Aaron: Neurology Flashcards
What disease has
Encephalopathy
Oculomotor dysfunction
Gait Ataxia
Homeless man with no PMH?
Korsakoff Syndrome
Does emergency thrombolysis require consent?
No
Post stroke prophylaxis, what is an excellent medication to start patients on?
Heparin
Mechanical Thrombectomy is only used when there is what?
Large Vessel Occlusion
What should all stroke patients be screened for regardless of the onset of symptoms?
Dysphagia Screening
GBS prognosis is what?
Weakness may improve spontaneously, but treatment shortens recovery time
What is a critical GBS disease patient value to measure?
Measure Vital Capacity
What is the best preventative medication for cluster headaches?
Verapamil
Can Sarcoidosis present with Bell’s Palsy?
Yes
Elevated ALP, Elevated Calcium, and elevated ESR, what is the most common autoimmune condition?
Sarcoidosis
What is apraxia?
The inability to perform learned muscle movements
If someone overdoses on Benzodiazepines, how long should they wait to evaluate a neuro status/potential brain death?
3-5 days before calling brain death, Benzos need 3-5 days to get out of the system
What is sudden muscle weakness during emotional episodes, especially during family arguments?
What is the treatment?
Cataplexy
Venlafaxine
If someone is suspected of Narcolepsy, what is the next best step for them?
Sleep Study
What is first line therapy for narcolepsy?
Modafinil
A nursing home patient has delirium, that has been diagnosed, what is the most concerning delirium symptom?
Fluctuating consciousness
A young patient has a right front subacute stroke, what is the most likely etiology of the stroke? No PMHx, no HIV, no FH, CSF has RBCs and lymphocytes
Syphilis with Meningovascular problems
A patient most likely has Parkinson’s Disease, what is the next best step?
Levodopa-Carbidopa
A patient has idiopathic intracranial HTN, what is the most likely underlying mechanism?
Decreased CSF production in the choroid plexus
A patient that has “fasciculations” and does not care about anything, urinates in front of people, loss of empathy, what is the most likely diagnosis?
Frontotemporal Dementia
Vitamin B12 deficiency can cause mild indirect hyperbilirubinemia, why is this?
Ineffective Erythropoiesis
If there is a cryptogenic stroke, i.e. no idea why this has happened, what is the next best test?
Ambulatory Monitoring
Lewy Body dementia has what hallmark sign?
Visual hallucinations
Construction apraxia, not dressing on one side or the inability to draw a picture can be in seen, generally, in what area of the brain?
Non-dominant Parietal Lobe
Involuntary eye closure is called Blepharospasm, a form of focal dystonia, what is the proper treatment?
Botulism Toxin Injection
What Blood pressure number is needed before TPA can be administered?
185/110
HIV, drug abuse, has the following what am I?
Fever, Back Pain, and neurologic signs
Spinal Epidural Abscess
If there is Bell’s Palsy, in a patient, and the patient has been hiking, what is the next best step?
Do Lyme Serology work up first, do not just give steroids right away
