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410 C Quiz (Rheum labs, Neuro Hx/Imaging/Dx, admission orders, wound care, simulation) > Neuro > Flashcards

Neuro Flashcards

1
Q

Stroke/TIA Risk factors

A

Afib, HTN, ischemic heart dz, HLD, prosthetic heart valves, carotid stenosis
Poor ventricular fxn
DM, Migraine w/ aura, Estrogen
Hypercoagulable (sickle, polycythemia)

Prev/family (1st degree) hx
Smoking
ETOH

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2
Q

MMSE ABnormal score

A

less than 24

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3
Q

Biceps reflex

A

C5, C6

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4
Q

Triceps

A

C6, 7

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5
Q

Brachioradialis

A

C5,6

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6
Q

Achilles

A

S1

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7
Q

Patellar

A

L2, L3, L4

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8
Q

Rapid Alternating Movements

A

dysdiadochokinesis

Cerebellar dz, basal ganglia, upper motor neuron

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9
Q

Point to Point

A

Cerebellar or vestibular

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10
Q

Romberg

A

dorsal columns of spinal cord

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11
Q

Pronator drift

A

Upper motor neuron lesion

Worse: closing eyes, tapping palm

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12
Q

Which tract for pain?

A

spinothalamic

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13
Q

Dorsal

A

sensory

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14
Q

Ventral

A

motor

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15
Q

Internal ionizing radiation:

A

PET, SPECT

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16
Q

External ionizing radiation

A

CT, XR, angiogram

17
Q

MRI view better for blood?

A

T2

18
Q

MRI view for early ischemic changes

A

DWI

19
Q

MRI view for neuronal damage

A

1H MRS

20
Q

First brain CT

A

1971

21
Q

Axial/transverse

A

Downwards

22
Q

Sagittal

A

midline/adjacent (hotdog)

23
Q

Coronal

A

“hamburger”

24
Q

Contrast?

A

usually start non-contrast for CT

25
Q

Brain conditions where MRI is first line (over CT)

A 
Seizures
Dementia
Chiari
Mass
Aneurysm
Infection
Cranial neuropathy
Pituitary
26
Q

“lenticular” bleed

A

epidural

27
Q

Nobel prize in medicine for MRI

A

Damadian
Lauterber
Mansfield

Became medical in 1970s (73?)

28
Q

MRI Mechanism

A

Aligns/spins protons (H)

29
Q

Colors on T1/2 MRI

A

T1 csf dark, blood bright

T2 csf / inflammationbright,

Both: bright fat, dark rapid fluid

30
Q

CSF lumbar puncture

A

bacterial: high PMNs, low glucose, very high protein
viral: highish lymphs, normal glucose, elevated protein

31
Q

Normal CSF:

A

Glucose 40-70
Opening pressure 8-15
Protein less than 40
Cells less than 5

32
Q

EMG, NCV, SEEP

A

EMG: small needles (electrodes) inserted into skin
NCV: can also measure sensory
SEEP: electrical activity in the brain in response to sight, sound, touch

33
Q

Inability to perform rapidly alternating movements

A

Dysdiadokinesia

34
Q

Ataxia

A

Affecting co-ordination, balance, speech

35
Q

Normal Cardiac Pressure

A

CVP/JVP: 0-7

Pulm Art: 12-25

410 C Quiz (Rheum labs, Neuro Hx/Imaging/Dx, admission orders, wound care, simulation) (6 decks)

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