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Neurology Shelf > Master the Boards > Flashcards

Master the Boards Flashcards

1
Q

Which stroke artery presents with weakness/sensory loss on one side, homonymous hemianopsia, and aphasia?

A

MCA

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2
Q

Which stroke artery presents with personality/cognitive defects, urinary incontinence, and leg>arm weakness?

A

ACA

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3
Q

Which stroke artery presents with sensory loss of half of face, 9th and 10th CN involvement, and sensory loss and ataxia of the limbs?

A

PCA

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4
Q

If the patient is already on aspirin at the time of the stroke, what should you do (2 options)?

A
  1. Add dipyridamole
    or
  2. Switch to clopidogrel
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5
Q

Below or equal to what age do you fix a PFO in context of a stroke?

A

60

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6
Q

What commonly used meds can increase the metabolism of lamotrigine to ineffective levels?

A

Estrogens/OCPs

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7
Q

What medication should you give for subarachnoid hemorrhage to prevent stroke?

A

Nimodipine

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8
Q

What dx presents with loss of all function except for position and vibratory sense, paralysis an dloss of DTRs at the level of infarction?

A

ASA infarction

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9
Q

What dx presents with loss of position and vibratory sensation?

A

B12 deficiency or neurosyphilis

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10
Q

What dx presents with contralateral/ipsilateral?

A

Brown-Sequard

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11
Q

What dx presents with loss of pain and temperature across upper back and both arms (cape-like distribution)?

A

Syringomyelia

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12
Q

T/F: antiparkinson drugs can cause psychosis?

A

True

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13
Q

What do you add if a patient with Parkinson’s on tx becomes psychotic?

A

Add clozapine or an atypical antipsychotic

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14
Q

What’s the tx for restless leg syndrome?

A

Pramipexole (DA agonist)

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15
Q

Which trinucleotide repeat is present in Huntington’s?

A

CAG trinucleotide on chromosome 4

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16
Q

How is ALS diagnosed?

A

Electromyography

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17
Q

What does electromyography show in ALS?

A

Loss of neural innervation in multiple muscle groups

18
Q

How are CK levels changed in ALS?

A

Elevated

19
Q

What’s the most common cause of death in ALS?

A

Respiratory failure

20
Q

What are 2 drugs that delay ALS progression?

A
  1. Edaravone

2. Riluzole

21
Q

What is “pseudobulbar affect?”

A

Emotional lability in ALS, stroke, and MS

22
Q

What’s the best treatment for pseudobulbar affect?

A

Dextromethorphan plus quinidine

23
Q

What dx presents with distal weakness and sensory loss, wasting in the legs, tremor, and foot deformity with a high arch?

A

Charcot-Marie-Tooth

24
Q

What’s the test for Charcot-Marie-Tooth?

A

Electromyography

25
Q

Is there a treatment for Charcot-Marie-Tooth?

A

No

26
Q

Which nerve palsy presents with wrist drop?

A

Radial

“Radial Rist”

27
Q

What nerve is “Saturday night palsy?”

A

Radial

28
Q

Which nerve palsy presents with pain/numbness on outer aspect of one thigh, often from obesity, pregnancy, or sitting with crossed legs?

A

Lateral cutaneous nerve of thigh

29
Q

Which nerve palsy presents with pain/numbness in the ankle and sole of foot?

A

Tarsal tunnel

30
Q

Which nerve is involved in tarsal tunnel?

A

Tibial

31
Q

What’s the tx for Bell’s palsy?

A

Prednisone

32
Q

Why does corneal ulceration occur with 7th CN palsy?

A

Because of difficulty closing the eye at night

33
Q

What’s the direction of paralysis in Guillain-Barre?

A

Ascending from the legs

34
Q

What’s the tx for Guillain-Barre?

A

IVIg or plasmapharesis (not combined)

35
Q

What’s a variant of Guillain-Barre syndrome that involves the oculomotor nerve?

A

Miller-Fisher Syndrome

36
Q

Which antibody tests Lambert-Eaton Myasthenic Syndrome?

A

Anti-P/Q-type voltage-gated calcium channel antibody

37
Q

Lambert-Eaton vs MG pathophysiology?

A

Ab’s against presynaptic Ca channels vs. post-synaptic ACh channels

38
Q

What’s the best tx for MG?

A

Pyridostigmine or neostigmine

39
Q

What’s the first line treatment for AD?

A

Donepazil, rivastigmine, galantamine

40
Q

Do you treat Lewy Body Dementia with Carbidopa/Levodopa?

A

Yes

41
Q

Which dementia is rapidly progressive and involves myoclonic jerks?

A

Creutzfeldt-Jakob

Neurology Shelf (8 decks)

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