Neuro 2 Flashcards by MO ROUTH

excessive anxiety and preoccupation with symptoms

Somatic Symptom disorder

must have more than 1 symptom that is unexplained

How well did you know this?

Not at all

Perfectly

No symptoms but constant concern and fear of having a serious illness

Illness anxiety disorder

anxious about illness

How well did you know this?

Not at all

Perfectly

Neurologic symptoms w/o matching any known neurologic disease

Conversion disorder

-That crazy young nursing home lady crawling and meowing, she was clearly sick but it didnt match any known disease

How well did you know this?

Not at all

Perfectly

Wanting attention from being sick, so faking sick

factious disorder

-Faking the facts, but its not hurting anyone

How well did you know this?

Not at all

Perfectly

Faking being sick for a secondary gain other than attention

Mallingering

-the DDx name sounds like a crime, and this is like a crime

How well did you know this?

Not at all

Perfectly

What is an organophosphate

decreases the degradation of Ach
therefore, ↑ Ach, and ↑ M + N stimulation

Atropine can only help with the M part

How well did you know this?

Not at all

Perfectly

What medicine can reverse the M and N overdose effect of organophosphate poisoning

PraLIDoxime

The garbage LID closing near the fumes in sketchy

How well did you know this?

Not at all

Perfectly

I cant stress this enough, know your cosros

COS3ROSI2J3H for CN exit

How well did you know this?

Not at all

Perfectly

1- What forearm muscle does the radial nerve pierce through

2- where on hand is radial nerve

1- Supinator

2- superficial radial nerve is posterior thumb (exactly where your jean button scar is)

How well did you know this?

Not at all

Perfectly

What do most patients with myasthenia gravis have

Thymoma or thymic hyperplasia

How well did you know this?

Not at all

Perfectly

What does a regenerating neuron look like

Swelling of the cell body, nucleus moves to periphery, nissl substance disperses

How well did you know this?

Not at all

Perfectly

What is the primary cause of lacunar infarct

chronic htn –> htn arteriosclerosis of small penetrating vessels

these are small ischemic infarcts involving deep brain structures

How well did you know this?

Not at all

Perfectly

How does phenelzine work

irreversibly binds MAO A and B

if switching from this drug to another non MAOi antidepressant, must wait 2 weeks to regenerate MAO

How well did you know this?

Not at all

Perfectly

What is dysthymia

persistent depressive disorder

chronic depression for > 2 years, + 2 depressive symptoms > 2 years

How well did you know this?

Not at all

Perfectly

Why does vitamin E have nerve issues

Vit E = antioxidant

w/o E free radical damage of cells

How well did you know this?

Not at all

Perfectly

What does Vit E nerve problem resemble

Friedreich ataxia

Vit B12 deficiency

How well did you know this?

Not at all

Perfectly

What is a glioblastoma made out of

astrocytes

very malig, necrotic
may cross midline-butterfly glioma

How well did you know this?

Not at all

Perfectly

What gives rise to the phrenic nerve

C3-C5

How well did you know this?

Not at all

Perfectly

What is prion disease

a helix–> beta sheet and accumulates

“spongiform encephalopathy”
no inflammation

How well did you know this?

Not at all

Perfectly

paraneoplastic syndrome/ cancer

cushing

small cell lung
pancreatic
tumor making acth

How well did you know this?

Not at all

Perfectly

paraneoplastic syndrome/ cancer

SIADH

small cell lung

too much vasopressin

How well did you know this?

Not at all

Perfectly

paraneoplastic syndrome/ cancer

Lambert Eaton

small cell

paraneoplastic syndrome/ cancer

myastinia gravis

thymoma

paraneoplastic syndrome/ cancer

Hypercalcemia

squamous lung

paraneoplastic syndrome/ cancer | erythrocytosis

renal cell

paraneoplastic syndrome/ cancer | variable/ autoimmune

variable cancer--> dermato/polymyositis

What urinary symptoms are common for MS

spastic bladder (hypertonia) after developing spinal cord lesions

What are the side effects of Li

DI HYPOthyroid tremor

What vision changes occur with posterior cerebral artery occlusion

Contralateral Homonymous w/ macular sparing (the little center dot is spared)

What is the presentation of a pinealoma

Tumor of pineal gland Parinaud syndrome (compression--> gaze palsy) Obstructive Hydrocephalus Can make HCG--> vomiting

Where does the spine have the sympathetic butterfly spike thing

Thoracic Cord

What is the main mechanism of most urinary stones

Urine hypersaturation | Therefor the best/ only advice really for stone prevention is ↑ ↑ water intake

What kind of drug is Ramelteon

melatonin agonist

What are the 5 symptoms of schizophrenia and how many/how long for ddx

Must have at least one of: delusion hallucination Disorganized speech Plus: disorganized behavior negative symptoms need 2 symptoms for > 6 months (1 month of + s/s)

What does an Ace inhibitor do to a kidney

efferent arteriole dilation --> ↓ glom pressure and filtration esp/ bad if renal artery has stenosis

What does a diabetic kidney disease look like

progressive proteinuria--> nephrOTIC | Hyaline arteriosclerosis/ nodular glomerulosclerosis

What is the most dangerous side effect of manitol

pulm edema from rapidly increased volume messing up the lungs hydrostatic pressures

What kind of drug is chlordiazepoxide

its a benzo

What does the good pasture autoantibody react against

Collagen 4 (basement floor)

Where is the lowest osmolarity located in the nephron

DCT

What is a flame hemorrhage

malignant htn--> htn retinopathy--> flame hemorrhage

How is digoxin eliminated/ why do you care

kidneys old people have slow kidneys and use it So, more likely to have s/e of NV and visual abnormalities

This activates GABA at the spinal card, and helps with muscle spasm

BacloFen Fun for the BACk

What is the general blood state of nephrotic syndrome

Hypercoagulable- often form loss of antithrombin 3

How buspirone work

stimulates 5ht receptors

This disease has IgG4 vs phospholipase A2

Idiopathic Membranous Nephropathy

What is/ how do you treat status epilepticus

Benzodiazepines status epilepticus- continuous recurrent sz over 5 min. May lead to brain death

What is the nerve for eyes pnemonic thing

SO4 | LR6

What causes vitaligo

loss of epidermal melanocyte

What is the management for somatic symptom disorder

schedule regular visits with the same provider with the focus of functional improvement psch consult can happen AFTER the pt accepts they have a mental condition Do not order more tests

What is generally first affected by global ischemia

1- hippocampus also, neocortex and purkinje cells of cerebellum

What is chronic tic disorder

motor or verbal tic that goes on for over a year it is only ONE kind of tic (motor or verbal)

What is tourette disorder

characterized by multiple tics (one must be verbal)