Parietal Dominant
3) Temporal NonDominant
4) Temporal Dominant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Cognitive Impairment Investigation

Labs? 3+4
Study? 1
Imaging? 3

A

1) CBC / TSH / CMP
Syphilis / Folate / Vit D / B12
2) CSF
3) CT / MRI / EEG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ALS treatment

A

Riluzole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Resting tremor, improve @ rest
Bradykinesia / Rigidity
Unilateral / Asymmetric

Diagnosis?
Treatment? 4

A

Parkinson’s disease

1) Ropinirole / Pramipexole
2) Carbidopa / Levodopa
3) Selegeline / Capones
4) DBS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

B12 deficiency & Dementia
Diagnosed with subacute combined degeneration

PE findings? 4

A

1) Vibration ↓
2) Rhomberg ⊕
3) Spastic paresis
4) HyperReflexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tuberous Sclerosis

1) CNS findings? 2
2) Cardiac findings?
3) Kidney findings?
4) Mortality causes? 4

A

1) SubEpendymal tumor / Epilepsy
2) Cardiac RhambdoMyoma
3) Kidney AngioMyoLipoma
4) Epilepsy / Pneumonia / Ependymal tumor / Renal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tonic clonic seizure
EEG shows PolySpike + Slow wave

Diagnosis?
Treatment?

A

MyoClonic Eplipsey

Valproate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medication side effects

1) TCA?
2) Phenytoin? 2
3) OxyCarbazepine? 2
4) Valproate? 3
5) Carbamazepine? 2

A

1) Arrhythmia / EKG
2) Gingival hyperplasia / Nystagmus
3) SIADH / Na ↓
4) Plt ↓ / LFT ↑ / Pancreatitis
5) Pancytopenia / Agranulocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Dementia (diagnosis)

  • Early LT memory ↓
  • Language ↓
  • Spatial orientation ↓
  • Late personality change
  • Early executive ↓
  • Cerebral infractions
  • White matter changes
  • Early personality change
  • Apathy
  • Dis-Inhibition
  • Compulsion
  • Visual hallucination
  • Parkinsonism
  • Fluctuating cognition
  • Early ataxia
  • Urinary incontinence
  • Dilated ventricles
  • Behavioral changes
  • Rapid progression
  • MyoClonus / Seizure
A
  • Alzheimer
  • Vascular
  • FrontoTemporal
  • Lewy Body
  • NPH
  • Prion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Alcoholic with thiamine deficiency

Eye finding in Wernicke encephalopathy?
Imaging finding in Korsakoff?

A

Lateral rectus palsy

Atrophy @ mamillary body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Brain infarction location

1) Ataxia / CN palsy / Motor ↓ / Sensory ↓
2) Pure motor
3) CN3 palsy = ptosis / Anisocoria
4) Ataxia / Bulbar dysfunction

A

1) BrainStem Ganglioma
2) Lacunar
3) Post Comm Art
4) Post Inf Cereb Art

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Guilian Barre

1) Common Gi cause by microbe?
2) What to do for respiratory concern?
3) Treatment? 2
4) Course?

A

1) Campylobacter
2) PFT
3) IVIG / Plasma exchange @ non-ambulatory < 4w
4) 2w progression, 2-4w persistence, Slow recovery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Weakness / Sensory ↓
Bladder / Bowel dysfunction
Ataxia
Thoracic spine radicular dermatome

Diagnosis?
Treatment?

A

Epidural Spinal cord Compression

Dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sarcoidosis presentation

1) Pulmonary? 2
2) Cutaneous?
3) Eye? 3
4) Organ? 3
5) MSK? 2
6) CV? 2
7) CNS/Endo? 2

A

1) Bilateral hilar adenopathy / Interstitial infiltration
2) Papule / Nodule / Plaque / Erythema nodosum
3) Anterior uveitis (Iridocyclitis / Iritis), Posterior uveitis, KeratoConjunctivitis sicca
4) Peripheral lymphadenopathy / Hepatomegaly / Splenomegaly
5) Acute poly arthritis (ankles) / Chronic arthritis
6) AV block / Cardiomyopathy (Dilated, Restrictive)
7) Facial nerve palsy / Central Dibetes Insipidus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Sarcoidosis

Lab, elevated component? 2
What does biopsy show?

A

Ca ↑ (serum / urine)
ACE ↑

Non-caseating granuloma
⊝ fungal stain / ⊝ AFB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Headache types

Unilateral / Pulsation / Throb
Nausea / Vomit / Aura / Phobia

Posterior orbit / Sharp
Sweat / Flush / Lacrimation / Rhinorrhea

Band L+R / Dull / Tight / Persist
Tender

A

Migraine

Cluster

Tension

18
Q

Epidural abscess

Initial labs? 4
Initial imaging?
Management? 3

A

CBC / ESR / CRP / BC

MRI

Aspiration (CT)
Antibiotics
Surgery

19
Q

Tick paralysis symptoms? 5

A 
Fatigue
Paresthesia
Ascending paralysis
Ataxia
DTR ∅
20
Q

Patient with n/v and visual disturbance
Suspected of pseudotumor idiopatyhic ICP

Risks? 3
What to expect on fundoscope? 3

A

F > M
Overweight
OCP

Papilary (edema, hemorrhage, exuate)

21
Q

VertebroBasilar Insufficiency
Common location? 2
Symptoms? 4

A

Labyrinth
Brainstem

Vertigo / Dizziness
Dysarthria
Diplopia
Numbness

22
Q

Tabes dorsalis due to syphilis

Symptoms? 4

A

Sensory ataxia
Lancinating pain
Neurogenic urinary incontinence
Argyll Robertson pupil

23
Q

Sudden monocular blindness

1) Diagnosis?
2) Lesion location?
3) Risk?

A

1) Amaurosis faugax
2) Ischemia @ retinal artery
3) Carotid artery atherosclerosis

24
Q

Headache with
Orbit involvement, Unilateral. Ptosis / Miosis / Lacrimation

1) Diagnosis?
2) Prevention?
3) Acute treatment? 2

A

1) Cluster headache
2) Verapamil / CCB
3) Oxygen / Sumatriptan IN

25
Q

Multiple Sclerosis

1) Eye problems? 2
2) MRI finding?
3) Lab finding?
4) Acute treatment?
5) Chronic treatment? 2

A

1) Optic neuritis / InterNuclear Opthalmoplegia
2) Ovoid, PeriVentricular - White matter lesion
3) Oligoclonal IgG ↑
4) Steroid
5) β-Interferon / Glatiramer

26
Q

Carotid artery dissection

Symptoms?
What image study to do?
Medical Management? 2

A

Horners (Ptosis / Miosis / Anhidrosis)
Unilateral - Headache / Neckache / Vision ↓
Weakness

CT angio
Thrombolytic < 4h
Aspirin + AntiCoag

27
Q

Cerebral palsy

1) Muscle PE? 2
2) Neuro PE? 2
3) MRI findings? 2

A

1) Muscle tone ↑ / spasm
2) HyperReflexia / Clonus
3) PeriVentricular LeukoMalacia / Basal Ganglial lesion

28
Q

Convulsion

Medication management? 2 (+1)

A

1) Benzodiazepine
2) Phenytoin / Valproate
3) Midazolam / Phenobarbitol / Propranolol

29
Q

Child with Starry, unresponsive, normal muscle tone

1) Diagnosis?
2) EEG finding?
3) Association? 3
4) Treatment?

A

1) Absence seizure
2) 3Hz spike & discharge
3) ADHD / Anxiety / Depression
4) Ethosuximide

30
Q

Patient with LE weakness, reduced sensory, urinary retention.
Diagnosed with transverse myelitis.

Risk?

A

URTI

31
Q

Pituitary prolactinoma

1) Treatment class & 2 med?
2) Effects? 2

A

1) Dopamine agonist - Bromocriptine / Carbergoline

2) Tumor size ↓ / Vision improve

32
Q

AnteroLateral thigh Sensation ↓
No atrophy / No weakness / Normal DTR

Diagnosis?
Mechanism?
Treatment? 3

A

1) Meralgia Paresthetica
2) Lateral Femoral Cutaneous Nerve Entrapment
3) Weight ↓ / Avoid tight clothing / Steroid injection

33
Q

Bell’s Palsy

Symptoms?
Treatment? 3
Course?

A

Unilateral: Upper + Lower face

Prednisone x3d
Artificial tear
Eye patch

Spontaneous recovery 1-6m

34
Q

Involuntary eye closure
Worse @ light / irritant

Diagnosis?
Treatment?

A

BlepharoSpasm / Dystonia

Botulinum toxin

35
Q

Blood in CSF.

Associated diagnosis

1) Xanthochromia?
2) RBC > 6k?

A

1) SAH

2) Traumatic LP

36
Q

Parinaud’s (pineal tumor)

What causes headache?
4 PE findings?
What causes precocious puberty @ male?

A

Obstructive Hydrocelphalus

∅ pupillary reaction
Vertical gaze paralysis
∅ Optokinetic Nystagmus
Ataxia

HCG ↑

37
Q

Opioid withdrawal treatment?

Preferred? 2
Symptomatic? 4

A

Methadone > Buprenophine

Clonidine / Benzo / Anti-emetic / Anti-diarrheal

38
Q 
Wide gait
Imbalance / Fall
Cognitive impairment
Urinary urgency/inconvenience
Depression

1) Diagnosis?
2) Image study finding?
3) Initial management?
4) Long term management?

A

1) Normal Pressure HydroCephalus
2) CT/MRI = VentriculoMegaly
3) LP = CSF drain
4) VP shunt

39
Q

WallenBerg / Lateral Medulla

1) Eye symptoms? 2
2) GI issues? 3
3) Motor problem? 3
4) Neuro symptoms? 4

A

1) Diplopia / H+V nystagmus
2) Dysphagia / Aspiration / Intractable hiccups
3) Hoarseness / Dysarthria / Dysphonia
4) Vertigo / Ipsilateral Ataxia / Facial paresthesia & pain / Ipsilateral Horner

40
Q

Narcolepsy

1) Criteria?
2) EEG finding?
3) Lab/CSF finding?
4) Initial management?
5) Medication management? 3 + 3 + 1

A

1) Recurrent slee/nap > 3day for >3/w /3m
2) Rem latency < 15m
3) Hypocretin-1 ↓ @ CSF
4) PolySomnogram

5) Modafamil > Amphetamine / Methylphenidate
SNRI / SSRI / TCA
Sodium Oxybate

41
Q

Caloric Vestibular test

Normal response?

A

1) Cold water
2) Conjugate slow deviation to ipsilateral
3) Saccadic correction to midline

UW3 (2020) (19 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions