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DIT Step 2 > Neuro 5 > Flashcards

Neuro 5 Flashcards

1
Q

CN 4?

A

Lateral rectus

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2
Q

Optic tract lesion on the left?

A

Causes right homonymous hemianopsia

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3
Q

Temporal lobe interference with vision?

A

Upper quadrantic anopia

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4
Q

Parietal lobe lesion?

A

Loss of lower quadratic

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5
Q

lesion prior to pretectal nucleus?

A

Afferent defect. Doesn’t constrict. But still sees light

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6
Q

Type of cancer in pan coast?

A

Non small cell

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7
Q

Near sighted is focused close

A

amypia

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8
Q

Ambluiopia is from what

tx?

A

Strabismus. Tx is vision training

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9
Q

Common cause of blindness in black?

A

Glaucoma

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10
Q

Tx bacterial conjunctivitis?

A

Erythromycin

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11
Q

Most common conjunctivits in first 24 hours of life?

A

CHEMICAL FROM ANTIBIOTIC EYE DROPS

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12
Q

B27 are seronegative arthritis. Whats the mnemonic?

TX?

A

PAIR

Psoriatic
Ankylosin spondylitis
IBD arthritis
Reactive arthritis

STEROIDS

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13
Q

CORNEAL ulcer think what?

A

Painful. HSV!!

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14
Q

Orbital cellulitis vs peri?

A

Orbital involved things in orbit like muscles

SO THINK ptosis. Think PAIN with movement. Unable to move eye.

RISK OF BLINDNESS OR DEATH

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15
Q

Chalazion

Hordeolum

Anterior blephartis

A

Submucosal in eye lids. Tx self limiting or excision if need be

Hordeolum is a stye and sebacias gland infected. Hot compress

Anterior blepharitis Eye lids infected with seborrhea. Wash with shampoo

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16
Q

Cataract treatment?

A

Lens replacement

17
Q

Closed angle glaucoma symptoms?

A

PAIN unilateral HALOS!! IT LOOKS WEIRD TO SEE AN EYE WITH IT

18
Q

Symptom of open angle glaucomea?

A

Gradual loss of peripheral vision and is permanent

19
Q

Dx of glaucoma? KNOW!

A

Tenometry

Optic cup is more than half of optic disk

20
Q

Open angle tx?

A

Prostoglandins, Timolol, Alpha 2 agonists (clonidine), pilocarpine is cholinergic agonist to close it!

21
Q

What symptoms in most common cause of blindness in elderly?

A

macular degeneration. 2 types

lose middle of vision

dry has drusen

wet has neovascularization

22
Q

Risk factor for mac degen?

A

SMOKING

23
Q

Tx mac degen?

A

Antioxidents like beta carotene, vit C and E

AntiVegF ranibizumab

24
Q

Cherry red spot in adult?

A

Think retinal vessel occlusion!!!!

25
Q

Tx retinal artery occlusion?

A

Throbolytics, acetazolamid or mannitol, OXYGEN

26
Q

What is bullous myringitis? What causes it? Tx?

A

Vesicle on tympanic membrane and painful ear infection

Mycoplasma pneumoniae is cause, GIVE MACROLIDE for Myringitis

27
Q

Otitis externa tx if worried about pseudo or invasion into skull?

A

FLUOROQUINOLONE

28
Q

Vertigo, nausea and vomiting?

A

Vestibular neuritis. IF HEARING LOSS IT IS LABYRINTHITIS

29
Q

Tx for acute labyrinthitis?

A

SUBSIDES IN A FEW WEEKs, steroids might help.

30
Q

What is Meniere disease?

Mnemonic?

A

Meniere is MANY-EAR symptoms. INCLUDES TINITIS

Distention of endolymphatic compartment of the ear causing vertigo

ACITE with nausea, vomigting, decreased hearing, tinnitus!!!

LOW FREQUENCY HEARING LOSS

31
Q

Meniere history?

A

MANY EAR symptoms lasting several hours with exacerbations from nowhere.

Thiazides might help anticholinerics and antiemetics and antihistamines improve exacerbation

32
Q

Diffinitive tx of meniere??

A

Surgical decompression and destroy ear

33
Q

What is symptoms and what is acoustic neuroma?

A

Schwannoma of CN VIII

Hearing loss secondary to nerve conduction. Unilateral facial palsy, Dizziness. Decreased sensation

SENSORINEURAL HEARING LOSS

34
Q

Conductive hearing loss in adults most common cause?

Sensorineural hearing loss in adults most common cause?

A

Conductive: otosclerosis

Sensorineural: presbycusus

35
Q

Ramsay hunt tx?

A

Narcotic for pain
Steroids for inflammation
Valacyclovir (b/c it is zoster)

DIT Step 2 (77 decks)

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