Neuro Flashcards

1
Q

UMN syndrome

A

“think uppEr = hypEr”

  • hypertonia/hyper-reflexia
  • immediate flaccid paralysis then spasticity
  • Affect large muscle groups
  • no atrophy
  • babinski sign
  • no fasciculations
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2
Q

LMN syndrome

A

“think lOwer = hypO”

  • hypotonia/hyporeflexia
  • muscle atrophy
  • weakness
  • fasciculations
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3
Q

UMN injury

A

CVA (#1)
Tumors
C.spine trauma
C.P

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4
Q

LMN injury

A

Polio
spinal cord compression
peripheral neuropathy

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5
Q

if both UMN and LMN are apparent what dx?

A

MS

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6
Q

MC type of stroke?

A

Ischemic

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7
Q

Do the majority of pt’s get tPA/

A

NO

due to time frame mostly

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8
Q

What should the BP be maintained at for a pt about the get tPa for an ischemic stroke?

A

160/100

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9
Q

When do we do CEA

A

when stenosis is >70%

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10
Q

sx of SAH

A

“worst headache of my life”

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11
Q

Bell’s palsy does or does not include the forehead?

A

Does include the forehead

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12
Q

If a pt presents with one sided paralysis of the face and is able to wrinkle their forehead what do you think?

A

stroke

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13
Q

If a pt presents with one sided paralysis of the face and is NOT able to wrinkle forehead what do you thnk?

A

bell’s palsy

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14
Q

HA w/ fever - AMS, what do you think?

A

Encephalitis

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15
Q

HA w/ Fever - and no MS change?

A

Meningitis

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16
Q

Mainstay of tx for Parkinsons?

A

levodopa

carbidopa dosed w/ to improve availability

17
Q

Tx for MS

A

Interferon

18
Q

Tx for absence seizure

A

Ethosuximide

19
Q

Status epilepticus tx.

A

ABC’s
Lorazepam
if after 5 min add fosphenytoin