Blueprints Flashcards

1
Q

CSF produced by

A

choroid plexus

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2
Q

CSF absorbed by

A

arachnoid granulations in dural venous sinuses

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3
Q

LP contraindications

A

space occupying lesion causing mass effect with increased ICP
local infection/inflammation
coagulopathy

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4
Q

ASIS is at the level of the

A

L3-4

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5
Q

normal CSF glucose, protein, WBC, OP

A

2/3 blood glucose, 40-50 protein,

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6
Q

CSF with oligoclonal banding

A

MS

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7
Q

CSF with xanthochromia

A

SAH, hemorrhagic encephalitis

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8
Q

CSF positive EBV PCR

A

CNS lymphoma in immunosuppressed

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9
Q

CSF in 14-3-3 protein

A

CJD

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10
Q

complication of LP

A

low pressure headache

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11
Q

DWI useful for identifying

A

stroke

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12
Q

visual evoked potentials (VEPs)

A

diagnose optic neuritis and MS

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13
Q

SSEPs somatosensory evoked potentials

A

peripheral nerve and spinal cord problems, anoxic brain damage

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14
Q

BAEPs brainstem auditory evoked potentials

A

brainstem dysfunction, esp vestibular schwannomas

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15
Q

Rx for commonly reversible coma

A

naloxone, thiamine, dextrose (thiamine b/f dextrose to prevent wernicke’s encephalopathy)

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16
Q

altered consciousness can be due to two general categories

A

brainstem dysfunction or both cerebral hemispheres dysfunction

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17
Q

ways to decrease ICP

A

raise head of bed, hyperventilate, mannitol/other osmotic diuretic

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18
Q

locked in syndrome

A

lesion at base of pons, awareness and cognition intact but nearly complete paralysis

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19
Q

persistent vegetative state

A

preserved sleep wake and autonomic functions, no awareness or cognition

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20
Q

brain death

A

no brain function, irreversible

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21
Q

chronic alcoholic, acutely confused (encephalopathic), eye movement abnormalities, ataxia, autonomic signs

A

wernicke’s encephalopathy

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22
Q

long term memory disorder w/ anterograde amnesia, confabulations, after wernicke’s encephalopathy resolved

A

korsakoff’s syndrome

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23
Q

losing some color vision (esp red)

A

MS

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24
Q

dilation lag in small pupil (mitosis) and anisocoria greater in darkness

A

sympathetic defect (e.g. Horner’s)

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25
Q

ptosis, dilated pupil (mydriasis), opthalmoplegia

A

3rd nerve palsy

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26
Q

bilateral small pupils, irregular, impaired light reaction and intact LND

A

Argyll robertson pupil, syphilis

27
Q

dilated pupil, segmental contraction, light-near dissociation

A

adie’s pupil, PS fibers affected

28
Q

causes of increased ICP

A

space-occupying lesion (tumor, AVM, aneurysm, edema) or idiopathic intracranial hypertension

29
Q

symptoms of ICP

A

morning headache, ataxia, transient visual obscuration, enlarged blind spot, bilateral disc hyperemia

30
Q

rx idiopathic intracranial hypertension

A

acetazolamide, nerve decompression, shunt

31
Q

hyaline bodies on funds, enlarged blind spot

A

drusen (calcified hyaline bodies) or pseudopapilledema; familial

32
Q

painful visual loss, worse with exercise or heat (Uhthoff’s), RAPD, retro-orbital pain, loss of color discrimination, central scotoma

A

optic neuritis, usually due to demyelination (MS, SLE, sarcoid, adrenoleukodystrophy, tumor), or viral/meningitis, behcet, whipple, crohn

33
Q

optic neuritis rx

A

IV methylprednisolone

34
Q

painless sudden visual loss, usually over 50, associated with HTN or hypotension, DM. often unilateral segmental disc edema

A

anterior ischemic optic neuropathy, vascular causes or inflammatory (temporal arteritis)

35
Q

ipsilateral optic atrophy and contralateral papilledema

A

frontal lobe tumor, Foster Kennedy Syndrome

36
Q

eye is down and out

A

3rd nerve

37
Q

proximal symmetric weakness, can affect neck muscles, elevated CK

A

primary muscle disorder

38
Q

fluctuation in degree of weakness, proximal muscles > distal, some extra ocular and bulbar muscles

A

NMJ disorders

39
Q

muscle nerve root? shoulder abduction

A

deltoid axillary C5

40
Q

muscle nerve root? elbow flexion

A

biceps musulocutaneous C5/6

41
Q

muscle nerve root? elbow extension

A

triceps radial C7

42
Q

muscle nerve root? wrist extension

A

wrist extensors radial C7

43
Q

muscle nerve root? finger flexion

A

finger flexors median and ulnar C8/T1

44
Q

muscle nerve root? finger extension

A

finger extensors radial C7

45
Q

muscle nerve root? finger abduction

A

interossei ulnar C8/T1

46
Q

muscle nerve root? hip flexion

A

iliopsoas nerve to iliopsoas L1/2/3

47
Q

muscle nerve root? hip abduction

A

gluteus medius and minimus superior gluteal L5

48
Q

muscle nerve root? hip adduction

A

hip adductors obturatory L3

49
Q

muscle nerve root? hip extension

A

gluteus maximus sciatic S1

50
Q

muscle nerve root? knee flexion

A

hamstrings, sciatic, L5/S1

51
Q

muscle nerve root? knee extension

A

quadriceps femoral L3/4

52
Q

muscle nerve root? plantar flexion

A

gastrocnemius, soleus bibial S1

53
Q

muscle nerve root? dorsiflexion

A

tibialis anterior peroneal L5

54
Q

muscle nerve root? foot eversion

A

peroneus muscles peroneal S1

55
Q

muscle nerve root? foot inversion

A

tibialis posterior tibial L5

56
Q

muscle nerve root? great toe extension

A

extensor hallucis longus peroneal L5

57
Q

biceps reflex

A

C5

58
Q

brachioradialis reflex

A

C6

59
Q

triceps reflex

A

C7

60
Q

finger flexor reflex

A

C8/T1

61
Q

patellar reflex

A

L4

62
Q

hip adductor reflex

A

L3

63
Q

ankle jerk reflex

A

S1