NEURO Flashcards
CN XII deficit presents?
weakness of the ipsilateral side and protrusion of the tongue towards the affected side- hypoglossal
CN XI deficit presents?
weakness turning head- spinal accessory
CN X deficit presents?
aphonia, mostly GI and cardio related- vagus
CN IX deficit presents?
dysphagia- glossopharyngeal
CN VIII deficit presents?
tinnitus, vertigo
CN VII deficit presents?
complete or partial numbness- facial
CN VI deficit presents?
medial turning of the affected eye- abducens
CN V deficit presents?
corneal drying, anethesia of the forehead, decreased salvation
CN IV deficit presents?
vertical diplopia- trochlear nerve
CN III deficit presents?
outward and downward- oculomotor
CN II deficit presents?
complete or partial blindness- optic
CN I deficit presents?
smell is impaired- olfactory
What med to use in alzheimers patient to cholinesterase inhibitor?
memantine
Beta amyloid plaques and neurofibrillary tangles?
alzheimer’s brain on autopsy
Short term/temp confusion or AMS?
delrium
Acute meningitis and purpura?
meningococcal meningitis
Rapidly progressing encephalopathy with hepatic dysfxn?
reye sx
Negri bodies found in neurons indicate?
rabies
Viral meningitis has what cell predominate in CSF?
mononuclear; bacterial and neutrophils
Non progressive disorder with spastic rigidity and slow writhing movements?
CP
Myasthenia gravis has what AB?
acetycholine
Tx myasthenia gravis?
pyridostigmine
Proximal to distal motor weakness?
myasthenia gravis
CSF for gullian barre?
albuminocytologic dissociation
Bug for cxing gullian barre?
campylobacter
Does guillian barre have intact DTR?
NO
Tx for huntington dz?
tetrabenazine
Initial tx for parkinson over 65?
levodopa + carvidopa
Cx of intentional tremor?
brain trauma, MS, cerebellar dz
Tx for parkinson before 65?
dopamine agonist: bromocriptine
Resting tremor that goes away with movement?
parkinson
When can athlete return to play after concussion?
1wk with no sx
HA, irritability, loss of memory after concussion?
post concussive sx
Tx for complex seizure?
phenytoin
Tx for partial seizure?
carbamazepine or iamotrogine
Tx for status epilepticus?
IV lorazapam and IV phenytoin
Seizure limited to part of one hemisphere with impaired consciousness?
complex partial seizure
Seizure limited to part of one hemisphere with NO impairment of consciousness?
simple partial seizure
Acute medical tx for ICP?
mannitol, hyperventilation, head elevation
Vessels involving subdural hematoma?
bridging veins
What artery is involved in a epidural hematoma?
middle meningeal artery
Transient loss of consciousness after lucid interval d/t?
epidural hematoma
Which brain tumor has cerebral nerve palsy?
brainstem tumor
Which brain tumor has hallucination?
occipital
Which brain tumor has smacking and gustatory prob?
temporal
Which brain tumor has seizures and sensory loss?
parietal
Loss of speech, vertigo, ataxia, nystagmus?
posterior stroke
Contralateral paralysis, able to wrinkle forehead?
anterior stroke
Facial paralysis of ipsilateral side of herpes zoster?
ramsay hunt sx
Unilateral paralysis of facial from herpes simplex?
bells palsy
Hereditary peripheral neuropathy affecting both sensory and motor?
charcot marie tooth
Type of polyneuropathy only affecting motor?
mylenation
Type of neuropathy that is symmetrical affecting sensory?
axonal
Dz related to restless legs?
iron def, parkinson, diabetes, MS, pregnancy
Symmetrical, distal burning and sensory loss?
peripheral
Tx for complex regional pain sx?
anticonvulsants, tricylic antidepressants, amitriptyline
Unilateral burning pain with cyanotic cool extremity with urinary urgency?
complex regional pain sx aka reflex sympathetic dystrophy
Prophylaxis tx for cluster HA?
verapamil
Unilateral ptosis, miosis, anhydrosis?
horner sx
Migrain prophylaxis?
BB, if over 60yo then verapamil, tricylic
Delirium vs dementia?
delirium is acute d/t underlying dz, dementia is alzheimers and memory loss
What bugs are common in neonates with meningitis?
group b strep and e. coli
Meningitis vs encephalitis?
encephalitis has AMS
What bug are common in community acquired meningitis?
s. pneumonia, n. meningitidis
Tx for mysthenia gravis in 60yo younger?
thymemoctomy
CSF shows oligoclobands?
MS
Tx for MS patient with severe attacks?
plasma exchange
What childhood dz process can be diagnosed with the onset of chorea?
rheumatic fever
What dz has an intention tremor?
stroke, MS, cerebellar dsyfxn
Football player is having post concussive sx, what to do next?
MRI
What medication needs regular blood draws to check therapeutic levels to tx epilepsy seizures?
phenytoin
What is the drug of choice to tx simple and complex seizures?
carbamazapine
A man hit his head and was unhurt but 2wks later c/o HA and lightheaded?
subdural hematoma
What is recommended tx for subdural hematoma?
burrhole
Pt has worst HA ever but CT is neg, what is the next step?
lumbar puncture
Pt with TIA + CAD should be put on what type of antiplatelet meds?
clopidogrel
What is the mainstay tx for bells palsy?
steroids +/- antivirals
Pt is obese and has neuropathy, what med would help with neuropathy and wt loss?
topiramate
Charcot marie tooth has sensory, motor, or both lost?
both
Charcot marie tooth has what type of sensory loss?
propioception and vibration
24 yo male is c/o complex regional pain sx and is already taking neurotin, what’s the next drug tx?
steroids
30yo female has unilateral HA with colorful aura, tx of choice?
sumatriptan
Prophylaxis for tension HA?
antidepressant: amytriptaline