EM 6 - Neuro pt3

Question 1

Which CN are SPARED in GBS?

Answer 1

Olfactory & Optic

Question 2

dry burning sensation in the mouth & throat with a constricted feeling in throat
Severe abdominal pain cramping, diarrhea (rice water) stools & vomiting
Symmetrical ascending polyneuropathy
Mee’s lines

Answer 2

Arsenical Neuropathy

Question 3

Arsenical Neuropathy patients may have what weird sign?

Answer 3

Garlicky odor to breath & stools

Question 4

loss of appetite & voice followed by gait instability, ascending flaccid paralysis, excessive salivation, eye irritation, pupillary asymmetry & vomiting

Answer 4

Tick paralysis

Question 5

Tick paralysis is more common in: (2)

Answer 5

children > adults

females > males

Question 6

Due to one of the differentials, if a patient has ascending paralysis, what must you do?

Answer 6

Remove their clothes to inspect for ticks

Question 7

a descending weakness is seen in:

this is a disease of:

Answer 7

Botulism

Disease of neuromuscular junction

Question 8

Tx of botulism if caught early enough:

Answer 8

Botulium antitoxin (only comes from California)

Question 9

Tx of wound & infant botulism

Answer 9

Licensed human-origin antitoxin

Question 10

Sx of Organophosphate poisoning:

Answer 10

DUMBBELS: DEFECATION, URINATION, MIOSIS, BRONCHOSPASM, BRADYCARDIA, EMESIS, LACRIMATION, SALIVATION

Question 11

Organophosphate poisoning
Dx
Tx (2)

Answer 11

Dx: Depressed plasma & erythrocyte cholinesterase activity
Tx: Atropine, Pralidoxime

Question 12

Dx & Tx (2) of Mystehia Gravis

Answer 12

Dx: Tensilon test
Tx: Acetylcholinesterase Inhibitors - Neostigmine bromide; Edrophonium chloride