neuro Flashcards

1
Q

mnemonic for cranial nerves

A

Oh- olfactory
oh-optic
oh- oculomotor
to - trochlear
touch - trigeminal
and - abducens
feel - facial
a - acoustic
girls - glossopharyngeal
vagina - vagus
so - spinal accessory
heavenly - hypoglossal

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2
Q

what crainal nerve moves the eyes and does pupillary constriction

A

CN III oculomotor

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3
Q

which cranial nerve opens eyelids and contrails pupils

A

CN III oculomotor

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4
Q

CN VI does what

A

abducens
lateral eye movement

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5
Q

which cranial nerve does hearing

A

CN VIII acoustic

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6
Q

what CN moves the tongue

A

CN XII hypoglossal

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7
Q

this CN shrugs the shoulders

A

CN XI spinal accessory

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8
Q

mnemonic for type of cranial nerves

A

S- some
s - say
M-marry
M-money
B-but
m- my
b-brother
s-says
b- big
b- bras
m- matter
m- most

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9
Q

hemiplegia is associated with what type of CVA

A

middle cerebral artery CVA

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10
Q

Mini-mental status exam

A

ORArL 2,3, RWD

O - orientation to place/time
R- recognition
A attention
r- recall
L- language
2- identify names of 2 objects
3 - follow 3 step command
R - reading
W- writing
D- drawing

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11
Q

what is max score of mine mental

A

30

no impairment 24-30
delirium/dementia 18-23 mild 0-17 severe

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12
Q

what is homonymous hemianopia

A

half vision on side of stroke

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13
Q

would you want the family in the room when you do the mini mental status exam

A

no

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14
Q

when is carotid endarterectomy indicated

A

symptomatic low risk surgical patients with 50-90% stenosis
asymptomatic patients with > 70-99 %

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15
Q

left side stroke may result in what

A

aphasia
dysarthria
difficulty reading/writing

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16
Q

pt has hip fracture, you note carotid bruit upon assessment with weakness and confusion. what do you order

A

carotid US

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17
Q

ipsilateral monocular blindness (amaurosis fugal)

A

on same side of stroke

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18
Q

what happens to motor impairment in a TIA ? CVA ?

A

paresthesia of contralateral arm, leg or face
hemiplegia on contralateral arm, leg or face

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19
Q

number one cause of heart failure

A

HTN

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20
Q

what you may see with right hemisphere CVA

A

right visual field changes
left hemiparesis
spatial disorientation

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21
Q

mtg for thrombotic stroke

A

fibrinolytic indicated within <3-4.5 hours

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22
Q

why is there an indication for nimodipine in setting where there are increased ICP

A

CCM - help counter vasospasm

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23
Q

CPP

A

cerebral perfusion pressure
MAP - ICP = CPP

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24
Q

indication for ICP monitoring

A

GCS < 8 + abnormal CT
GCS < 8 + normal CT and 2 of following: age >40, BP <90, abnormal motor posturing

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25
Q

why do we keep MAP 110-130 in CVA

A

to help decrease vasospasm

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26
Q

pt has no loss of consciousness and has tremors of right hand that precedes to entire arm - what do you dx

A

simple partial seizure

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27
Q

what is difference in simple partial seizure and complex partial

A

followed by impaired LOC

28
Q

Types of generalized seizure

A

absence
tonic-clonic

29
Q

what happens in absence seizure

A

sudden arrest of motor activity with a blank stare

30
Q

Pt has a seizure and BG is <60 what do you order

A

100mg thiamine IV then 50ml of D50IV

31
Q

initial therapy phase of seizure (5-20min)

A

IM midazolam 5-10mg
IV lorazepam may repeat once
IV diazepam may repeat once

32
Q

Second therapy (20-40 minutes)

A

IV fosphenytoin
IV valproic acid
IV levetiracetam

33
Q

Third phase (40-60) min

A

repeat second line OR
anesthetic doses (thiopental,midazolmpropofol , pentobarbital)

34
Q

this is a disorder of reduction of the number of acetylcholine receptor sites

A

myasthenia gravis

35
Q

when the bodys immune system attacks myelin

A

multiple sclerosis

36
Q

30y/o female presents with ptosis *droop eyelid) extremity weakness and fatigue what do you suspect and test

A

myasthenia graves

antibodies to acetylcholine receptors

37
Q

tx for MS flare up

A

steroids

38
Q

s/s of MS

A

weakness
numbness
tingling or unsteadiness in a limb , may progress to all limbs
urinary urgency/hesitency
nystagmus
spastic paraparesis

39
Q

syndrome usually preceded by viral infection and leads to progressive symmetrical ascending paralysis

A

guillain- barre syndrome

40
Q

most specific test for MS diagnosis

A

MRI

41
Q

CSF with bacterial meningitis

A

elevated pressure
elevated protein
decreased glucose
presence of WBC

42
Q

mtg of bacterial meningitis

A

< 50 - Vanco + ceftriaxone
>50 - Vanco + ampicillin + ceftriaxone

43
Q

Cushings triad

A

widening pulse pressure
decreased RR
decreased HR

44
Q

pt is in and out of consciousness following head trauma; what do you ssupect

A

epidural hematoma expanding

45
Q

positive kernels sign

A

pain and spasms of hamstring muscles in meningitis

46
Q

postive brudzinskis sign

A

in meningits
legs flex at both the hips and knees in response to flexion of the head and neck to chest

47
Q

CSF of viral meningitis

A

protein normal
glucose normal

48
Q

Normal CPP

A

60-80

49
Q

ICP normal

A

<20

50
Q

complication of c4 injury or above

A

respiratory compromise

51
Q

complication of t4-t6 injury

A

autonomic dysreflexia - emergency clinical condition caused by exaggerated autonomic response to stimulus -TX remove stimulus and antihypertensive

52
Q

brown squared syndrome

A

damage to one half of sinal cord
ipsilateral upper motor neuron paralysis and loss of proprioception
contralateral loss of pain and temperature
TX MRI & steroids

53
Q

cauda equina syndrome

A

compression of nerve roots
numbness in lower legs, feet or saddle region

TX MRI, steroids and sx

54
Q

t6 or above compilation

A

neurogenic shock

55
Q

patio of parkinsons

A

degenerative disorder or insufficient amounts of dopamine

56
Q

medication mtg of parkinsons

A

-carbidopa-levodopa (increases dopamine)
-dopamine agonists -(mimic dopamine)
pramipexole
ropinirole
rotigotine
-MAO-B inhibitors(help prevent breakdown of dopamine)
selegiline
rasagiline
safinamide

57
Q

tri of findings in all PD patients

A

parkinsons
-tremor
rigidity
bradykinesia

58
Q

type of dementia that goes with PD

A

Lewy body dementia

59
Q

number one cause of dementia

A

alzheimers

60
Q

aphasia

A

difficulty with speech

61
Q

raxia

A

inability to perform a previously learned task

62
Q

agnosia

A

inability to recognize an object

63
Q

medication used for all stages of alzheimers

A

donepezil (aricept)

64
Q

mnemonic for alcohol use screening

A

C-cut down
A- annoyed by criticizing drinking
G- guilty about drinking
E- eye opener drink

65
Q

drugs used to tx alzhiemrs

A

cholinesterase inhibitors
donepezil
galantamine
rivastigmine

NMDA - Namenda (mod-severe disease)
Cominationtion memantine and donepezil(moderate to severe disease)