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Internal Medicine > Neuro > Flashcards

Neuro Flashcards

1
Q

Which types of seizure has postictal phase?

A

Tonic-clonic

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2
Q

Tx for absence seizure

A

Valproic acid or ethosuxamide

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3
Q

Migraine tx

A

NSAIDs, triptan, ergotamine

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4
Q

Unilateral, periorbital HA, ipsilateral lacrimation

A

Cluster HA

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5
Q

Tx for cluster HA

A

100% O2, injection of sumatriptan or ergotamine, intranasal triptan

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6
Q

Neuro deficit resolves within 24 hrs

A

TIA

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7
Q

Percent of ischemic strokes that are thrombotic vs embolic

A

Thrombotic 2/3, embolic 1/3

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8
Q

Time period to give TPA to stroke pt

A

< 3 hrs of sx onset

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9
Q

Tremor worse w/ motion/movement

A

Essential tremor

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10
Q

Tx for essential tremor

A

Propranolol, primidone

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11
Q

Tremor that improves w/ motion/movement

A

Parkinson’s

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12
Q

Pill-rolling, micrographia

A

Parkinson’s

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13
Q

Dopamine deficiency in substantia nigra

A

Parkinson’s

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14
Q

Demyelination of CNS

Loss of oligodendrocytes

A

MS

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15
Q

Lhermitte’s sign - what is it? what disease is it associated with?

A

Lightning feeling w/ neck flexion

MS

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16
Q

Kernig’s and Brudzinski’s - what is it? what disease is it associated with?

A

Kernig’s: knee flexed → straighten = pain
Brudzinski’s: neck flexion → invol flexion of knees/hips
Meningitis

17
Q

Weakness and fatigability of muscles

Acetylcholine receptor destruction

A

Myasthenia gravis

18
Q

Tx for myasthenia gravis

A

Pyridostigmine

19
Q

Can lead to blindness

Associated w/ polymyalgia rheumatica

A

Giant cell arteritis

20
Q

Tx for giant cell arteritis

A

Steroids + ASA

21
Q

Sudden onset, affects CN VII

Associated w/ HSV or virus (zoster)

A

Bell’s Palsy

22
Q

Tx for Bell’s Palsy

A

Steroids +/- acyclovir

23
Q

May follow infxn, immunization, or surg

Ascending symmetrical muscle weakness

A

Guillain-Barre

24
Q

Tx for Guillain-Barre

25
Q

Chorea and dementia

Cerebral atrophy

A

Huntington’s

26
Q

Ruptured berry aneurysm

“Worst HA of my life”

A

Subarachnoid hemorrhage

27
Q

AMS + disorganized thinking + lack of attention

28
Q

Progressive impairment of cognition

29
Q

Tinel sign, Phalen’s sign, worse at night

A

Carpal tunnel
Tinel sign: tapping over median nerve
Phalen’s sign: hold hands together w/ wrists flexed

30
Q

Which digit does carpal tunnel NOT affect

A

Pinky finger

31
Q

Severe burning/throbbing after soft tissue injury

Allodynia (severe pain to light touch)

A

Complex regional pain syndrome

Internal Medicine (10 decks)

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