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HESI MS Review > Neuro > Flashcards

Neuro Flashcards

1
Q

meningitis early manifestations X7

A 
fever
vomiting
HA
irritability
photophobia
*nuchal rigidity*
opisthotonos
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2
Q

opisthotonos

A

arched back

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3
Q

kernig sign

A

resistance to knee extension in supine position

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4
Q

brudzinski

A

flexion of the knees and hips when neck is flexed onto chest

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5
Q

what does GBS usually follow X2

A

viral respiratory infection

gastroenteritis within 10-21 days

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6
Q

typical sign of GBS

A

ascending paralysis

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7
Q

ANS response to GBS

A

alterations in both parasympathetic and sympathetic

orthostatic hypo
HTN
abnormal vagal responses
bowel/bladder dysfunction
facial flushing
diaphoresis
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8
Q

how do GBS symptoms progress

A

start with mild numbness/tingling in hands/feet

then muscle pain, tenderness and aching

then progressive muscle weakness

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9
Q

how long is ascending paralysis in GBS

A

24-72 hours

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10
Q

how is GBS diagnoses

A

CSF analysis

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11
Q

CSF in GBS

A

protein +

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12
Q

GBS treatment

A

plasmapheresis
IVIG
TPN

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13
Q

what is carpal tunnel syndrome (CTS)

A

median nerve in wrist becomes compressed leading to pain and numbness

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14
Q

what leads to CTS X4

A

excessive hand exercise
edema
hemorrhage
thrombosis

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15
Q

most common type of repetitive stress injury

A

CTS

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16
Q

which gender/age is more likely to have CTS

A

women over 50

17
Q

phalens maneuver

A

pt pushes back of hands together and within 60 seconds parasthesia should occur in thumb, index and middle fingers

18
Q

tinels sign

A

putting pressure on the wrist and same results as the phalens maneuver

19
Q

mtor changes in CTS

A

weak pinch
clumsiness
difficulty with fine movements

20
Q

drugs in CTS

A

NSAIDS**

corticosteroids

21
Q

when should NSAIDS be taken

A

with or after meals

HESI MS Review (2 decks)

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