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Fall 2018 EMED 2 > Neuro > Flashcards

Neuro Flashcards

1
Q

obese female w/HA and diplopia

A

Psuedotumor Cerebri

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2
Q

how to tx SAH

A

Decrease the incidence of rebleed keep MAP <130 (IV Labetalol, PO Nimodipine [decreases vasospasm])

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3
Q

HA in a pregnant pt you have to r/o this

A

venous thrombosis

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4
Q

how to tx a CSF leak

A

Lay flat, IV Caffeine, Blood Patch

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5
Q

abortive migraine tx

A

Triptans, IV Reglan, Chlorpromazine (Thoazine), Prochlorperazine (Compazine), DHE(DihydroErgotamine) IV Infusion, NSAIDS

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6
Q

how to tx eclampsia (Pregnancy, Headache, Proteinuria, Elevated BP, Seizure)

A

Mag Sulfate

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7
Q

Retro-orbital/Temporal, Suicidal Ideation, occurs daily for weeks then resolves, Lacrimation, Rhinorrhea, Conjunctival Injection

A

cluster HA

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8
Q

how long till you cant give TPA

A

3 hours

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9
Q

anterior cerebral artery stroke will affect the

A

legs

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10
Q

middle cerebral artery stroke will affect the

A

arm, face, speech

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11
Q

posterior circulation stroke will affect

A

visual, dizziness, diplopia, ataxia, CN deficits, vertigo, Cranial Nerve Deficits, B/L limb weakness, Locked in Syndrome (they are aware of what is going on they just have all these defcicits)

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12
Q

chiropractic manipulation, lifting weights, straining

can result in

A

cervical artery dissection,

Treated with Antiplatelets (Aspirin, Plavix) Anticoagulation

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13
Q

nervous system response to increased intracranial pressure (ICP) that results in

A

Cushing’s triad of increased blood pressure, irregular breathing, and bradycardia

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14
Q

Dysdiadochokinesia

A

-clumsy/rapidly alternating movements

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15
Q

-over/undershoot (heel to toe, can’t feel it)

A

dysmetria

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16
Q

can be impaired in syphilis and Vitamin B12 deficiency

A

Impaired vibratory/position sense-posterior column

17
Q

how to dx and tx vertigo

A

*Dix Halpike for diagnosis
*Epley Maneuver is curative
Tx: Benadryl, Meclizine, Reglan, Scopolamine Patch, Benzos

18
Q

Tonic (rigid) Clonic (rhythmic jerking movements

A

grand mal

19
Q

LOC, without loss of postural tone, appear confused

A

petit mal

20
Q

Hallucinations, Memory Complaints, Disoriented Perception

A

complex partial

21
Q

> 5 minutes continuous or intermittent without recovery of consciousness

A

status epilepticus

22
Q

HTN, Seizure, Headache, Proteinuria, >20 weeks gestation or 3 weeks postpartum

A

eclampsia

23
Q

Symmetric Ascending Weakness, Decreased DTRs

CSF elevated Protein, Normal Cell Count

A

GBS

24
Q

UMN LMN dysfunction

A

ALS

25
Q

Proximal Muscle Weakness, Fatigue, Ptosis, Diplopia, progress to Respiratory Muscle Weakness (Dyspnea/Fatigue)
Symptoms get worse throughout the day

A

MG

26
Q

how to dx and tx MG

A

Dx: Ach receptor Antibodies! EMG rep stim, Edrophonium (Tensilon Test)- administer Edrophonium, if symptoms get worse it indicates cholinergic crisis and you may have to intubate. What?! No change in symptoms, assume Myasthenia gravis
Treatment Neostigmine, Pyridostigmine (Mestinon, Timespan)

27
Q

Motor, Sensory, Visual (Optic Neuritis)

Relapsing and remitting (90%)

A

MS

28
Q

how to tx MS

A

Methylprednisolone (acute exacerbation), Interferon (chronic)

29
Q

Resting Tremor, Cogwheel Rigidity, Bradykinesia, Pill Rolling, Orthostatic Hypotension, Masked Face, Shuffling Gait

A

PD

30
Q

bacterial meningitis blood count

A

high protein, low glucose

31
Q

viral meningitis blood count

A

Glucose elevated, Protein elevated

32
Q

how to tx miningitis

A

cef/vanco

>50 add ampicillin

33
Q

HSV-affects frontotemporal region bilaterally. Can be seen as enhancement on MRI and EEG reveals bitemporal epileptiform discharges

A

encephalitis

Fall 2018 EMED 2 (7 decks)

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