behavior, CVD Flashcards

1
Q

immediate memory- repeat how many numbers out loud?

A

5

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2
Q

recent or short term memory is how long after?

A

5 min

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3
Q

long term memory is how long after?

A

hours, weeks, yrs

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4
Q

etiologies of amnesia

A

wernicke-korsakoff (thiamine def)

herpes simplex encehalitis

anoxia

aging, dementia

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5
Q

apraxia

A

inability to conceptualize and perform a learned, skilled motor act on command

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6
Q

gegenhalten or paratonia

A

increased limb resistance as examiner moves patient’s limb more rapidly

seen in frontal lobe syndrome

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7
Q

hemineglect is lesion of nondominant or dominant parietal lobe?

A

nondominant

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8
Q

where is gerstmann’s syndrome

A

supramargnal or angular gyrus of dominant parietal lobe

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9
Q

anton’s syndrome

A

denial of visual loss

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10
Q

where is lesion for visual agnosia

A

bilateral temporo-occipital lobe lesions

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11
Q

where is lesion for color anomia

A

dominant temporo-occipital lobe lesion

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12
Q

memantine MOA

A

NMDA antagonist

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13
Q

collateral flow: Branches of the external carotid artery may supply blood in reverse direction (retrograde flow) through the _____ to the circle of Willis.

A

ophthalmic artery

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14
Q

Vertebrobasilar flow ending in the posterior cerebral arteries may continue through patent ______ of the circle of Willis and supply the middle and anterior cerebral arteries.

A

posterior communicating branches

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15
Q

doses of antiplatelet drugs that can reduce stroke

A

aspirin 50 to 325 mg daily,

clopidogrel 75 mg daily,

aspirin 25 mg/dipyridamole 200 mg twice daily.

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16
Q

contraindications to tPA before 4.5 hrs

A

hemorrhage (do CT), or bleeding risk from recent surgery

uncontrollable HTN (>185/110)

hypo or hyperglycemia

warfarin

17
Q

therapy for large artery occlusion vs small artery occlusion

A

large: warfarin, carotid endarectomy
small: antiplateley, medical therapy

18
Q

manage increased ICP

A

mechnical hyperventilation to pCO2 30-35 (–>vasoconstriction)

mannitol, hypertonic saline

corticosteroids help if ICP is from tumor, infection not from infarct!

19
Q

how to deal with cerebral aneurysm

A

diagnose: emergent angiography

clip, or coil

prevent vasospasm with nimodipine