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?

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
key terms- | head tramua, loss of brain stem relexes, decorticate posturing and irregular respirations
Central herniation
26
where is a Central herniation located?
Both lobes- temporal
27
What is MRI T1
Multiple sclerosis T1- trophy and black holes that mean axon dealth
28
What is MRI T2
Multiple sclerosis Hyperintensities doesnt mean anything specific found in normal adults
29
Tensilon test
FOr Myasthenia Gravis using Edrophonium | need atorpine at bedside because it causes bradycaria
30
What are red Flags for Cerebral palsy
1. Abnormal muscle tone 2. They use one hand and perfer it 3. Asymmetric crawling - tend to crawl in one direction
31
what are normal baby motor movements at 4 months 6months 1 year
4 months- crawl 6months - sit 1 year - walk
32
what is cerebral palsy
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
What are - Negri bodies
found on CT of the brain of an animal with rabies
34
What are - Negri bodies
found on CT of the brain of an animal with rabies
35
Focal neurologic manifestation with preserved concussioness
simple partial seizure
36
what is the most common type of skull fracture?
Linear