Dementias, Tumors, & Diseases Flashcards

1
Q

multiple sclerosis is a disease of ____

A

CNS demyelination

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2
Q

amyotropic lateral sclerosis is a disease of ____

A

motor neurons (UMN/LMN)

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3
Q

guillain barre is a disease of ____

A

PNS demyelination

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4
Q

myasthenia gravis is a disease of the ____

A

neuromuscular junction

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5
Q

parkinsons, huntington’s, and wilson’s diseases are diseases of the ____

A

basal ganglia

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6
Q

lung cancer, breast cancer, and melanoma are examples of ____ tumors

A

metatastic
(most likely to affect brain)

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7
Q

how are brain tumors removed?

A
  • one lesion: excision
  • multiple/non-surgical lesions: radiation
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8
Q

name the 6 primary brain tumours

A
  • glioma
  • meningioma
  • pituitary adenoma
  • schwannoma
  • lymphoma
  • pineal tumors
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9
Q

name 3 types of glioma

A
  • astrocytoma I, II, III, IV (glioblastoma multiforme)
  • oligodendroglioma
  • ependymoma
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10
Q

name 3 types of pediatric tumors

A
  • cerebellar astrocytoma I
  • medulloblastoma
  • ependymoma
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11
Q

meningioma arise from ____

A

arachnoid villi

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12
Q

meningioma cause ____ and are usually ____

A

headaches
benign (sometime become non-resectable)

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13
Q

pituitary adenoma

A
  • secrete: prolactin, GH, ACTH, TSH, FSH, or non-functioning
  • may compress chiasm
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14
Q

schwannoma is also called ____

A

acoustic neuroma (vestibular n)

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15
Q

pineal tumors may compress the ____ and cause ____

A
  • aqueduct -> hydrocephalus
    OR parinaud’s syndrome
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16
Q

name 2 nervous system infections

A

meningitis
creutzfeldt-jacob disease

17
Q

what are the most common types of meningitis?

A

bacterial
viral
fungal
parasitic

18
Q

symptoms of CSF infection (meningitis)

A
  • headache
  • lethargy
  • photophobia
  • fever
  • nuchal rigidity
19
Q

what is creutzfeldt-jacob disease?

A

prion-related spongiform appearance of the brain

20
Q

symptoms of creutzfeldt-jacob disease

A
  • progressive dementia
  • exaggerated startle response
  • myoclonus
  • hallucinations
  • ataxia
21
Q

what is Alzheimer’s disease?

A

(type of dementia) cerebral atrophy with beta amyloid plaques & microtubule related tau neurofibrillary tangles

22
Q

tau tangles are prominent in…

A

cholinergic nuclei:
- basalis of Meynart
- septal area
- nucleus of diagonal band of Broca
noradrenergic:
- locus caeruleus
serotoninergic:
- raphe nucleus

23
Q

what are the substantia innominata?

A

cholinergic nuclei located deep to anterior perforated substance:
- basalis of Meynart
- septal area
- nucleus of diagonal band of Broca

24
Q

symptoms of Alzheimer’s disease

A
  • short-term memory & progressively long-term memory loss
  • anomic aphasia (loss of names for common things)
  • apraxia
  • behavioural issues
25
symptoms of dementia with lewy bodies?
- lewy bodies in substantia nigra - fluctuating dementia - **parkinsonism** - visual hallucinations - REM sleep disorders (acting out dreams) - disruptions of ANS - usually coexists with Alzheimer's
26
symptoms of frontotemporal lobar degeneration (pick disease)
- behavioural variant frontotemporal dementia - progressive non-fluent aphasia - semantic aphasia - progressive supranuclear palsy
27
what is behavioural variant frontotemporal dementia
changes in personality & cognition with initially intact memory
28
what is progressive non-fluent aphasia?
difficulty using words and eventually loss of ability to communicate
29
what is semantic aphasia?
inability to understand language
30
what is progressive supranuclear palsy?
- motor & balance symptoms - parkinsonism - inability to look down
31
vascular dementia is also known as...
- multi-infarct dementia - binswagner disease - small vessel disease
32
what causes vascular dementia?
- brain ischemia & hypoperfusion - hypertension & diabetes increase risk of vascular damage
33
parkinson's disease with dementia
cognitive decline occurs years after onset of motor symptoms, unlike lewy body dementia
34
wernicke-korsakoff encephalopathy
thiamine deficiency characterized by wernicke's encephalopathy and korsakoff's amnesia
35
dementia pugilistica
variant of chronic traumatic encephalopathy resulting from repeated head injury
36
what is normal pressure hydrocephalus?
expansion of chambers in the brain although pressure remains normal, resulting in dementia symptoms in adults