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HELP CAMPUS > NEURO > Flashcards

NEURO Flashcards

1
Q

CN XII deficit presents?

A

weakness of the ipsilateral side and protrusion of the tongue towards the affected side- hypoglossal

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2
Q

CN XI deficit presents?

A

weakness turning head- spinal accessory

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3
Q

CN X deficit presents?

A

aphonia, mostly GI and cardio related- vagus

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4
Q

CN IX deficit presents?

A

dysphagia- glossopharyngeal

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5
Q

CN VIII deficit presents?

A

tinnitus, vertigo

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6
Q

CN VII deficit presents?

A

complete or partial numbness- facial

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7
Q

CN VI deficit presents?

A

medial turning of the affected eye- abducens

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8
Q

CN V deficit presents?

A

corneal drying, anethesia of the forehead, decreased salvation

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9
Q

CN IV deficit presents?

A

vertical diplopia- trochlear nerve

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10
Q

CN III deficit presents?

A

outward and downward- oculomotor

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11
Q

CN II deficit presents?

A

complete or partial blindness- optic

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12
Q

CN I deficit presents?

A

smell is impaired- olfactory

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13
Q

What med to use in alzheimers patient to cholinesterase inhibitor?

A

memantine

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14
Q

Beta amyloid plaques and neurofibrillary tangles?

A

alzheimer’s brain on autopsy

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15
Q

Short term/temp confusion or AMS?

A

delrium

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16
Q

Acute meningitis and purpura?

A

meningococcal meningitis

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17
Q

Rapidly progressing encephalopathy with hepatic dysfxn?

A

reye sx

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18
Q

Negri bodies found in neurons indicate?

A

rabies

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19
Q

Viral meningitis has what cell predominate in CSF?

A

mononuclear; bacterial and neutrophils

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20
Q

Non progressive disorder with spastic rigidity and slow writhing movements?

A

CP

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21
Q

Myasthenia gravis has what AB?

A

acetycholine

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22
Q

Tx myasthenia gravis?

A

pyridostigmine

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23
Q

Proximal to distal motor weakness?

A

myasthenia gravis

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24
Q

CSF for gullian barre?

A

albuminocytologic dissociation

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25
Q

Bug for cxing gullian barre?

A

campylobacter

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26
Q

Does guillian barre have intact DTR?

A

NO

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27
Q

Tx for huntington dz?

A

tetrabenazine

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28
Q

Initial tx for parkinson over 65?

A

levodopa + carvidopa

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29
Q

Cx of intentional tremor?

A

brain trauma, MS, cerebellar dz

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30
Q

Tx for parkinson before 65?

A

dopamine agonist: bromocriptine

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31
Q

Resting tremor that goes away with movement?

A

parkinson

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32
Q

When can athlete return to play after concussion?

A

1wk with no sx

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33
Q

HA, irritability, loss of memory after concussion?

A

post concussive sx

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34
Q

Tx for complex seizure?

A

phenytoin

35
Q

Tx for partial seizure?

A

carbamazepine or iamotrogine

36
Q

Tx for status epilepticus?

A

IV lorazapam and IV phenytoin

37
Q

Seizure limited to part of one hemisphere with impaired consciousness?

A

complex partial seizure

38
Q

Seizure limited to part of one hemisphere with NO impairment of consciousness?

A

simple partial seizure

39
Q

Acute medical tx for ICP?

A

mannitol, hyperventilation, head elevation

40
Q

Vessels involving subdural hematoma?

A

bridging veins

41
Q

What artery is involved in a epidural hematoma?

A

middle meningeal artery

42
Q

Transient loss of consciousness after lucid interval d/t?

A

epidural hematoma

43
Q

Which brain tumor has cerebral nerve palsy?

A

brainstem tumor

44
Q

Which brain tumor has hallucination?

A

occipital

45
Q

Which brain tumor has smacking and gustatory prob?

A

temporal

46
Q

Which brain tumor has seizures and sensory loss?

A

parietal

47
Q

Loss of speech, vertigo, ataxia, nystagmus?

A

posterior stroke

48
Q

Contralateral paralysis, able to wrinkle forehead?

A

anterior stroke

49
Q

Facial paralysis of ipsilateral side of herpes zoster?

A

ramsay hunt sx

50
Q

Unilateral paralysis of facial from herpes simplex?

A

bells palsy

51
Q

Hereditary peripheral neuropathy affecting both sensory and motor?

A

charcot marie tooth

52
Q

Type of polyneuropathy only affecting motor?

A

mylenation

53
Q

Type of neuropathy that is symmetrical affecting sensory?

A

axonal

54
Q

Dz related to restless legs?

A

iron def, parkinson, diabetes, MS, pregnancy

55
Q

Symmetrical, distal burning and sensory loss?

A

peripheral

56
Q

Tx for complex regional pain sx?

A

anticonvulsants, tricylic antidepressants, amitriptyline

57
Q

Unilateral burning pain with cyanotic cool extremity with urinary urgency?

A

complex regional pain sx aka reflex sympathetic dystrophy

58
Q

Prophylaxis tx for cluster HA?

A

verapamil

59
Q

Unilateral ptosis, miosis, anhydrosis?

A

horner sx

60
Q

Migrain prophylaxis?

A

BB, if over 60yo then verapamil, tricylic

61
Q

Delirium vs dementia?

A

delirium is acute d/t underlying dz, dementia is alzheimers and memory loss

62
Q

What bugs are common in neonates with meningitis?

A

group b strep and e. coli

63
Q

Meningitis vs encephalitis?

A

encephalitis has AMS

64
Q

What bug are common in community acquired meningitis?

A

s. pneumonia, n. meningitidis

65
Q

Tx for mysthenia gravis in 60yo younger?

A

thymemoctomy

66
Q

CSF shows oligoclobands?

A

MS

67
Q

Tx for MS patient with severe attacks?

A

plasma exchange

68
Q

What childhood dz process can be diagnosed with the onset of chorea?

A

rheumatic fever

69
Q

What dz has an intention tremor?

A

stroke, MS, cerebellar dsyfxn

70
Q

Football player is having post concussive sx, what to do next?

A

MRI

71
Q

What medication needs regular blood draws to check therapeutic levels to tx epilepsy seizures?

A

phenytoin

72
Q

What is the drug of choice to tx simple and complex seizures?

A

carbamazapine

73
Q

A man hit his head and was unhurt but 2wks later c/o HA and lightheaded?

A

subdural hematoma

74
Q

What is recommended tx for subdural hematoma?

A

burrhole

75
Q

Pt has worst HA ever but CT is neg, what is the next step?

A

lumbar puncture

76
Q

Pt with TIA + CAD should be put on what type of antiplatelet meds?

A

clopidogrel

77
Q

What is the mainstay tx for bells palsy?

A

steroids +/- antivirals

78
Q

Pt is obese and has neuropathy, what med would help with neuropathy and wt loss?

A

topiramate

79
Q

Charcot marie tooth has sensory, motor, or both lost?

A

both

80
Q

Charcot marie tooth has what type of sensory loss?

A

propioception and vibration

81
Q

24 yo male is c/o complex regional pain sx and is already taking neurotin, what’s the next drug tx?

A

steroids

82
Q

30yo female has unilateral HA with colorful aura, tx of choice?

A

sumatriptan

83
Q

Prophylaxis for tension HA?

A

antidepressant: amytriptaline

HELP CAMPUS (10 decks)

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