Neuro Flashcards

0
Q

What is the difference between lethargy and obtunded?

A

Lethargy: drowsy but opens eyes
Obtunded: looks at you but doesn’t see you, goes back to sleep quickly, very slowly responsive

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1
Q

Cranial nerves poem?

A

Oh Oh Oh To Touch And Feel A Girls Vajayjay So Hot!

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2
Q

Kernig test

A

Flex ion at hip and knee causes pain.

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3
Q

Brudinski test

A

Flex ion of the neck causes flex ion of the hips and knees

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4
Q

Lab differences between bacterial and viral meningitis?

A

Viral: protein < 200
Leukocytes < 1000
Glucose is elevated

Bacterial is opposite

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5
Q

Normal icp?

A

0-15

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6
Q

GCS?

A

Eye opening 1-4
Motor response 1-6
Verbal response 1-5

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7
Q

Normal CPP (cerebral perfusion pressure)?

A

60-100

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8
Q

Proper dosing and administration of high dose solu-medrol? And why are you giving it?

A

30mg/kg over 15 minutes, wait 45 minutes then 5.4ng/kg/he over 23 hours.
Spinal cord injuries

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9
Q

S/s central cord syndrome

A

Paralysis of upper extremities but not lower

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10
Q

What is axial loading?

A

When energy travels up the spine. Landing on feet from high jump, divi injury.

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11
Q

LeFort fractures

A

1: separation of teeth from maxilla
2: upper teeth, bilateral orbits, nasal bone
3: complete separation of maxilla and zygomatic, leaking CSF

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12
Q

What is battle’s sign indicative of?

A

Basilar skull fracture

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13
Q

Subdural hematoma

A

Sub “duh” al
Occurred in the elderly
Slow bleed

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14
Q

Epidural hematoma

A

“Epi” Dural
Laceration of the middle meningeal artery
Loc, awake and alert, blown pupil

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15
Q

Subarachnoid hemorrhage

A

Thunder clap headache

16
Q

Brain herniations

A

Uncal: midline shift, ipsilateral dilated pupils
Supratentorial: brain herniated downward

17
Q

Crushings triad

A

Hypertension
Bradycardia
Widening pulse pressure

18
Q

Brown sequard syndrome

A

Same side motor loss

Opposite side loss of pain and temp

19
Q

What is trigeminal neuralgia

A

Pain over mandible and maxilla
Caused by cranial nerve 5
Can treat with tegratol

20
Q

Temporal arteritis

A

Inflammation of temporal artery
Can be autoimmune
Can cause vision and hearing loss
Aching joints, night sweats, weight loss