Flashcard 7 Neuro

1
Q

different causes Parkinsonism

A
  • parkinsons disease (pathology in basal ganglia)
  • Lewy body dementia
  • drug induced
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2
Q

tempero-parietal dementia specific treatment

A
  • cholinesterase inhibitors

- NMSA antagonist

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3
Q

abortive migraine treatment

A
  • aspirin
  • NSAIDs
  • triptons

10 day/ month MAX

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4
Q

treatable mimics of dementia

A
  • normal pressure hydrocephalus
  • B12 deficiencies
  • HIV
  • depression
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5
Q

sciatica

A

pain radiating from buttock into thigh, calf, and occasionally foot

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6
Q

osteomyelitis risk factors

A
  • IV drug abuse
  • alcohol
  • diabetes
  • AIDS
  • chronic renal failure
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7
Q

symptoms:

  • coma
  • vertigo
  • N+V
  • cranial nerve palsies
  • ataxia
  • hemiparesis
  • visual field defects
A

posterior circulation stroke

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8
Q

symptoms:

  • pyrexia
  • back pain
  • focal neurology
A

epidural abscess

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9
Q

investigations for coma without focal or materialising signs, meningism

A
  • renal + hepatic function
  • blood glucose
  • toxicology
  • electrolytes
  • acid/base
  • BP
  • CO monitoring
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10
Q

Horners syndrome characteristics

A
  • small pupil
  • anhidrosis
  • ptosis

on affected side

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11
Q

myasthenia gravis

A

chronic autoimmune neuromuscular disease causing weakness in skeletal muscles

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12
Q

symptoms:

  • pain
  • weakness
  • sphincter disturbance
  • malignancy associated symptoms
A

malignant cord compression

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13
Q

bacterial causes meningitis

A

strep pneumonia

neisseria meningitides

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14
Q

bacterial meningitis lumbar puncture results

A
  • high protein
  • increased pressure
  • increased cell count
  • neutrophils
  • decreased glucose
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15
Q

frequency and timings of paroxysmal hemicrania

A
  • 2-40 attack/day
  • no circadian rhythm
  • 2-30 mins long
  • rapid pain cessation
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16
Q

radiculopathy characteristics

A
  • weakness
  • numbness
  • pain
  • difficulty controlling specific muscles
17
Q

schwannoma symptoms

A

unilateral deafness

18
Q

haemangioma

A

benign tumour of blood vessels

19
Q

bacterial meningitis treatment

A

penicillin

20
Q

normal pressure hydrocephalus treatment

A

programable VP shunt placement

21
Q

describe a VP shunt

A

ventriculoperitoneal shunt - drains CSF from ventricles into peritoneal cavity

22
Q

status epilepticus

A

prolonged/ recurrent tonic-clonic seizures >30 mins. no rest between episodes

23
Q

hemiplegia

A

paralysis one side of body

24
Q

uncal herniation

A

cerebrum moves inferiorly over edge of tentorium

25
Q

disc prolapse

A

acute herniation of intervertebral disc causing compression of spinal roots or spinal cord

26
Q

management of hydrocephalus

A
  • VP shunt
  • extra ventricular drain
  • removal of lesion if it exists