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Neurology > Case files > Flashcards

Case files Flashcards

1
Q

Most common inheritance pattern of essential tremor

A

Autosomal dominant

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2
Q

Treating essential tremor

A

Beta blockers

Primidone

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3
Q

Treating chorea in Huntingtons

A

High potency neuroleptics - haloperidol

Dopamine depleting agent - tetrabenazine

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4
Q

What is opisthotonos?

A

Great rigid spasm of the body with the back fully arched and the heels and head bent back

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5
Q

Treating dystonia

A 
Levodopa
Benzos 
Baclofen
Trihexyphenidyl
High freq stimulation of GPi by deep brain stimulation
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6
Q

Cardinal features of Parkinson’s disease

A

Resting tremor
Rigidity
Bradykinesia
Postural instability

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7
Q

Imaging in spinocerebellar ataxia

A

High T2 signal in the cerebellar cortex on MRI

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8
Q

Risk factors for tardive dyskinesia

A

Advanced age
Female gender
Coexistent brain damage

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9
Q

Immediate treatment of traumatic spinal cord injury

A

Maintenance of oxygenation and spinal cord perfusion

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10
Q

Hallmarks of delirium

A

Cognitive impairment
Impaired attention
Fluctuating course

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11
Q

Common medications to treat delirium

A

Lorazepam
Haloperidol
Risperidone

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12
Q

Grade 1 concussion

A

No loss of consciousness

All symptoms resolve within 15 min

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13
Q

Grade 2 concussion

A

No loss of consciousness

Symptoms last longer than 15 min

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14
Q

Grade 3 concussion

A

Loss of consciousness

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15
Q

Imaging in essential tremor

A

Increased uptake in thalamus in PET imaging

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16
Q

What is Todd’s paralysis?

A

A brief period of temporary paralysis following a seizure

17
Q

Most common etiologies of ischemic stroke

A

Cardiac embolism
Large vessel atherosclerosis
Small vessel intracranial occlusive disease

18
Q

When is anticoagulant therapy favored over anti platelet when treating ischemic stroke?

A

When afib is present

19
Q

Lab chem associated with subarachnoid hemorrhage

A

Hyponatremia

20
Q

Complications associated with subarachnoid hemorrhage

A

Neurogenic pulmonary edema
Vasospasm
ECG changes - QT prolong, t wave inv, arrhythmia

21
Q

Bilateral seizure but maintained consciousness

A

Pseudo seizure

22
Q

Altered mental status, feelings of deja vu and lip smacking

A

Complex partial seizure

23
Q

Initial medication for chronic daily headache

A

Sodium valproate

Neurology (2 decks)

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