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Im > Cns Nazary > Flashcards

Cns Nazary Flashcards

1
Q

Cadiver glasow coma scale

A

3

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2
Q

Types of coma

A
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3
Q

Fluctusting course of muscle weakness

A

Myasthenia gravis
Periodic paralysis
Multiple sclerosis

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4
Q

Worsening of motor weakness with repeated muscle contraction is

A

Nmj myathenia gravis

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5
Q

Slowly progressive onset of muscle weakness

A

Periphral neuropathy myopathy tumor

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6
Q

Acute onset of muscle weakness

A

Acute. Asculaar event or toxic

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7
Q

Dd of lmnl

A
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8
Q

Lmnl with absent reflexes

A

Neuropayhy

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9
Q

Ncv in umnl lmnl

A

Umnl is normal
Lmnl is dec

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10
Q

Tia duration

A

Less than 24

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11
Q

RIND ?

A

Reversible ischemic neurological defeict with tia more thsn 24 h

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12
Q

Carotid tia cp

A

Hemiparesis aphasia blindness

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13
Q

Vertebro basiliar tia cp

A

Diplopia dysatrhria vertigo cirum oral numbness

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14
Q

Tt of tia

A
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15
Q

Causes of transiet hemiplegia

A

T ia
T odd paralysis
H ysterial
H emiplgic migraine
H upertensive encephalpathy
Ms

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16
Q

Hemiplegia site of damage

A

Unilat pyrimadal tract lesion at area 4 from cerebral cortex to 5th cervical segment

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17
Q

Commonest cause and site of intracerebral hgh

A

Mca
Htn

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18
Q

Shock stage is absent in hemiplegia when

A

Cause is gradual , neoplastic

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19
Q

Type of gait in hemiplegia

A

Circumduction

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20
Q

Decribe stage of flaciidty

A
21
Q

Describe pyrimadal distribution of hemiplegia

A
22
Q

If lesion is cerebral of hemiplegia crainal nerve affected

A

On opposite side of lesion
On same side of paralysis

23
Q

How to differentiate different cerebral lesion of hemiplegia

A

If coma conv aphasi agraphia so cortical
If paralysis more extensive and coma less so sub cortical
If no no no so capsular

24
Q

Crossed hemiplegia occur

A

Brain stem lesion

25
Q

Level of brain stem lesion in correspond to nerve

A

Mid brain 3 4
Pons 5 6 7
Medulla 9 10 11 12

26
Q

Site of lesion of brown sequerad syndrome

A

Between c1 c5

27
Q

No cranial nerve affection with hemiplegia

A

Spinal hemiplegia

28
Q

Hemi cord syndrome characters

A

No speech no coma no conv
No cranial nerve affection

29
Q

Difference between coma and syncope

A

Syncope transient alteration of consciousness

30
Q

Physiological causes of,,,Coma

A

Small lesion in the ras system
Bilateral extensive legion in cerebral cortex
Increase intracranial pressure ischemia herniation

31
Q

First approached to coma patient

A

Transfer the patient away from any source of danger
ABC
Coma cocktail glucose thia mine nalxone

32
Q

Differential diagnosis of different respiration coma

A
33
Q

Differential diagnosis of order of breath duringa coma

A
34
Q

Most the cranial nerve affected?

A

Abducent

35
Q

Third cranial nerve affection indicates

A

Herniation

36
Q

Differential diagnosis of skin examination in case of, coma

A
37
Q

What is the signs of lateralization?

A
38
Q

Why you will make fundu this exam examination in coma

A

To execute the edema in case of increased ICT

39
Q

Differential diagnosis of pupil, sign, pupil signs in case of coma

A
40
Q

Mention signs of meningial irritation

A

Neck stiffness
Opisthotous
Kernig
Lassegue

41
Q

Dilated unilateral pupil

A

Third nerve compression

42
Q

Bilateral pupil dilated

A

Atropine

43
Q

Constricted unilateral pupil

A

Horner

44
Q

Decerebrate

A

Lesion in upper pons

45
Q

De corticate

A

Cortical lesion
Normal brain stem

46
Q

Brain stem reflexs

A

Doll eye
Corneal
Occulo vestibukar

47
Q

Flase localizing sign

A

6th nerve palsy

48
Q

Trans tentorial uncal herniation

A

Uni lat irreactive dilated pupil

49
Q

Management of hypoglycemia

A

Im (28 decks)

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