Formative/Buzzwords Flashcards

1
Q

What is a common cause of central cord syndrome?

A

syringomyelia

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2
Q

What is syringomyelia often associated with?

A

arnold-chiari malformation where the cerebellar tonsils have herniated down out of foramen magnum

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3
Q

What does an uncal herniation commonly cause?

A

unreactive dilated pupil due to compression of the parasympathetics of the 3rd CN

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4
Q

What is the DANISH of cerebellar dysfunction?

A
  • dysdiadochokinesis
  • ataxia
  • nystagmus
  • intention tremor
  • scanning dysarthria
  • heel-shin test
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5
Q

Where is the primary auditory cortex?

A

superior temporal gyrus

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6
Q

Where is Broca’s area?

A

inferior frontal gyrus

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7
Q

Where is Wernicke’s area?

A

superior temporal gyrus/ tempero-parietal area

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8
Q

Where is the centre for temperature regulation?

A

hypothalamus

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9
Q

Where is the primary visual cortex?

A

occipital lobe

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10
Q

Where is the primary motor cortex?

A

precentral gyrus

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11
Q

Where is the primary somatosensory cortex?

A

postcentral gyrus

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12
Q

How do you differentiate between an upper and lower MN lesion for a 7th nerve palsy?

A
  • UMN- forehead sparing

- LMN- forehead involvement

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13
Q

Thunderclap headache

A

subarachnoid haemorrhage

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14
Q

Xanthochromic lumbar puncture

A

subarachnoid haemorrhage

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15
Q

lucid period after head trauma then collapse or sudden deterioration

A

extradural haemorrhage

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16
Q

cogwheel rigidity

A

Parkinson’s (spasticity over rigidity)

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17
Q

Woody texture muscle swelling

A

Duchenne or Becker muscular dystrophy

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18
Q

raised CKD

A

muscular dystrophy

19
Q

toe walker or positive gowers sign

A

muscular dystrophy

20
Q

mask-like expression

A

Parkinson’s disease

21
Q

fluctuating cognitive deficit

A

Lewy body dementia or delirium

22
Q

acute onset cognitive disturbance that fluctuates

A

delirium

23
Q

personality/behaviour changes and then dementia

A

frontotemporal dementia (Pick’s disease)

24
Q

memory and personality problems in someone with a history of cardiovascular disease

A

vascular dementia

25
Q

stepwise deterioration

A

vascular dementia

26
Q

pain on loud noise

A

facial nerve palsy

27
Q

painful third nerve palsy

A

aneurysm

28
Q

myalgia + myositis + myoglobulinaemia/uria

A

rhabdo

29
Q

inflammatory myopathy with poor response to steroids

A

inclusion body myositis

30
Q

weakness + frontal balding + cataracts + ptosis

A

myotonic dystrophy

31
Q

leg symptoms + midline shift

A

falcine herniation

32
Q

back pain worse on coughing

A

slipped disc

33
Q

headache worse on coughing

A

posterior fossa issue

34
Q

BL sciatica + male sexual dysfunction

A

cauda equina

35
Q

pleocytosis on CSF

A

rules out bacterial meningitis

36
Q

migraine prophylaxis

A

1st line propranolol, topiramate or amitriptyline; 2nd line valproate, pizotifen, gabapentin, pregabalin (if one drug does not work by 3/12, try another)

37
Q

injury upper brachial plexus

A

Erb’s palsy (waiters tip)

38
Q

injury lower brachial plexus

A

Klumpke’s palsy (claw hand)

39
Q

+ve Simmond’s test

A

Achilles tendon rupture

40
Q

What would a lesion in Wernicke’s area cause?

A

receptive dysphagia

41
Q

What would a lesion in Broca’s area cause?

A

expressive dysphagia

42
Q

What is the triad of Wernicke’s encephalopathy?

A
  • acute confusion
  • ataxia
  • opthalmoplegia
43
Q

diplopia worse going downstairs and when reading a book

A

fourth nerve palsy

44
Q

ptosis, diplopia (horizontal) and dilated pupil

A

third nerve palsy