Inservice deck 8 - neuro and psych Flashcards

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1
Q

HTN patient awakens with arm paralysis. Two prior episodes that resolved. Consistent with what type of stroke?

A

thrombolic

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2
Q

tPA dose affected in 85 year old with stroke symptoms that has no contraindications?

A

no change in dose

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3
Q

name of med given for vaospasm in patient with headache, meningismus, and RBC’s in LP?

A

nimodipine

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4
Q

65 year old female with right eye vision loss and localized headache requires what treatment in the ED?

A

temporal arteritis

tx = prednisone 60 mg

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5
Q

BP tretament for ischemic stroke patient with pressure of 180/100?

A

None, tx if BP > 220/115

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6
Q

patient with vertebro-basilar artery stroke will present with what findings?

A

cerebellar findings: ipsilateral CN deficits, contralateral hemiplegia, contra sensory deficits

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7
Q

Most common cause of seizure in the elderly?:

A

CVA

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8
Q

most common complication of taenia soleum?

A

cysticercosis

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9
Q

patient with progress weakness, diplopia, and ptosis worsening throughout the day has what diagnosis?

A

myasthenia gravis

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10
Q

patient in his 60s presents with facial droop, decreased taste. what is the next phys exam test to differentiate serious from benign

A

forehead for sparing

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11
Q

60 year old with no trauma, unable to move anything but eyes?

A

locked in syndrome - basilar pontine hmorrhage

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12
Q

virus in patient who has unilateral facial droop that includes forehead?

A

herpes simplex in bell’s palsy

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13
Q

patient with torticollis, protruding tongue after receiving nause meds for gastritis has what complication of med?

A

dystonic reaction

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14
Q

next tx for patient on haldol who presents with dystonia, no help with benadryl?

A

benztropine

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15
Q

patient presents with headache aned meningisum, is febrile and nontoxic; normal neuro exam. Next step?

A

LP

CT in age > 55, HIV, immunocompromied, neuro findings

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16
Q

what adjustemtn at the time of LP has decreased incidence of post LP headache?

A

using a small gauge non-cutting needle

17
Q

hematologic abnormality is associated with lead tox?

A

anemia

18
Q

earliest sign in cavernous sinus thrombossi?

A

lateral gaze palsy, isolated CN VI palsy

19
Q

patient presents 1 week s/p URI. Now with weakness and absent refloexes of lower extremities. Dx? what will CSF show?

A

GBS, CSF shows high protein

20
Q

bacteria associated with development of GBS

A

campylobacter

21
Q

25 y/o no trauma, develops bilateral leg sweakness, incontinence, increased DTRs with normal tone and upgoing plantar reflexes most likely has what diagnosis?

A

transverse myelitis

22
Q

most common cause of delirium in elderly

A

meds

23
Q

patient with SLE has mental status changes. most likely diagnosis? what radiology study?

A

cerebritis

CT brain with contrast

24
Q

AMS, ataxia and incontinence?

A

NPH

25
Q

60 y/o with hemorrhage CT brain loss of pupillary reflexes, loss of EOM and coma. Where is the lesion?

A

posterior fossa

26
Q

HIV pt with focal seizure and ring lesions on noncontrast CT has what?

A

toxoplasmosis

27
Q

patient with chronic alcohol intake presents with taxia, confusion, normal speech, inability to adduct eyes, nystagmus. dx and disposition? inability to adduct called? thiamine?

A

wernicke encephalopathy

admit to neuro

intranuclear ophthalmoplegia

give thiamine before glucose

28
Q

elderly patient with head trauma less likely to have what?

A

epidural bleed

29
Q

tx for 30 year old who presents febrile, altered with CT showing temporal lobe hemorrhage?

A

acyclovir

cefotaxime

30
Q

tx for patient with shock like sensations on one side of hte face?

A

trigemincal neuralgia

carbamazepine

31
Q

25 y/o with grandiose thinking, auditory hallucinations and unable to accomplish goal directed activity. Dx?

A

schizophrenia