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Neuro Shelf > AAN stuff > Flashcards

AAN stuff Flashcards

1
Q

Tic doloureux =

A

Trigeminal neurlagia

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2
Q

MS CSF finding, other than IgG and oligoclonal bands

A

pleocytosis, w/o elev PMNs, normal glucose, slightly elevated protein

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3
Q

When should concussed athlete play again?

A

when all sx abate at rest without meds

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4
Q

Semantic problems , i.e. unable to tell difference between things - area of brain?

A

dominant lateral temporal

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5
Q

Visuospatial problems - area of brain?

A

nondominant parietal

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6
Q

AED for generalized seizure with least risk of teratogenic effects?

A

lamotrigine

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7
Q

meds that put at risk for ICP/IIH/pesudotumor cerbri?

A

TCNs
OCPs
Vit A
steroids

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8
Q

stroke with horner’s syndrome in setting of trauma to head or neck - think?

A

carotid dissection

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9
Q

affective sx to seizure suggest what brain location?

A

temporal lobe

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10
Q

qudarantopia - pie in the sky visual loss - where in brain?

A

meyer loop in temporal lobe

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11
Q

foot drop and wekaness on eversion of foot - nerve affected?

A

peroneal (likley at fibular head)

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12
Q

REM sleep disorder and acting out dreams can occur before wich disorders? and how long before?

A

PD and LB, >10 years before

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13
Q

bradycardia in treated Alzheimer patients likley due to ?

A

side effect of cholinesterase inhibs

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14
Q

first line for diabetic neuropathy pain?

A

pregabalin

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15
Q

BP cutoff for tPA? ie don;t give if higher than?

A

185/110

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16
Q

If it looks like MS but no Llhermittes, clean MRI, etc. consider what?

A

b12 defic

17
Q

sudden praaysis in young people, check what?

A

potassium - can be hypo or hyper

18
Q

unilateral down and out eye is what nerve palsy?

A

3rd

19
Q

red, beefy tongue indicates (with neuro sx)?

A

B12 defic

20
Q

weakness in supination, elbow flexion, sensation loss over radial forearm - nerve involveed?

A

musculocutaneous

21
Q

acute optic neuritis in young man - cause? and cells responsible?

A

demyleination of optic nerver, oligodendrocytes

22
Q

Neuromyelitis optica immune treatment depends on presence/absence of what?

A

anti-aquaporin-4 Ab

23
Q

Acute/severe shoulder pain unilateral or bilateral progressing to weakness and atrophy of arms (poss sensory deficits too)?

A

idiopathic brachial plexopathy aka Parsonage-Turner syndrome

24
Q

dysarthria with limb ataxia (clumsy hand)? type/location of stroke?

A

lacunar in pons (or internal capsule)

25
Q

opthalmic artery is branch of ?

A

internal carotid

26
Q

median nerve compression: carpal tunnel vs forearm?

A

CT: thumb abduction weakness
forearm: thumb flexion and abduction weakness, thenar eminence numbness (as does NOT go through CT)

27
Q

acute onset big flailing movements - name for this and likley infarct location?

A

hemiballismus, infarct in contralateral subthalamic nuclei (part of basal ganglionic pathway)

28
Q

TGA therapy (transient global amnesia)?

A

none/reassurance, even if punctuate foci seen on MRI

29
Q

myoclonus in someone recovering from cardiac arrest, likely due to?

A

cerebral anoxia

30
Q

loss of vertical gaze, loss of pupillary light reflex, nystagmus triggered by upward gaze, lid retraction? likely diagnosis

A

Parinaud syndrome due to pineal gland tumor (pineocytoma) - usually benign

31
Q

secondary stroke prevention med for patients with hypercoagulable risk factors (eg a-fib)?

A

warfarin rather than ASA

32
Q

acute post stroke care - what to do with blood pressure?

A

do not adjust to normotensive

33
Q

Restless Leg Treatment?

A

It’s a momvemnt prob so dopamine agonists like pramiprexole, then gabapentin

34
Q

contralalteral motor/sensory deficits, worse in LE than UE, possivle urinary incontinence - stroke location?

A

ACA

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