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PANCE- Things I didnt know > Neuro > Flashcards

Neuro Flashcards

1
Q

What is the first line treatment for headache?

A

Dopamine antagonists

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2
Q

list dopamine antagonists

A

Droperidol
Prochorperazine
Metoclopramide
chlorpromazine

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3
Q

If you think its a Subarachonid Hemorrhage and CT is negative what is the next step to competely rule it out

A

Lumbar puncture
will see
RBC’s or Xanthochromia

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4
Q

What is the diagnostic test for Myasthenia Gravis

A

Edrophonium test

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5
Q

Treatment for Myasthenia Gravis

A

Cholinesterase inhibitor

-Pyridostigmine

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6
Q

Symmetric leg weakness that is ascendiing

A

Guillain-Barre

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7
Q

Infecitous cause of Guillain-Barre

A

Campylobacter Jejuni

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8
Q

** what has to be ruled out if you think Myasthenia Gravis

A

Get CXR to rule out Thyoma

40% of people will have this tumor in their chest and by fixing it the MG will get better

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9
Q

Which disorder with muscle weakness gets worse at the end of the day

A

Myasthenia Gravis

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10
Q

Which disorder with muscle weakness gets Better at the end of the day

A

Lambert-Eaton syndrome

the funky one associated with small cell lung cancer

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11
Q

Think of this condition when you hear

Proximal muscle weakness that gets better through the day and smoker, wt loss, “small cell lung cancer”

A

Lambert-Eaton syndrome

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12
Q

what are the most common organisms in neonate meningitis

A 
*Group B strep 
E coli 
listeria 
6months Strep pneumonia, H. influe 
>6 months strep pna, Nissera mengitis
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13
Q

Treatment for meningitis 8 weeks old

A

Ampicillin + Cefotaxime

no ceftriaxone because it lead to kernictersis

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14
Q

Treatment for meningitis in adults (great than 3months)

A

Vancomycin + ceftriaxone

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15
Q

Treatment for meningitis in adult who is immunocompromsied or an alcoholic

A

Vancomycin + ceftriaxone = normal but ADD

Ampicillin

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16
Q

Treatment for meningitis in adult with histoyr of head trama, a shunt, or CNS surgery

A

Vancomycin + Ceftazifdime

17
Q

what medication help decrease deafness related to

H. flu meningitis

A

Dexamethasone - STEROIDS

18
Q

IF someone is diagnosed with meningtits Do you need to treat close contacts ?

A

Yes !

with Ceftriaxone or ciprofloxacin or rifampin

19
Q

Most common cause of Encephalitis

A

Human simplex virus 1 & 2 -> classic to infect temporal lobes
West Nile

20
Q

Brainstem hemorrhage - physical exam shows pinpoint puplis

where is the hemorrhage located?

A

Pontine

21
Q

Brainstem hemorrhage - physical exam shows extensor posturing, lost papillary relfex
where is the hemorrhage located?

A

Cerebellar

22
Q

Decorticate

Decerebrate

A

Decorticate - flexion

Decerebrate- extension -> bad

23
Q

key terms-
head tramua, dialted non reactive ipsilateral pupil
hemiparesis

A

Uncal herniation

24
Q

where is a Uncal herniation located?

A

One side - temporal lobe

25
Q

key terms-

head tramua, loss of brain stem relexes, decorticate posturing and irregular respirations

A

Central herniation

26
Q

where is a Central herniation located?

A

Both lobes- temporal

27
Q

What is MRI T1

A

Multiple sclerosis
T1- trophy and black holes
that mean axon dealth

28
Q

What is MRI T2

A

Multiple sclerosis
Hyperintensities
doesnt mean anything specific
found in normal adults

29
Q

Tensilon test

A

FOr Myasthenia Gravis using Edrophonium

need atorpine at bedside because it causes bradycaria

30
Q

What are red Flags for Cerebral palsy

A
  1. Abnormal muscle tone
  2. They use one hand and perfer it
  3. Asymmetric crawling - tend to crawl in one direction
31
Q

what are normal baby motor movements at
4 months
6months
1 year

A

4 months- crawl
6months - sit
1 year - walk

32
Q

what is cerebral palsy

A

Brain leasions in early life that cause limiting movement
HAS TO START BEFORE AGE 3
does not progress just stays the same
being premature is a major risk factor

33
Q

What are - Negri bodies

A

found on CT of the brain of an animal with rabies

34
Q

What are - Negri bodies

A

found on CT of the brain of an animal with rabies

35
Q

Focal neurologic manifestation with preserved concussioness

A

simple partial seizure

36
Q

what is the most common type of skull fracture?

A

Linear

PANCE- Things I didnt know (21 decks)

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