Flashcard 11 Neuro

1
Q

what stage of sleep does somnambulism occur in

A

stage 4 sleep

exclusively non-REM

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2
Q

woman presents with not being able to look at her nose. diagnosis? whats affected?

A

4th nerve palsy
trochlear
superior oblique muscle

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3
Q

lacunar stroke investigations

A

CT/MRI
routine bloods
ECG

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4
Q

types of dementia

A
  • vascular
  • frontotemporal
  • temperoparietal
  • Lewy body
  • alzheimers
  • infective
  • toxic
  • inflammatory
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5
Q

classic meningitis triad

A
  • stiff neck
  • altered mental state
  • fever
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6
Q

normal glucose in a lumbar puncture

A

60% of [BG]

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7
Q

pharmacological dementia treatment

A

dopamine agonists
melatonin
antipsychotic
antidepressants

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8
Q

most common encephalitis cause

A

herpes simplex virus

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9
Q

causes of pus in brain

A
  • penetrating injury
  • spread
  • blood borne infection
  • neuro procedure
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10
Q

2 important ABs associated with autoimmune encephalitis

A

anti-NMDA

anti-VGKC

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11
Q

rabies encephalitis - route of infection

A

tracks from PNS to CNS

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12
Q

gabapentin - what kind of drug?

A

anticonvulsant

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13
Q

presentation of brain tumour (general group of symptoms)

A
  • raised ICP symptoms and signs
  • focal neurological defecit
  • epilepsy
  • CSF obstruction
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14
Q

most common type of pituitary tumour

A

adenoma

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15
Q

symptoms:

  • younger patient
  • acute onset back pain
  • cervical lumbar radiculopathy
A

disc prolapse

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16
Q

ptosis

A

upper eyelid drooping

17
Q

diagnose:

  • lip smacking
  • random noises
  • fiddling/ picking @ clothes
  • hand rubbing
  • chewing and swallowing
  • won’t respond to anything
  • appear spaced out
A

complex focal seizure

18
Q

hydrocephalus

A

excess CSF build up in ventricles of brain

19
Q

myasthenia gravis cause

A

signalling problem @ NMJ

20
Q

cauda equina syndrome

A

MEDICAL EMERGENCY

roots of spinal nerves being compressed

21
Q

risk factors for epidural abscess

A
  • IV drugs abuse
  • alcoholism
  • diabetes
  • chronic renal failure
22
Q

treatment epidural abscess

A
  • long term IV antibiotics

- drainage

23
Q

what does this refer to ‘wet, wobbly, wacky’

A

normal pressure hydrocephalus

24
Q

cervical spondylosis

A

umbrella term for degenerative change in cervical spine leading to spine and root compression

25
locked in syndrome
paralysed below 3rd nuclei. can only open and close their eyes voluntarily
26
investigations for come without focal or lateralising signs, with meningism
lumbar puncture | CT head
27
symptoms: - unilateral facial weakness - LMN type - often preceded by pain behind the ear - eye closure affected
bells palsy