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Neuro > MKSAP Neuro > Flashcards

MKSAP Neuro Flashcards

1
Q

Tx of menstrual migraine

A

mefenamic acid

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2
Q

migraine w/ aura is CI for what medication

A

OCPs

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3
Q

sxs more associated with hemorrhagic, not ischemic stroke

A

HA
vomiting
HTN
impaired LOC

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4
Q

sxs of Lambert Eaton

A

proximal UE and LE weakness
autonomic sxs (dry eyes, ED)
no DTRs

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5
Q

proximal limb weakness
autonomic sxs (dry eyes, ED)
no DTRs

A

Lambert Eaton

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6
Q

inclusion body myositis usually affects what muscles

A

quadriceps

deep finger flexors

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7
Q

tx of myasthenia crisis (extreme m weakness that might need intubation)

A

plasma exchange

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8
Q

med CI in myasthenia gravis

A 
fluoroquinolones
aminoglycosides
mcrolides
lithium
Mg
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9
Q

dx of guillain barre

A

EMG

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10
Q

CSF results of guillain barre

A

albuminocytologic dissociation (spinal fluid cell count normal but spinal fluid protein level elevated)

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11
Q

severe, acute onset headache is called

A

thunderclap headache

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12
Q

causes of thunderclap headaches

A

subarachnoid hemorrhage
carotid or vertebral a dissection
venous sinus thrombosis
reversible cerebral vasoconstriction

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13
Q

INR level for rtPA

A

1.7 or less

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14
Q

BP must be below ___ for rtPA

A

185/110

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15
Q

preferred meds to lower BP in stroke

A

IV labetalol or nicardipine

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16
Q

anti nausea med that can cause EPS

A

prochlorperazine

metoclopramide

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17
Q

acute unilateral headache with Horner syndrome

A

acute carotid dissection

18
Q

things to do if suspect SAH

A

CT

if neg, LP

19
Q

tx for MS related fatigue

A

amantadine (DA rec agonist)

20
Q

tx for primary progressive MS

A

symptomatic tx

21
Q

big diff among SUNCT, paroxysmal hemicrania and cluster HA

A

SUNCT lasts 30-120 seconds
paroxysmal hemicrania lasts 15 min
cluster lasts an hour

22
Q

tx of SUNCT, paroxysmal hemicrania, and cluster HA

A

SUNCT: lamotrigine
paroxysmal hemicrania: indomethacin
cluster: O2, verapamil

23
Q

meds to tx essential tremor

A

propranolol (#1)
primidone
gabapentin
topiramate

24
Q

drugs of choice for epilepsy in pts with liver dz

A

levetiracetam
gabapentin
pregabalin
(all renally excreted)

25
Q

anti epileptic that’s highly protein bound

A

phenytoin

26
Q

myeloneuropathy and anemia in a patient with gastric bypass, check for

A

copper deficiency
too much zinc (which can decrease copper levels)
B12 deficiency

27
Q

neuromyelitis optica has predilection for

A

optic nerves

spinal cord

28
Q

defn of medication overuse HA

A

HA more than 15 times a month

med use of more than 10 days a month

29
Q

reasons not to do CEA in large stenosis (and do carotid angioplasty and stenting instead)

A

stenosis above C2
medical conditions that are risky for surgery
radiation induced stenosis
restenosis after CEA

30
Q

2 things to order with new onset seizure

A

EEG

MRI

31
Q

symmetric spasticity especially of lower limbs

muscle weakness

A

primary lateral sclerosis

32
Q

weakness
sensory loss
decr DTRs

A

chronic inflammatory demyelinating polyradiculoneuropathy

33
Q

children and adolescents with seizures in sleep

A

rolandic epilepsy

34
Q

child with myoclonic and generalized tonic clonic seizures when waking up

A

juvenile myoclonic epilepsy

35
Q

med if SAH

A

nimodipine (prevent vasospasm)

36
Q

tx of status epilepticus

A

IV lorazepam or diazepam

37
Q

solitary mass in deep white matter, and next step

A

primary CNS lymphoma (do stereotactic brain biopsy, then tx with MTX then whole brain radiation)

38
Q

ADR of DA agonists (ropinirole, pramiprexole, bromocriptine)

A

incr compulsive bx
sleep attacks
orthostatic HoTN

39
Q

when can you withdraw seizure meds

A

what seizure free for 2 years (and doesn’t have exception of lifelong seizure d/o)

40
Q

BP goal if use tPA

A

less than 180/105 for 24 hours after giving tPA

41
Q

migraine with aura, don’t use what med

A

OCPs!

42
Q

migraine tx in breastfeeding mother

A

sumatriptan

frovatriptan

Neuro (8 decks)

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