20 CARDS Flashcards
Why is carbidopa given with levodopa
Prevent peripheral conversion of levodopa to dopamine –> reduces peripheral SFX: N/V, cardiac arrhythmias,orthostatic hypotension
Managemen of pt who presents 4.5-9 hours after symtpoms onset or with wake up stroke
Consider thrombolysis if imaging evidence to potentially salvage brain tissue
How to manage medicaiton over use HA due to simple analgesia or triptans
stop abruptly
How to manage medication overuse HA due to opiods
Withdraw gradually
Causes of facial N palsy
Sarcoidosis
Guillian Barre syndrome
Lyme disease
Bilateral acoustic neuromas
(above likely to be bilateral ^^^)
Bells palsy
Ramsay hunt
Acoustic neuroma
Parotid tumors
HIV
Multiple sclerosis
Diabetes mellitus
UMN
- Stroke
- MS
Which vessel likely affected: sudden onset vertigo, ipsilateral facial paralysis, deafness
Anterior inferior cerebellar artery
Which vessel likely affected: aphasia
dominanat hemisphere (likely L) middle cerebral artery
Which brain area is likely affected: conduction dysphasia
Arcuate fasiculus- white matter tract that connects the Wernicke’s and Broca’s areas
COnduction dysphasia
Fluent speech, poor repetition, intact comprehension
Damage to which brain area results in visual agnosia
Inferior temporal gyrus
Visual agnosia
Difficultires recognising objects
Damage to which brain area can cause Wernicke’s aphasia
Superior temporal gyrus
Wernicke’s aphasia
Impaired comprehension and nonsensical but fluent speech - word salad
Broca’s/ expressive aphasia
Speech is non fluent, laboured, halting . Impaired repetition
Damage to which brain area causes Broac’s aphasia
Inferior frontal gyrus
