Neuro 2 Flashcards
PD - earliest manifestation of the disease
“pill rolling” tremor
common developmental tasks for a 5 year old:
9
- ability to draw a person with a body, head, arms, legs
- recognize most letters and can print some
- know his address and phone number
- dress self without help
- skip and tiptoe
- play cooperatively and enjoy playmate’s company
- copy a triangle
- know colors
- count on fingers
anomia
difficulty naming familiar objects
difficulty naming familiar objects
anomia
+ Kernig’s and Brudzinski’s
meningitis
+ brudzinski’s sign
meningitis - severe neck stiffness causes a patient’s knees and hips to flex when the neck is flexed
+ Kernig’s sign
severe stiffness in the hamstrings and produces inability to straighten leg when hip is flexed 90 degrees
classic triad of normal pressure hydrocephalus
- gait difficulty
- cognitive disturbances
- urinary incontinence
object performance occurs at what age - ability to find an object hidden from view
9 months
most commonly used med class to treat essential tremors
beta blockers - propanolol
head circumference should be measured until what age
36 months
what spine issues produces increased pain with coughing, sneezing, or valsalva maneuver
disk herniation
most common precipitant factor for febrile seizure
fever
most common diagnosis associated with febrile seizures is
otitis media
what CN is tested with cardinal fields of gaze
CN 3, 4, 6
get up and go test is used to assess for
risk of falls
intermittent electric painful sensations in the face
trigeminal neuralgia
criteria for migraine HA without aura, 5 criteria must be present
- HA lasts 4-72 hours
- has 2 of these characteristics (unilateral pulsating, mod to severe intensity, aggravated by routine activity)
- at least one occurs with HA (nausea, vomiting, photophobia, phonophobia)
- 5 or more attacks have occurred
- no other reason
most often first med for PD
levodopa - which can cause orthostatic hypotension
bell’s palsy - steroids should be started when
prednisone 60 mg/d tapered over 10 days started within 72 hours of onset of sx
at what week should imaging be done for pain in lower back
pain > 4 weeks
startle reflex
moro reflex
asymmetric moro reflex could indicated
injury at birth
SIDs risk factors include
4
- maternal age < 19
- SIDs in a sibling
- male gender
- low birth weight
