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CNRN Flashcards

1
Q

Lhermitte’s sign

A

May be present in MS. It’s described a electric shock sensation

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2
Q

Lhermitte’s sign

A

May be present in MS. It’s described a electric shock sensation

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3
Q

Draining cerebrospinal fluid with lumbar drain trials

A

Normal
Pressure
Hydrocephalus

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4
Q

Caused by hypercoagulable state

A

Stroke caused by central venous thrombosis

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5
Q

Which presents with visual changes, h/a and depression ?

A

Pseudomotor cerebri

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6
Q

Demyelinatimg disorder of the CNS

A

MS

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7
Q

Measures 2.5 cm in diameter

A

Giant aneurysm

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8
Q

Measures 2.5 cm in diameter

A

Giant aneurysm

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9
Q

Out pouching of the vessel wall

A

Fusiform aneurysm

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10
Q

How many pairs of cervical nerve roots are found in the cervical region?

A

8

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11
Q

Wet-incontinence
Wacky-dementia
Wobbly-gait disturbance

A

Normal pressure hydrocephalus

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12
Q

Small cells. Stellate cells with numerous long processes, found
primarily in the gray matter of the brain and spinal
cord

A

Microglia

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13
Q

Support the neurons functions through secretion of metabolic neurotrophic factor , insulin like growth factor

A

Oligodendrocytes

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14
Q

Glial cells with extremely long processes that wrap round neuronal axons . A single one can myelinate multiple axons

A

Oligodendrocytes

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15
Q

Much more common. Occur in gray matter along cells bodies.
Help make up pia matter

A

Protoplasmatic
Astrocytes

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16
Q

Type of glial cell. Star like bodies numerous processes that extend to multiple structures of the CNS

A

Astrocytes

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17
Q

Transmit signal via action potential forms within the nervous system to lower neuron , muscles and glands

A

Motor neurons

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18
Q

Receive signal from the outside world and transmit it to specific areas of the brain

A

Sensory neurons

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19
Q

Gold standard for determining brain death

A

Cerebral blood flow

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20
Q

Primitive behavior (sex, rage, fear, biological rhythms)
Emotional control
Filters external stimuli

A

Lymbic system

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21
Q

Can be fixed by coiling
Sack like
Most common type

A

Berry aneurysm
Sacular aneurysm

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22
Q

Patient with h/a. Loses consciousness after intubation

A

Emergency head CT

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23
Q

Patient presents with acute onset of cortical blindness

A

Occlusion of bil posterior cerebral arteries

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24
Q

Ich of 4

A

Associated with 97 percent mortality at 30’days following an intracerebral hemorrhage

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25
Q

Patient c/o shock like pain to the L side of the face and seem to be associated with chewing

A

Trigémino neuralgia
Compression of CN V

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26
Q

Yellow appearance of CSF that occurs several hour after bleeding into the subarachnoid space

A

Xantheochromia

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27
Q

Yellow appearance of CSF that occurs several hour after bleeding into the subarachnoid space

A

Xantheochromia

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28
Q

Pt post bleed day 4 develops a right sided pronator drift r arm weakness

A

Suspect cerebral vasospasm which occur 3-14 days post bleed and up to 21 days from initial bleed

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29
Q

Vision loss on the same side of both eyes

A

Homonymous hemianopia

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30
Q

Gold standard for signaling cavernous malformation

A

Gradient echo MRI

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31
Q

Vertigo, nausea, fullness of the ear

A

Most common symptom of Menieres Disease

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32
Q

Dilantin should be administered iv

A

No faster than 50 mg/ min
If too fast cardiac arrest. Do not give it ICP

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33
Q

During vasospasm period of hemorrhagic stroke

A

Nimodipine
60 mg po q 4 hrs for 21 days

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34
Q

Gold standard for dx leptomeningeal tumor

A

Cerebrospinal analysis

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35
Q

Connective tissue disease that causes weakening of the medial layer within the vasculature
Places the patient at risk for arterial dissection

A

Ehlers Danlos

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36
Q

Myathenia gravis

A

associated with thyroid disorder

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37
Q

Chemo medication for glyoblastoma. Crosses the blood/brain barrier

A

Temodar

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38
Q

Common in carotid dissection which can be caused by

A

Whiplash, coughing, sneezing, sexual intercourse

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39
Q

CPP adults and pediatric normal values

Cerebral
Perfusion pressure

A

Adults 60-80
Pediatrics 40-50

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40
Q

Map-ICP

A

CPP-cerebral perfusion pressure
Normal 60-80

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41
Q

Is associated with hypoxic state and tissue ischemia

A

Low CPP

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42
Q

What is commonly confused with Dementia?

A

Normal pressure hydrocephalus

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43
Q

Patient with SAH is at increased risk for what type of hydrocephalus?

A

Communicating

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44
Q

The skull is a
Fixed box there is no room for additional contents

A

Monroe-Kellie doctrine

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45
Q

Irregular respirations
Bradycardia
Widening pulse pressure

A

S/S Cushings syndrome

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46
Q

Hypo ventilation, fever, HTn, Sz, drugs, altitude

A

Secondary cause of increased ICP

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47
Q

What produces CSF?

A

Choroid plexus

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48
Q

2-6 months after acute injury. This is sympathetic overload

A

autonomic dysreflexia

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49
Q

2-6 months after acute injury. This is sympathetic overload

A

autonomic dysreflexia

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50
Q

Results from compression of the 3rd portion of the deudenum between aorta and superior mesenteric artery leading to upper GI obstruction
S/s nausea and vomiting

A

Superior messenteric artery syndrome

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51
Q

What spinal injury require continuous mechanical ventilation?
Intermittent?

A

Cont- C1-C3
Intermittent- C3-C5

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52
Q

Hallmark clinical s/s of neurogenic shock

A

Hypotension
Bradycardia

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53
Q

Gold standard technique for
Initial immobilization to temporarily stabilize the cervical spine

A

Garner-Wells tongs

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54
Q

Secondary spinal cord injury

A

24-2 hours after initial injury

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55
Q

Loss of proprioception occurs in which injury?

A

Posterior syndrome

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56
Q

Flexión injury causes

A

Anterior cord syndrome

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57
Q

Hyper extension injury causes

A

Posterior cord syndrome

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58
Q

Motor and proprioceptive loss on ipsilateral side
Pain and temp loss on contralateral side

A

Brown sequard syndrome

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59
Q

Weakness of arms greater than legs

A

Central cord syndrome

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60
Q

Eye opening
Verbal response
Motor response

A

Components of the GCS

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61
Q

Spontaneous
To voice
To pain
None

A

Eye opening response
GCS

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62
Q

alert
Confused
Incomprehensible words
Incomprehensible sounds
None

A

Verbal response GCS

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63
Q

Normal
Location to pain
Withdraw from pain
Decorticate posture
Decerebrate

A

Motor response GCS

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64
Q

What is the most sensitive indicator of change in neurological status in a baseline intact patient?

A

LOC

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65
Q

Cause of pin point pupils

A

Narcotics
Pons issues

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66
Q

Optic control central and peripheral test by having pt read

A

CN 2

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67
Q

Olfactory smell test
Have patient smell coffee

A

CN 1

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68
Q

Occulomotor
Pupil response
Test via cardinal fields

A

CN 3

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69
Q

Trochlear motor
Moves eyes toward tip of nose
Test via cardinal field

A

CN 4

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70
Q

Trigéminal
Three deviations of the nerve
V1- ophthalmic
V2- maxillary
V3-mandibular

Test- have pt chew
Facial sensation on forehead, maxilla and mandible

A

CN5

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71
Q

Trigéminal
Three deviations of the nerve
V1- ophthalmic
V2- maxillary
V3-mandibular

Test- have pt chew
Facial sensation on forehead, maxilla and mandible

A

CN5

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72
Q

Abducents -motor
Innervates lateral rectus- lateral movement of the eyes

Test by having patient moves eyes form ear to ear

A

CN 6

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73
Q

Motor to facial muscle for expression
Sensory of anterior 2/3 of tongue

Test- have it wrinkle forehead, raise eyebrows, close eyes tight, show teeth

A

CN7

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74
Q

Vestíbulo cochlear sensory for hearing
Test- running fingers by pts ears

A

CN 8

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75
Q

Vestíbulo cochlear sensory for hearing
Test- running fingers by pts ears

A

CN 8

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76
Q

Glossopharingeal both sensory to the posterior 2/3 of the tongue, larynx and pharynx to mediate the gag reflex

Test- have pt say Ahh

A

CN9

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77
Q

Vagus
Branches from the vagus innervates organs throughout the body
Test-have pt cough

A

CN 10

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78
Q

Spinal accessory nerve-motor

Motor movement of the ne ck and shoulders

Test- have pt shrug and turn the head

A

CN 11

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79
Q

Hypoglossal nerve
Movement of tongue
Test- Have pt stick tongue out

Left dysfunction -left deviation
Right dysfunction - right deviation

A

CN 12

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80
Q

79 y/o with acute onset of homonymous hemianopia. Where is the stroke?

A

Occipital

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81
Q

Expressive aphasia can be the result of an occlusion on which cerebral
Artery?

A

MCA
Middle cerebral artery

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82
Q

Supplies anterior cerebral circulation
Expressive and receptive aphasia

A

MCA

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83
Q

Pt with anterior cerebral artery ischemic stroke

A

LLE weakness

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84
Q

IV rtPA for eligible patients should be administered within

A

3 -4.5 hrs

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85
Q

Visual -spatial information /orientation
Sensory interpretation
Voluntary movements
Object manipulation

A

Key characteristics of the parietal
Lobe

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86
Q

Patient can form words but is incoherent and in appropriate

Can’t follow verbal commands but may follow if demonstrated

A

Wernickes aphasia

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87
Q

Receptive aphasia due to damage of the temporal
Lobe (primarily left)
Interprets the meaning of spoken / written words

A

Werneckes aphasia

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88
Q

Receptive aphasia due to damage of the temporal
Lobe (primarily left)
Interprets the meaning of spoken / written words

A

Werneckes aphasia

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89
Q

Auditory ability
Long term
Memory
Werneckies area

A

Key characteristics of the temporal lobe

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90
Q

Expressive aphasia
Damage to the broca causes the inability to perform the motor aspect of speech

A

Types of aphasia
Damage to the broca area

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91
Q

Patient can understand but can’t form words

They follow verbal commands and execute requests

A

Brocas aphasia

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92
Q

Emotions
Impulse control
Motor function
Broca’s area
Social , sexual behavior
Memory

A

Frontal lobe

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93
Q

Imbalanced movement
ETOH

A

Ataxia

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94
Q

Gait movement
Paralysis of one side of the body
Dragging of paralyzed leg

A

Hemiparetic

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95
Q

Gait movement
Side to side jerkiness
Decreased hip
rotation

Primary cause hip
arthritis

A

Antalgic

96
Q

Thalamus
Hypothalamus
Pituitary gland

A

Structures inside the diencephalon

97
Q

Relay center for major nerve tracts

A

Key function of the thalamus

98
Q

Eating, hunger, hormone regulation

A

Hypothalamus

99
Q

Carry out functions that support the neurons

A

Glia

100
Q

drive function of the body

A

Neurons

101
Q

drive function of the body

A

Neurons

102
Q

Hormonal regulation

A

Key function of the pituitary gland

103
Q

Unable to speak due to
laryngeal damage/paralysis
Laryngeal inflammation , thickening of vocal cords

A

Dysphonia

104
Q

76 year old male with right side weakness and severe head ache and vomiting

A

Hemorrhagic stroke

105
Q

Patient with severe head ache and focal symptoms : Weakness . Severe hypertension and vomiting

A

Emergency CT of the head plain to assess for hemorrhagic stroke

106
Q

Pontine perforations of which cerebral blood vessel perfuse the pons?

A

Basilar artery

107
Q

Patient with new onset of cortical blindness cause by occlusion of

A

Bil posterior cerebral
artery

108
Q

Patient with acute onset homonymous hemianopia

A

Occipital lobe stroke

109
Q

Where is the extrapyramidal system
located?

A

Basal ganglia

110
Q

Link between thalamus and motor cortex
Coordinates muscles contractions
Related to posture and I part of the extrapyramidal system that regulates autonomic movement

A

Basal ganglia

111
Q

Thick band of nervous fibers that facilitate the communication and transfers motor, sensory and cognitive information

A

Corpus collosum

112
Q

Single pathway of nerves that connect the left and right hemispheres of the brain

A

Corpus collosum

113
Q

Abnormal =eyes follow direction of the head

A

Occulocephalic reflex

114
Q

Dolls eyes reflex . Open eye lids and turn heads dr side to side
Normal response -eyes fixate and do not move with head

A

Occulocephalic reflex

115
Q

Cerebral blood flow
Dolls eyes
Cold caloric testing
Apnea test

A

Gold standard for determining brain death

116
Q

Pt c/o progressive unilateral hearing loss and posterior h/a

A

Cerebellopontine angel tumor
Acoustic neuroma

117
Q

Most common pediatric brain tumor

A

Cerebellum

118
Q

Hemangioma Dx
Which is malignancy?

A

Astrocytoma

119
Q

Ependymomas arise from ependymal cells lining the ventricles and spinal
Cord
Hydrocephalus may develop

A

Pt with ependymoma . Slightly lethargic and a little
Off

120
Q

Benign , slow growing tumor
Can be sx removed
No radiation or chemo

A

Acoustic neuroma

121
Q

69 yo malnourished and admitted with ETOH withdraw. What med?

A

Thiamine B1
Diminished risk for Werneckes encephalopathy

122
Q

Patient with left basal hemorrhagic stroke 5 days ago. Today-fever, lethargic and worsening weakness

A

Toxic metabolic encephalopathy

123
Q

Patient co sporadic, elective like shock feeling on the left side of the face (cheek and forehead)

A

CN V
Trigeminal
Neuralgia

124
Q

F/u 2 weeks after vertebral column fracture

A

Ibuprofen is an anti inflammatory Nd should be avoided during first 3 months owing compression fracture to promote bone healing

125
Q

Surgical opt for trigeminal
Neuralgia

A

Microvascular decompression or Rhizotomy
Radio frequency rhizotomy for patient in whom MVD failed

126
Q

White matter located in the brain and spinal
Cord

A

Myelinated nerve fibers

127
Q

Vertebral column

A

7 cervical
12 thoracic
5 lumbar
5 sacral
4 coccyx

128
Q

Tinel test - assess
Positive sign- tingling of shock after light tapping over the medial nerve

A

Carpal tunnel

129
Q

Tinel test - assess
Positive sign- tingling of shock after light tapping over the medial nerve

A

Carpal tunnel

130
Q

Patient in the ICU at night becomes agitated

A

Delirium

131
Q

Pain in the right side of the face associated with chewing

A

Trigeminal
Neuralgia

132
Q

Central nystagmus is associated with

A

Brain stem stroke

133
Q

A patient underwent. Posterior fosa craniotomy for Arnold Chiari malformation
Most common post op problem

A

Nausea and vomiting
Cerebellum is located in the posterior fossa - balance problems and nausea

134
Q

After Altapase in acute stroke, BP should be kept at

A

SBP<180
DBP<105

135
Q

Single unprovoked seizure standard of care

A

Avoid precipitants: ETOH , sleep deprivation

136
Q

Single unprovoked seizure standard of care

A

Avoid precipitants: ETOH , sleep deprivation

137
Q

Indication for a de compressive craniectomy following a traumatic brain injury

A

Impending herniation. Surgical removal of a large portion of the skull to allow room for swelling

138
Q

Sensory abnormality . Light touch can be painful. CP patients experience it

A

Allodynia

139
Q

Sensory abnormality . Light touch can be painful. CP patients experience it

A

Allodynia

140
Q

Tx for cerebral edema and increased ICP is not recommended

A

Therapeutic hypothermia

141
Q

Most common cause for drug induced thrombocytopenia

Occurs 5-10 days of being on this med

A

Heparin

142
Q

Not a
Common cause of trigeminal
Neuralgia

A

Traumatic brain injury

143
Q

Central nystagmus is associate with

A

Stroke or anoxic brain injury

144
Q

Main complaint of a patient with benign positional vertigo

A

Nausea

145
Q

Meniers disease

A

Avoid high Na foods

146
Q

Benign essential tremors most often affects what area of the body?

A

Hands
Starts with hands and
Can progress to head and voice

147
Q

Parkinson’s patient. What foods can they take Levadopa with?

A

Crackes
Protein should be avoided bc it decreases effectiveness

148
Q

Patient with Parkinson’s is worsening. Experiences periods of standing in a frozen condition and can’t move

A

Pt begins to not feel effectiveness of Levadopa

Off time

149
Q

Dopamine producing cells

A

Parkinson’s

150
Q

Stroking inner thigh of a male causes ipsilateral scrotom to rise
Abnormal L2-3 lesion

A

Cremasteric reflex

151
Q

What kind of test can be ordered with patient with S/S of dementia?

A

MMSE
Monitor cognitive changes over time

Mini mental state examination . Normal score 30-24

152
Q

What kind of test can be ordered with patient with S/S of dementia?

A

MMSE
Monitor cognitive changes over time

Mini mental state examination . Normal score 30-24

153
Q

Lab test in work up for dementia

A

Vitamin B12
Associated with memory and is considered a reversible cause of dementia

154
Q

Baby with myelomeninhocele. The nurse knows the surgical repair will be

A

In 24 hrs due to increased risk of infection

155
Q

28 Y/O male with Cp and númerous BP shunt revisions presents with lethargy, fever and leukocytosis

A

Infection - Requires intrathecal antibiotics and externalization of VP shunt

156
Q

What type of dementia is a patient with h/o of small strokes and elevated BP at risk for?

A

Vascular dementia

157
Q

Baby with Down’s syndrome is at risk for

A

Cardiovascular problems

158
Q

Baby with Down’s syndrome is at risk for

A

Cardiovascular problems

159
Q

A child with h/o VP shunt . S/s- lethargy, anorexia, nausea, vomiting

A

Obstruction

160
Q

Irritable baby, bulging fontanels, downward gaze, not taking the bottle

A

Hydrocephalus- classic signs lethargy, irritability, poor appetite

161
Q

Developmental degenerative disease

A

Nausea and vomiting
Cerebellum is in the posterior fosa

162
Q

Pt underwent posterior fossa craniotomy for Arnold Chianti malformation . Common post of problem

A

Nausea and vomiting

163
Q

73 YO with head ache and right sided . BP 235/-119. CT- large left frontal ICH

Treatment?

A

Anti hypertensives agents
Prevent extension of hemorrhage

164
Q

Patient with a large hemispheric ICH. The NrS note states ICP score of 4

A

Predicts mortality at 30
Days -97 percent chance

165
Q

Patient with a large hemispheric ICH. The NrS note states ICP score of 4

A

Predicts mortality at 30
Days -97 percent chance

166
Q

76 yo right residual weakness and severe h/a and vomiting

A

Hemorrhagic stroke
CT of the head, plain . Possible severe hypertension and vomiting

167
Q

What is the #1 modifiable risk factor to decrease risk of intracerebral hemorrhage?

A

Hypertension

168
Q

Hemorrhagic stroke
Mild ha and photophobia
CT negative for blood
LP
What would indicate SAH?

A

Xanthocromia

Caused by bilirubin due to bleeding during 2-36 hrs

If s/s of increased ICP, LP is contraindicated

169
Q

Pt post bleed day 4 develops r sides pronator drift indicating right arm weakness

A

Cerebral vasaspasm
Can happen : 3-14 days up
To 21 days post bleed
Nimodipine 60 mg po twice a day for 21 days

170
Q

Hormonal regulation

A

Pituitary gland

171
Q

Relay center for major nerve tracts

A

Thallamus

172
Q

Single pathway of nerves that connect the L and R hemispheres
Thick band and nervous fibers that facilitate the communication and transfer motor, sensory and cognitive information

A

Corpus collosum

173
Q

Cerebral blood flow
Dolls
Eyes
Cold caloric testing
Apnea test

A

Common brain death test

174
Q

Cerebral blood flow
Dolls
Eyes
Cold caloric testing
Apnea test

A

Common brain death test

175
Q

Gold standard for determining brain death

A

Cerebral blood flow

176
Q

Loss of all brain and brain stem function
Spinal reflexes may stay intact

A

Definition of brain death

177
Q

CN IX through Cn XII functions
Autonomic function
Relays information between stem and brain

A

Key function of medulla oblongata

178
Q

CN IX through CN XII functions
Autonomic function
Relays information between stem and brain

A

Key function of medulla oblongata

179
Q

CN V through CN VIII function awakening and rep failure

A

Key function of the Pons

180
Q

CN V through CN VIII function awakening and rep failure

A

Key function of the Pons

181
Q

CN III and IV function
Eye and trunk movement in response to visual input
(Reaction time)

A

Key function of the midbrain’s

182
Q

Midbrain . Pons
And medulla

A

Components of the brain stem

183
Q

Básica of life
Breathing
HR
Autonomic nervous systems

A

Characteristics of the brain stem

184
Q

Coordination of
voluntary movements, balance, equilibrium

A

Cerebellum

185
Q

Secondary visual cortex

A

The occipital lobe
Interprets meaning of written words

186
Q

Where is the primary visual cortex?

A

Occipital lobe
It processes primary visual input

Ex objects , colors

187
Q

Primary visual cortex-visual input processing

Secondary visual cortex -interprets meaning of
Written words

Optic Tracy end point

A

Occipital lobe

188
Q

Damage to expressive broca and receptive Werner areas of the brain

A

Damage of language centers of the brain
But motor speech muscles on the face are intact

189
Q

Damage to expressive broca and receptive Werner areas of the brain

A

Damage of language centers of the brain
But motor speech muscles on the face are intact

190
Q

Damage to expressive (broca) and receptive (wernike) areas of the brain

A

Global aphasia

191
Q

Inability to articulate words -slurred speech

A

Dysarthria

192
Q

Pontine perforations of which cerebral blood vessel perfuse the Pons?

A

Basilar artery

193
Q

Insufficiency may present with dizziness . Diplopia, dysarthria, dysphonia, dysmetria

A

Basilar artery

194
Q

Meats containing nitrates ex bacon, hot dogs should be avoided

A

Avoid for h/a

195
Q

Total intracranial volume

A

1700 ml
Brain- 1400 ml
CSF-150 ml
Blood 150 ml

196
Q

Within the skull
Volume of 3 components

A

Brain 80 %
Blood 10%
CSF 10 %

197
Q

Have a cell body, often with many dendrites , an axon covered in myelin and
multiple axon terminals

A

Multipolar neurons

198
Q

Projections of the cell body that are dense with actin

Receive signal from other cells and carry the action to the cell body

A

Neuron dendrites

199
Q

Provides structure to the neuron
Facilitate movement of substances
Holds organelles in place

A

Cytoskeleton structure of a neuron

200
Q

Provides structure to the neuron
Facilitate movement of substances
Holds organelles in place

A

Cytoskeleton structure of a neuron

201
Q

Similar structure to membranes of other cells-phospholipid bilayer of protein

A

Cellular membrane of a neuron

202
Q

Also called projection neurons
Have long axons
Neurons of the brain and spinal cord
Axon makes
Up the gray matter

A

Golgi I neuron

203
Q

Neurons have a short axon or no
Axon at all
Star like appearance
Found in cerebral cortex
Cerebellum and retina

A

Golgi II

204
Q

Have a cell body with one dendrite which may branch off into multiple dendrites
Smaller dendrites
Found in olfactory nerve CNI -optic nerve

A

Bipolar neurons

205
Q

After transphenoidalhypiphysectomy for pituitary tumor large UO . DI?

A

DI is post op complication of decreased ADH from pituitary gland

206
Q

Percussion wave sharp peak
Representing Ryer pressure being transmitted into the choroid plexus

A

ICP intra cranial pressure waveform P1

207
Q

Onset in early childhood
Many underlying etiologies, often cryptogenic
Multiple seizures- atypical
absence, generalized convulsive, atonic, myoclonic, partial

Neg neuro developmental impact-mental retardation

Slow spike and wave (2 hertz)

A

Lennox-Gastaut Syndrome

208
Q

Rare complication that may occur following carotid artery revascularizarion

It can develop anytime from immediately after surgery to 30 days after

Causes: Impaired cerebral
auto regulation and post op elevated systemic BP symptoms; ha, eye and face pain, vomiting, focal deficit, seizures, ICH

A

Cerebral hyperperfusion syndrome

209
Q

Treatment: iv meds to lower BP, ex labetalol and clonidine, seizure meds, manitol and hypertonic saline may be used to treat brain swelling

A

Cerebral hyperperfusion syndrome

210
Q

Rare neurological condition occurs after viral or bacterial infection
Causes inflammation in the CNS

Common symptoms; head ache, confusion, weakness, numbness
More common in children

Dx-MRI, spinal fluid testing

A

Acute disseminated encephalopathy

211
Q

Increasingly recognized cause of acute dissemaninated encephalopathy, especially in children.

A

Myelin oligodendrocyte antibody associated disease

212
Q

Auto immune condition that attacks the nervous system and can sometimes cause acute disseminated encephalopathy

Spinal fluid often shows increased in wbc predominantly lymphocytes

A

Myelin oligodendrocyte antibody associated disease

213
Q

Auto immune condition that attacks the nervous system and can sometimes cause acute disseminated encephalopathy

Spinal fluid often shows increased in wbc predominantly lymphocytes

A

Myelin oligodendrocyte antibody associated disease

214
Q

Treatment: Steroid, IV immunoglobulin (IVIG)
Plasma exchange

A

Treatment for myelin olingodendroxyte antibody associated disease

215
Q

Contra lateral lower limb weakness sensory loss

Trans cortical
Apraxia - if only corpus collosum is involved

Frontal lobe syndrome signs

A

ACA anterior cerebral artery

216
Q

Contra lateral lower limb weakness sensory loss

Trans cortical
Apraxia - if only corpus collosum is involved

Frontal lobe syndrome signs

A

Aca-Anterior central artery

217
Q

Contralateral upper limb and face weakness sensory loss

Contra lateral homonymous hemi anopsia

Deviation of eyes toward the affected hemisphere

If left side is affected- aphasia, brocas Wernike, condition , global

Right- contra lateral hemineglect and dysprosody

A

MCA middle cerebral artery

218
Q

Contralateral homonymous hemianopsia with macular spearing

Left-Alexia without a graphic

A

PCA- posterior cerebral artery

219
Q

Supplies midbrain and cerebellum

A

Basilar artery

220
Q

ICP monitoring wave forms

A

P1-percussion - arterial pulsation
Should be the highest

221
Q

ICP monitoring wave forms

A

P1-percussion - arterial pulsation
Should be the highest

222
Q

P2 tidal wave

A

Represents intracranial compliance

223
Q

P3

A

Dicrotic wave
Represents venous pulsation
Lowest upstroke

224
Q

ICP waveforms

A

P1-percussive. Transmission arterial pulse from choroid plexus

225
Q

ICP waveforms

A

P1-percussive. Transmission arterial pulse from choroid plexus

226
Q

ICP waveform
Interpretation

A

P2 -tidal wave compliance

227
Q

P3

A

Dicrotic notch-closure of aortic valve

228
Q

Normal ICP
Normal cop

A

10-15
60-80

229
Q

Cerebral
Perfusion pressure

A

60-80

230
Q

Cerebral
Perfusion pressure

A

60-100

Map-ICP=CCP

Normal ICP-0-15

231
Q

Normal CSF

A

5-13

232
Q

Normal CSF

A

5-13

233
Q

MAP-ICP

A

CPP

234
Q

Meds that can cause leukoencephalopathy

A

Rituxab

235
Q

Meds that can cause leukoencephalopathy

A

Rituxab

236
Q

Subdural bleed-venous bleed

A

Epidural bleed is arterial bleed

Cnrn (1 decks)

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