Neuro

Question 1

what would a brain tumor headache feel like?

Answer 1

dull, persistent, always in the same spot
other: N/V, vision issues, behavioral changes

Question 2

When Wernicke’s area is affect by stroke it is ____ aphasia

Answer 2

Receptive aphasia
difficulty understanding what is being said

Question 3

When Broca’s area is affected by a stroke it is ____ aphasia

Answer 3

Expressive aphasia
Patient has difficulty forming speech

Question 4

What vitamin deficiency causes Wernicke Korsakoff syndrome?

Answer 4

Vitamin B1 (thiamine)

Question 5

Your patient is having a one sided headache, theyre tearing up, got a runny nose, occurring at the same time every day…what type of headache is this?

Answer 5

cluster

Question 6

What is the treatment for a cluster headache?

Answer 6

100% oxygen
Ca channel blockers

Question 7

What is a headache that is one-sided, visual impairment, temple pain/pulsing, and with an increased ESR

Answer 7

Giant cell arteritis (temporal arteritis)

Question 8

How to treat temporal arteritis (giant cell arteritis) ?
how to Dx?

Answer 8

Long-term steroids

dx: temporal artery biopsy

Question 9

complications of temporal arteritis

Answer 9

permanent blindness

Question 10

What headache is worse upon awakening

Answer 10

occipital headache
or hypertension headache

Question 11

What type of headache is PMR associated with and why?

Answer 11

inflammatory disorder that causes muscle pain
inflammation = high inflammatory markers = TEMPORAL ARTERITIS

Question 12

What is typical prophylaxis for migraines?

Answer 12

avoid triggers
beta blockers (propanolol)

Question 13

Abortive treatment for migraines

Answer 13

’ Triptans
Sumatriptan

Question 14

What patients cannot use tripans?

Answer 14

ppl with uncontrolled htn
ppl on serotonin meds (increases risk of serotonin syndrome)

Question 15

What are the 3 main symptoms of Parkinsons?

Answer 15

bradykinesia
tremor
rigidity

Question 16

What is the Brudzinski sign?
what does it indicate?

Answer 16

Flex the back of the head and then it causes the patient’s hips/knees to flex with it
=meningitis

Question 17

What is the Kernig sign and what does it indicate?

Answer 17

Not going to be able to extend their knee past a 90 degree angle without pain
=meningitis

Question 18

What are the 3 A’s of Alzheimers?

Answer 18

Apraxia - inability to perform movements on command
Agnosia- unable to recognize objects/people
Aphasia - unable to understand/express speech

Question 19

What is a quick assessment tool to assess cognitive decline

Answer 19

MMSE

Question 20

What is CN I

Answer 20

olfactory

Question 21

What is CN 5

Answer 21

Trigeminal nerve

Question 22

What is trigeminal neuralgia?
Tx

Answer 22

Severe, stabbing pain in the face

Tx Tegretol (Carbamazepine)

Question 23

What CN is affect by Bell palsy?

Answer 23

CN 7 facial nerve

Question 24

What is CN 8

Answer 24

Acoustic nerve

Question 25

How do we test CN 8

Answer 25

Rinne and Weber

Question 26

What is the Rinne test? what is a normal test? Abnormal?

Answer 26

Rinne goes on mastoid bone "Rinne under the pinna" AC (2x longer) > BC Abnormal = opposite

Question 27

its ___ hearing loss if the sound from the Weber test lateralizes to the patient's good ear

Answer 27

sensorineural

Question 28

It is _____ hearing loss if the sound from the Weber lateralizes to the bad ear.

Answer 28

conductive

Question 29

What is otosclerosis? What type of hearing loss is it?

Answer 29

Bones in middle ear stuck in place and cannot vibrate conductive

Question 30

A new graduate NP has a patient present with a hearing complaint. The patient stated that they have had decreased hearing on the right side for the last month that is continuing to get worse. The NP completes both the Rinne and Weber tests. If the patient has Meniere's disease, what would be the expected finding on the Weber test? 1. AC is 2x longer than BC 2. BC is 2x longer than AC 3. Tuning fork lateralizes to the right ear 4. Tuning fork lateralizes to left ear

Answer 30

Meniere's is sensorineural The sound with sensorineural will lateral to the good ear The left ear is the good ear so the sound will lateralize to the left 4!!!!

Question 31

Meniere's disease: What are the common symptoms to see? What is our biggest worry?

Answer 31

Vertigo, Tinnitus, ear pressure, hearing loss, Nystagmus Worry = permanent hearing loss