B7.008 LG Peripheral Neuropathy

Question 1

SNAP findings in radiculopathies

Answer 1

normal

only abnormal if lesion is after the dorsal root ganglion

Question 2

Romberg test

Answer 2

need 2/3:
-proprioception
-vestibular
-vision
if proprioception is impaired, closing ones eyes causes the person to fall

Question 3

treatment of distal symmetric peripheral neuropathy

Answer 3

eliminate abnormal pain physiology

1. decrease sensitization
2. decrease conduction
3. increase modulation
4. change perception

Question 4

drugs used to decrease sensitization

Answer 4

NSAID

capsaicin- depletes substance P

Question 5

anesthetics used for DSPN

Answer 5

mexiletine

lidocaine ointment

Question 6

antidepressants used for DSPN

Answer 6

amitriptyline
duloxetine
sertraline

Question 7

antiepileptic drugs used for DSPN

Answer 7

gabapentin

pregabalin

Question 8

Horner’s syndrome

Answer 8

miosis
ptosis
anhidrosis
loss of sympathetic innervation of the pupil