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*Part II Supplemental > NBS Neurology > Flashcards

NBS Neurology Flashcards

1
Q

Charcot’s triad

A

Associated with cerebellum

Speech, intention tremor, nystagmus

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2
Q

Test for cerebellum

A

Heel to shin
Diadochokinesia (dyssinergia)
Finger to nose (dysmetria)

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3
Q

Cerebellum disease

A

MS
Alcoholism
Motor ataxia

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4
Q

Cerebellum responsibility

A

Motor
Coordination
Speech
Gait

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5
Q

Posterior column responsibility

A

Vibration (primary)
Sensory
2 point discrimination
Position

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6
Q

Posterior column test

A

Rhomberg

2 point

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7
Q

Posterior column disease

A

PLS
MS
Syphilis
Diabetes Melitus

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8
Q

Charcot’s joint (Neurogenic Neurotrophic Joint) associated with which part of the brain and MC location

A

Post. Column

Ankle

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9
Q

Extra pyramidal responsibility, test, disease

A

Resp: Postural
Test: Gait
Disease: Parkinson’s

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10
Q

Lateral spinal thalamic - Pseudo charcot joint

Responsibility, test, disease

A

Resp: Sensory, pain temp
Test: Hot cold test tube
Dx: Syringomyelia

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11
Q

Corticospinal/ Pyramidal Responsibility and test

A

Resp: Motor, voluntary
Test: Muscle test, DTR, mensuration

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12
Q

Corticospinal/ Pyramidal dx

A

UMNL - myelopathy - before anterior cell

LMNL - ant. cell to periphery - radiculopathy and neuropathy

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13
Q

Fasciculation in UMNL and LMNL

A

UMNL: Absent
LMNL: Present

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14
Q

Superficial reflex in UMNL and LMNL

A

Absent in both

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15
Q

LMNL characteristic

A

PNS, Unilateral (localized), Primary care

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16
Q

UMNL characteristic (Pyramidal lesion)

A

CNS, Bilateral, Co-care

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17
Q

In what pattern/ distribution is the loss of pain and temperature in lateral spinothalamic lesion?

A

Shawl distribution

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18
Q

Young boys, muscle destruction, pseudohypertrophy, waddling gait, albuminuria, creatinuria, GOWER’S SIGN

A

Muscular dystrophy

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19
Q

ALS involves…

A

UMNL
LMNL
Bulbar Palsy (breathing swallowing)

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20
Q

ALS starts in

A

hands

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21
Q

Autoimmune, myoneural junction, Intermittent (rest, nap helps), Tensilon test

A

Myasthenia Gravis

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22
Q

Myasthenia gravis symptoms include

A

Diplopia, swallowing, fatigue, shoulders, head

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23
Q

Non-progressive, motor disorder at birth due to anoxia, scissors gait,

A

Cerebral palsy

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24
Q

Parkinsons AKA

A

Paralysis agitans

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25
Q

No arm swing when walking, blank stare, oily –> associated with

A

Parkinson’s

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26
Q

Parkinson’s tremor and gait

A 
Resting tremor (pill rolling), 
Festinating gait - difficulty initiating gait
27
Q

5 Motor only neurological disease

A 
Muscular dystrophy
ALS
Myasthenia Gravis
Cerebral Palsy
Parkinsons
28
Q

Rapidly ascending paralysis (post viral polyneuropathy), starts at the feet and deadly when it gets to the lungs, lethargic

A 
Guillian Barre 
(Note Myasthenia gravis is top down affecting only the cranial muscles)
29
Q

Hemisectional of the spinal cord

A

Brown Sequard’s

30
Q

Brown sequards cause loss of motor and paresthesia ipsi/contra and pain&temp ipsi/contra?

A

Motor&Paresthesia - Ipsi

Pain temp - Contra

31
Q

Calf weakness and sensory loss, steppage gait

A

Charcot Marie Tooth (peroneal disease)

32
Q

Foot drop due to loss of dorsiflexion, toes point down an scrape down while walking

A

Steppage gait

33
Q

Cord compression causes neurological symptoms in … is it UMNL/LMNL

A

upper and lower extremity
Myelopathy
UMNL

34
Q

Cauda Equina is UMNL or LMNL and which level?

A

S2-S4
LMNL
Bowel and Bladder control

35
Q

CVA (Hemiplegia) includes or spares forehead

A

Spares

36
Q

Fluid filled cavitation that expands and puts pressure on lateral spinothalamic tract. Cervical spine, pain and temp loss in shawl and capelike distribution

A

Syringomyelia

37
Q

Burning sensation on hands associated with

A

Syringomyelia

38
Q

Gastritis - pernicious anemia, paresthesia, weakness, pain and temperature loss, progressive neurological deficit, reticulocytosis (lots of big RBC)

A

PLS / Cobined system disease

39
Q

PLS test

A

Schilling’s test

40
Q

Demyelination of the cord from plaque formation

A

MS

41
Q

Symptoms of MS

A

Diplopia, incontinence, exacerbation and remission, heat and humidity irritates it
Note: MS associated with charcot’s triad

42
Q

MS ortho test

A

Lhermitte

43
Q

MS tremor

A

Intention tremor

44
Q

MS tests

A

MRI
CSF evaluation
Eye exam

45
Q

TIA “refersal of blood flow”, stenosis of subclavian. Overhead reaching cause dizziness

A

Subclavian steal

46
Q

Subclavian steal ddx

A

TOS

47
Q

Post trauma TIA

A

Wallenburg syndrome

48
Q

Rotate head quickly cause dizziness, post trauma, mimics meniere’s

A

Barre Lieou

49
Q

Post trauma, fatiguable diziness, unpredictable

A

BPV (Benign Paroxysmal Positional Vertigo)

50
Q

Meniere’s AKA

A

Endo-lyphatic-hydrops

51
Q

Meniere’s symptoms

A

Tinnitus
Vertigo
Transient deafness

52
Q

Interruption of sympathetic to the face cause anhydrosis, ptosis, miosis

A

Horners

53
Q

Cause of Horner’s

A

TOS
Pancoast Syndrome
Whiplash
Birth

54
Q

Pancoast Syndrome

A

Bronchogenic Carcinoma
Metastasis
TOS (neuropathy)
Horner’s

55
Q

Gait AKA shuffling, mincing, propulsion. Associated with Parkinsons

A

Festination

56
Q

Aka Staggering. Associated with Cerebellum

A

Motor Ataxia

57
Q

Aka Slappage. Posterior column

A

Sensory ataxia

58
Q

Foot drop, toe drag, foot slap, tibialis anterior

A

Steppage - Charcot Marie tooth(L4)

59
Q

Lateral sway over the weight bearing leg

A

Gluteus medius lurch L5

60
Q

A-P Sway (leans back during mid stance)

A

Gluteus maximus lurch S1

61
Q

CVA, weak quads (unilateral)

A

Circumduction

62
Q

Muscular dystrophy, clumsy and weak

A

Waddling

63
Q

Cerebral palsy, adductor spasm

A

Scissors

*Part II Supplemental (28 decks)

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