Neuro Flashcards
CN VI?
Abducence CN
Lateral (abduction) eye muscle
sx of middle cerebral artery stroke:
contralateral homonymous hemianopia
arm/face sx > legs
what brain changes occure in Huntingtpon’s disease?
Atropy of caudate nucleus
Cerebral atrophy
Seizure that involves only one hemisphere is known as:
Focal
Moderate Head Inury corresponds to GCS of:
9-12
closes the eyelid, CN
VII
LP in aseptic / viral meningitis:
normal glucose
normal protein
lymphocytes
normal opening pressure
Pupillary response to light, CN?
III
Homonymous hemianopsia is:
Bilaterally symmetric loss of vision in half the visual fields
big toe going up on plantar reflex is known as:
positive Babinski sign
generalized (entire head)
neck pain / stiffness
non pulsatile
vise like
band like
Tension headache
tx of essential tremor:
EtOH
Propranalol
Thunderclap
Worse headache of my life
indicative of:
Subarachnoid hemmorhage
aneurysm rapture
LP in Bacterial meningitis:
elevated protein
decreased glucose<40
elevated opening pressure
cloudy color
tx for H.influenza meningitis is:
Cephalosporin
most common type of dementia is:
Alzheimer’s
Neuropathy associated with Camylobacter jejunie is:
Gullian Barre Syndrome
viruses that cause meningitis are:
Echovirus
Coxsackie
Severe Head Injury corresponds to GCS of
<8
tx for Cluster headaches?
triptans
TRIPTAN, OXIGAN clustran
most common finding in CP is:
muscle spasticity
muscular hypertonicity
which chromosome is affected in Huntington’s Disease?
Chromose 4
for Hungtington’s
factors the predispose to bacterial meningitis are:
existing bacterial infection
Immunocompromised status
Lower motor neuron facial nerve paresis
Bell’s palsy
positive Babinsky signs is indicative of:
Postictal state
prevention of Tension Headaches:
Amitriptyline
t Tension Headaches -line- TriCyclic Antidepressant
carbamazepine, ethosuximide are known to cause:
anemia and blood dyscrasia
common virus associated that causes encephalitis is:
Herpes Simplex Virus
West Nile Virus
Sequence of events in Epidrual Hematoma
- Head Trauma
- Unconsious
3. Brief return of connsious - Lucid interval
- Becoming unconsiou again
most common tics in Tourette is:
Motor: sniffing, blinking, shrugging shoulders
loss of consciousness with rigidity
followed by
jerking, convulsive movements
discriptive of
Tonic Clonic
Tonic=Rigid
Clonic=jerking
bx results for Alzheimer’s Dz:
Beta - amyloid/neuritic plaques
neurofibrially tangles
most common location of cerebral aneurysm is:
anterior circle of Willis
anterior circle of aneurysm
Distal weakness/ ascending paralysis after a recent GI infection or immunization is likely to be:
Gullian-Brre Syndrome
2nd line of tx of Parkinson’s:
Anticholinergics:
Benztropine
CN IV?
Trochlear CN
oblique eye muscles
tx for pneumococal meningtitis is:
Penicillin + Vancomycin
+
Dexamethasone
Horner’s syndrome is associated with what headache?
Cluster
Horny Cluster
Lateral Jaw movement
Temporal and Masseter muscle strenght
CN?
V
plaques known as Dawson’s fingers seen on MR
are indicative of:
MS
most common sx of Alzheimer’s
Antergograde amnesia - loss of short term memory
Brudzinksi sign:
neck flexition produces knee and hip flexion
Chorea
Demential
Behavioral changes
classic triad for:
Huntington Disease
EEG positive for seizures will show:
paroxysmal spikes or sharp waves
most common seizure in children is:
Absence (ptit mal)
tx for Meningococal Meningitis is:
Penicillin + ampicillin
viral meningitis is also known as:
aseptic
tx for Tonic Clonic Seizures:
Valproic acid
Lamotrigine
Topiramate
TonIC ClonIC ValporIC
Glasgow Coma Scale Consists of:
Visual 4
Verbal 5
Motoric 6
tx for Complex Regional Pain Syndrome
NSAIDS - early stage
Antidepressant, gabapentin - late stage
Visual Hallucination which began _at the same tim_e as Parkinsonian sx are indicative of:
Lewy Body Dementia
Peak sign in a pt with Myasthenia Gravis reffers to:
unable to keep the eye closed for a long period of time.
sensory optic information CN?
CN II
seizure prophylaxis during a stroke is acheived with:
phenytoin
stroke tx if tPA is not an option:
Aspirin
Clopidogrel
control HTN
prevent hyperthermia
class of medication that can cause delirium:
Anticholinergics
opioids
benzodiazepines
most common artery affected by ischemic stroke
Middle cerebral artery
Most Common Artery
first presentation sx for Myasthenia Gravis:
ptosis
diplopia
diffeculty chewing/swallowing
Tongue motor function is:
Hypoglossal CN XII
Dicreased sensation in the stocking glove distribution
Peripheral Neuropathy
1 st line of tx for Parkinson’s
Levodopa + Carbidopa
Lovedopa: converted to dopamine
Carbidopa: prevent breakdown of levodopa
CN VII
Facial
faical muscles
+
2/3 anterior tongue
Petechial Rash seen in a child is a sign of:
Meningacocal meningitis
collection of blood above the dura matter but below the skull is knonw as:
Epidural
Complex Regional Pain Syndrome is usually preceeded by:
trauma / injury
Valporic acid is contraindicated in:
pregnancy
delirium in alcoholics is caused by
low thiamin
GCS < 8 requires
Intubation
Triceps Reflex:
C 7
main stay of tx for Migraine is:
Triptans
Cardinal Parkinson sx:
Pill Rolling / Resting tremor
Rrigidity (cogwheeling)
Akinesia
Postural/gain instability
LP in MS will show:
Ologclonal bands (IgG)
Meyling basic protein
most common reason for hemorrhagic stroke is:
HTN
exsessive anticoagulation
trauma
receptive aphasia is due to damage to what area?
Werneckes
important criteria in diagnosing MS is:
dissemination/spread/dispersion of sx in time and space (anatomical locations)
Cerebral perfusion pressure equals to:
CPP=MAP-ICP
= Mean arterial pressure - Intracranial pressure
Glossopharyngeal CN?
IX