Yellow Pages Review Flashcards
(153 cards)
gradual unilateral hearing loss
acoustic schwannoma
hearing loss and V and VII nerve dysfunction
cerebellopontine angle meningioma
episodes of tinnitus, vertigo and low frequency hearing loss occurring abut 3x/year for 2 years
meniere’s disease
profound dizziness, dysarthria, ataxia over a 10 day period… unable to sit or stand without assistance and has bilateral dysmetria of upper and lower extremities
anti-Yo paraneoplastic syndrome
-associated with small cell lung, gynecologic, and non Hodgkin’s lymphoma
momentary vertigo, diplopia, numbness around mouth.. transiently unable to walk and the symptoms then resolve
vertebrobasilar TIA
Parkinson-like sxs with autonomic insufficiency (ex. postural hypotension, constipation)
multiple system atrophy (shy-drager)
slow shuffling gait, difficulty with turns, urinary incontinence… recovered from meningitis 5 years ago
communicating hydrocephalus (NPH) -enlarged ventricles due to obstruction of arachnoid granulations (esp after meningitis, SAH, or head trauma)
how to tx NPH
high volume tap –> if gait improves, then shunt him
what is it called when ventricles are dilated due to brain atrophy, such as in Alzheimer’s disease?
hydrocephalus ex vacuo
2 places that would cause spastic paraparesis
- spinal cord (would probably have sensory sxs)
- parasagittal meningioma (no sensory sxs)
tingling in arms and legs, sensation that limbs are “swollen”, steady on legs esp in the dark –> weakness and SOB
-on exam: no DTRs, absent proprioception and vibration in the limbs, mild bilateral facial weakness
GBS
pupils react to accommodation but not to direct light… what is this called and what is it assoc with?
argyll robertson pupils of neurosyphilis
agitated, disoriented, anterograde amnesia, FLAIR abnormality in both hippocampi but it’s not herpes encephalitis….
anti-Ma paraneoplastic syndrome
-assoc with testicular malignancy
man comes in with difficulty “multi-tasking’ after a coronary artery bypass surgery
- hypoxic ischemic encephalopathy, “pump head”
- multiple micro-emboli as possible pathophysiology
- sxs likely to improve
sleep disturbance, mood change, poor concentration and memory, lightheadedness, nausea after head trauma
concussion
personality change, disinterested/apathetic, dysarthria, exaggerated startle response, difficulty navigating hallways over course of 3 months
CJD
- posterior hemisphere DWI abnormalities
- 14-3-3 protein in CSF
paranoia, hoarding behavior, visuospatial deficits
-what sedative would you use?
early AD
-quetiapine
discontinuation of care… who gets the say?
spouse
cognitive impairment involving more than memory AND
severe enough to interfere with occupational or social functioning
dementia
amnestic or nonamnestic (one non memory domain) dysfunction that does NOT impair occupational and social functioning
mild cognitive deficit (MCI)
disease modifying drugs for early AD and maybe MCI (3)
galantamine (razadyne)- AChE inhibitor
donepezil (aricept)- AChE inhibitor
rivastigmine (exelon)- AChE inhibitor
potent enzyme inducer…this AED makes OCPs less effective
phenytoin… also oxcarbazepine
chemotherapy associated with cerebellar ataxia (2)
cytosine arabinoside, 5-FU
chemo associated with peripheral neuropathy (4)
paclitaxel
docetaxel
vincristine
platinum