Neuro 2

Question 1

carpal tunnel syndrome

Answer 1

compression of the median nerve as it travels through the carpal tunnel

Question 2

carpal tunnel - which fingers are affected

Answer 2

median nerve territory - thumb, index finger, middle finger

Question 3

carpal tunnel - symptoms are worse at what time of day

Answer 3

worse at night, awakening pt from sleep

Question 4

what are two signs for carpal tunnel

Answer 4

tinel’s - tap
phalen’s

Question 5

tinel’s sign

Answer 5

identifies compression of the ulnar nerve - tapping + if pins and needles

Question 6

Phalen’s sign

Answer 6

full flexion of wrists for 60 seconds, + if numbness or tingling over hand

Question 7

a systemic inflammatory disorder of the medium and large arteries (vasculitis) of the body

Answer 7

GCA

Question 8

definitive test for dx GCA

Answer 8

temporal artery biopsy

Question 9

first line tx for GCA

Answer 9

high dose steroids for several weeks

Question 10

intense and very brief, sudden, unilateral sharp stabbing pain on face/head

Answer 10

trigeminal neuralgia

Question 11

HA - severe ice pick piercing HA, pain behind one eye, rhinorrhea

Answer 11

cluster HA

Question 12

HA - bilateral band-like pain, may last several hours

Answer 12

tension HA

Question 13

medication overuse HA/rebound HA is defined as

Answer 13

HA occurring 15 or more days per month d/t overuse of acute HA medications for >3 months

Question 14

rebound HA tx is to

Answer 14

d/c the med immediately or gradually taper the dose and/or reduce frequency

Question 15

imaging test of choice for MS lesions

Answer 15

MRI of brain and spinal cord

Question 16

MS - assess CSF for

Answer 16

oligoclonal bands and/or an increased immunoglobulin G index

Question 17

polymyalgia rheumatica - occurs in what age group

Answer 17

almost always in people 50 or older, peak 70-80 y.o.

Question 18

polymyalgia rheumatica - s/sx

Answer 18

bilateral joint stiffness and aching lasting 30 mins or longer, commonly in the morning - affects posterior neck, shoulders, upper arms, hips
groin pain
pain at lateral aspects of hips
difficulty putting on clothes, hooking bra, getting out of bed/chair

Question 19

polymyalgia rheumatica pts are at high risk for

Answer 19

GCA

Question 20

polymyalgia rheumatica - ESR and CRP

Answer 20

ESR - mild to severely elevated
CRP - elevated

Question 21

sz - abrupt lose of consciousness, stiff extremities, may appear cyanotic, jerk and twitch

Answer 21

generalized tonic-clonic sz/grand mal sz

Question 22

rhythmic jerking muscle contractions usually involving arms, neck, and face

Answer 22

clonic sz

Question 23

sudden, brief muscle contractions alone or in clusters, arms typically involved

Answer 23

myoclonic sz

Question 24

sudden muscle stiffening, often w/ impaired consciousness and falling

Answer 24

tonic sz

Question 25

what is trigeminal neuralgia commonly aggrivated by

Answer 25

chewing
eating cold foods
cold air

Question 26

first line tx for trigeminal neuralgia

Answer 26

carbamazepine or oxcarbazepine