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AANP Exam > Neuro > Flashcards

Neuro Flashcards

1
Q

What MMSE score is indicative on dementia?

A

<24

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2
Q

4 med classes with side effects that mimic dementia

A

Psychotropics
Analgesics
Anticholinergics
Sedative-hypnotics

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3
Q

5 domains of cognitive function that may be impacted in dementia

A

Complex attention
Executive function
Learning memory
Perceptual motor
Social cognitive

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4
Q

Parkinson’s common S&S x6

A

Tremor- resting- pill rolling
Rigidity
Akinesia/ bradykinesia
Postural instability
Shuffling gate
*blank facial expression

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5
Q

Medication treatment for Parkinson’s

A

Levodopa-carbidopa

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6
Q

Essential tremor-
Unilateral or bilateral?
Action or rest?

A

Bilateral
Action

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7
Q

Treatment for Essential tremor

A

Propranolol

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8
Q

Abortive treatment for migraines

A

Triptans- avoid in ppl with CVD- don’t combine with ergots

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9
Q

Tristan side effects

A

Flushing, tingling, chest/neck/sinus/jaw discomfort

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10
Q

Migraine prophylaxis class

A

Beta blockers
TCA’s

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11
Q

20% pts with TIA will have a stroke within ——- days
25-50% pts with TIA will have a stroke within ——- days.

A

90 days

2 days/ 48h

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12
Q

Pts with an ABCD2 score greater than ___ should be hospitalized post TIA

A

4

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13
Q

Treatment for temporal arteritis

A

Refer to ophthalmology for biopsy STAT
High dose steroids

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14
Q

Treatment for Cluster headaches

A

100% O2

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15
Q

Treatment for trigeminal neuralgia

A

Carbamazepine or phenytoin- check serum levels

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16
Q

What herb is an alternative headache treatment

A

Butterburr

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17
Q

What type of headache is often bilateral

A

Tension headache

18
Q

Tic douloureux refers to what condition?

A

Trigeminal neuralgia

19
Q

Trigeminal neuralgia pain can be precipitated by …

A

Talking, chewing, cold food, cold air on face

20
Q

When do you order head imagine in pts with headaches

A

Any change in their usual

21
Q

Three branches of trigeminal nerve

A

Opthalmic
Maxillary
Mandibular

22
Q

What is Homonymous Hemaniopsia?
Cause?
How to test?

A

Visual field loss of both halves - either both left or both right halves.
- Most common cause is stroke.
- visual fields by confrontation

23
Q

Apraxia-

A

Difficulty performing purposeful movements

24
Q

Brocas aphasia

A

“Non fluent aphasia”
Pts can comprehend speech and read- impaired motor aspect of speech

25
Q

Wernickes aphasia

A

“Fluent aphasia”
Difficulty with comprehension
Able to speak
Impaired reading and writing

26
Q

Area of the brain that controls intelligence, executive skills, logic, personality

A

Frontal lobe

27
Q

Pt has rash on top of nose and temple area- think?

A

Rule out Herpes Zoster/ shingles of trigeminal nerve

28
Q

What extra ocular muscles are controlled by The Trochlear and Abducens CN?

A

LR6 SO4
Lateral rectus- Abducens- CN6
Superior oblique- Trochlear- CN4

29
Q

Mnemonic for sensory and motor function of cranial nerves

A

Some say Marry money but my brother says big brains matter more

30
Q

Two special tests for meningitis

A

Kernigs
Brudzinskis

31
Q

Normal reflex grading

A

0-4
Normal = 2

32
Q

Patellar reflex tests what nerve root

A

L2-4

33
Q

Achilles reflex tests what nerve root

A

L5-S2

34
Q

Babinski reflex tests what nerve root

A

L4- S2
Normal adult - plantar flexion

35
Q

Dysdiadokinesia is tested via?

A

Rapid alternating movements + heel to shin

36
Q

Graphesthesia-

A

Ability to recognize things drawn on the skin

37
Q

Median nerve- hand

A

Thumb + index + middle + half the 4th
Palmar aspect + to PIP on dorsal aspect

38
Q

Ulnar nerve- hand

A

Half 4th and 5th finger
Palmer side & dorsal side

39
Q

Radial nerve- hand

A

Dorsal aspect of thumb + 2nd+ 3rd + 1/2 of 4th to PIP- opposite of median

40
Q

Cubical tunnel involves what nerve

A

Compression of ulnar nerve

AANP Exam (11 decks)

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