Neuro Flashcards

0
Q

Decreased number of receptor sites available

A

Myasthenia Gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Death 2-6 years after diagnosis

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

80% recover

A

Guillian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Riluzole

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Brain scan used to rule out MS

A

Guillian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Thymus gland may be enlarged

A

Myasthenia Gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When does Guillian Barre syndrome usually peak

A

14 days usually

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is areflexia

A

Lack of reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MRI shows brain plaque

A

Multiple sclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Affects myelin sheath

A

Guillian Barre syndrome and multiple sclerosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lou Gehrig’s disease

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Genetically transmitted autosomal dominant

A

Huntingtons disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tensilon test

A

Myasthenia Gravis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Leaves mind completely unaffected

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Uncontrollable urge to move legs

A

Restless leg syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Preceded by acute viral infection

A

Guillian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Limb wasting

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Symmetrical onset in lower extremities

A

Guillian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Plasmapheresis

A

Myasthenia Gravis and Guillian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Moving relives symptoms

A

Restless leg syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

High caloric diet usually needed

A

Huntingtons disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Affects twice as many men

A

ALS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Immune cells attack myelin sheath

A

Guillian barre syndrome and multiple sclerosis

23
Q

Progressive degenerative brain disorder

A

Huntingtons disease

24
Q

Facial expressions are difficult

A

Myasthenia Gravis and huntingtons disease

25
Q

Gliosis (scarring) of myelin sheath

A

Multiple sclerosis

26
Q

Symptoms tend to occur when person is resting

A

Restless leg syndrome

27
Q

Progressive degenerative CNS disorder

A

Myasthenia Gravis

28
Q

Dysfunction of brains basal ganglia circuits that use neurotransmitter dopamine

A

Restless leg syndrome

29
Q

Medications to treat chorea

A

Huntingtons disease

30
Q

Death usually within 2-3 years after onset of symptoms

A

ALS

31
Q

Demyelinization

A

Guillian barre syndrome and multiple sclerosis

32
Q

CSF with high amount of protein

A

Guillian Barre syndrome

33
Q

Very rapid onset

A

Guillian barre syndrome

34
Q

Acute demyelating polyneuropathy

A

Guillian barre syndrome

35
Q

More prevalent in temperate climates

A

Multiple sclerosis

36
Q

The course is chronic inflammation, demyelination, gliosis

A

Multiple sclerosis

37
Q

Elevated CPK

A

ALS

38
Q

Immunomoduators

A

Multiple sclerosis

39
Q

What is the Tensilon Test?

A

Used in Myasthenia Gravis patients to show improved muscle contractility

40
Q

How do you do the Tensilon Test?

A

Edrophonium chloride, 2-10 mg, is injected IV. Thirty seconds later, facial muscle weakness and ptosis should resolve for about 5 minutes. This immediate improvement usually confirms the diagnosis. Keep atropine 0.4 mg ready to control the side effects of edrophonium (convulsions and restlessness)

41
Q

What are you trying to do with plasmapheresis?

A

Reduce circulating antibodies

42
Q

What is the technique used to treat exacerbations by a temporary reduction in the titer of circulating antibodies?

A

Plasma exchange (plasmapheresis) used is myasthenia Gravis patients for management

43
Q

What is a thymectomy

A

Surgical removal of the thymus gland

44
Q

What is special about cognitive function in ALS patient?

A

Patient remains cognitively intact!

45
Q

What can you do for ALS?

A

No cure! But Riluzole can be used to slow progression of ALS

46
Q

What is Riluzole? How does it work?

A

Used to slow progression of ALS. Blocks sodium channels in damaged nerves and decreases glutamate in brain

47
Q

What percentage will recover from Guillian barre syndrome?

A

80%

48
Q

Why is MRI used in Guillian Barre Syndrome?

A

MRI is used to see if there is plaque in brain. If there is not, it is probably Guillian. If there is, it is probably multiple sclerosis

49
Q

What is important about diet in a patient with Huntingtons disease

A

High caloric requirements: 4,000-5,000 calories per day due to choreic movements

50
Q

What is paresthesias

A

Abnormal sensations

51
Q

What is dysesthesias

A

Unpleasant abnormal sensations

52
Q

What is gliosis

A

Scarring

53
Q

What is a very indicative sign of multiple sclerosis

A

MRI of brain and spinal cord shows plaques

54
Q

What should be avoided with a MS patient who has constipation

A

Laxatives and enemas because they lead to dependance