Neuro-Final Flashcards

1
Q

confabulation

A

mammillary bodies

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2
Q

medulla nerves

A

CN 9,10,11,12

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2
Q

subacute ascending demyelination of neurons

A

GB

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2
Q

left hemianopia with macular sparing

A

PCA infarct

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3
Q

Creutzfield-Jacob disease

A

rapidly progressive dementia myoclonic jerks EEG with periodic sharp waves

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4
Q

RMCA infarct

A

unilateral neglect

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4
Q

Phenytoin

A

ataxia hepatic dysfunction gingival hyperplasia

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5
Q

Charcot-Marie-Tooth

A

sprained ankles distal calf atrophy hammer toes, sensory loss, palpable peripheral nerves

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6
Q

ALS

A

fasciculations upper and lower motor neuron signs

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6
Q

Sturge Weber

A

port wine stain in V1 opthalamic seizures, MR hemiparesis, glaucoma

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6
Q

acute angle-closure glaucoma

A

acute visual loss, PAIN headache, red eye, mid-dilated fixed pupil

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7
Q

Listeria

A

gram+ meningitis in babies, elderly

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7
Q

felbamate

A

for Lennox-Gastaut syndrome aplastic anemia hepatic failure

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8
Q

gliosis of caudate nucleus

A

Huntington’s disease

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8
Q

JC virus

A

HIV, low CD4 visual sx - hemianopia gait ataxia non-enhancing white matter lesions

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9
Q

medulloblastoma

A

pediatric cerebellar tumor

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10
Q

carpel-tunnel

A

median n first three and a half digits tinnels, phalens sign

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11
Q

radial wrist drop

A

often after passing out and putting pressure on wrist/hand

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12
Q

Steven’s Johnson syndrome

A

ethosuxidmide phenytoin lamotrigine carbamazepine

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12
Q

Botulism

A

diplopia, dysphonia, dysarthria, dysphagia desc flaccid paralysis honey

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14
Q

ulnar neuropathy

A

last one and a half digits

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16
Q

subarachnoid hemorrhage associations

A

aneurysms Berry aneurysm Polycystic kidney disease

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17
Q

meningioma

A

slow growing midline tumor

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18
Q

rebound headaches

A

chronic daily headaches daily analgesic use

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19
Q

right anopia

A

right optic nerve

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20
Q

complex vs. simple seizure

A

complex - lose consciousness

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20
Q

subdural hematoma

A

-slow onset of mental status changes - at risk: elderly with falls, alcoholics - torn bridging veins from shearing

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22
Q

metoclopramide

A

drug induced parkinsons

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22
Q

Benign position vertigo

A

sudden onset of vertigo triggered by positions otolitihs in semi-circular canal treat with Epley maneuver

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23
Q

HSV

A

encephalitis confusion, fever, headache, CN findings RBCs in CSF

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23
Q

vertebrobasilar infarct

A

Vomiting, vertigo, ataxia, dysarthria, CN palsies, diplopia hemiparesis or hemisensory loss

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24
Q

Mydriasis

A

dilate sympathetic

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24
Q

acoustic neuroma

A

unilateral hearing loss, vertigo, tinnitus bilateral in NF2

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26
Q

subarachnoid headache

A

worst headache of my life blood in csf

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28
Q

Neisseria

A

gram- meningitis

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28
Q

Tuberous sclerosis

A

hamartomas in skin and CNS adenoma sebaceum Ash leaf spot/hypopigmented macules MR, AD

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29
Q

trigeminal neuralgia

A

intense facial/jaw/teeth pain

31
Q

absence seizure

A

little kids staring spells

32
Q

mid shaft of the humerus

A

radial n.

33
Q

ACA stroke

A

contralateral foot and leg weakness behavioral changes, confusion impairment of gait and stance (ataxia) akinetic, mutism, incontinence,

34
Q

Left homonymous hemianopia

A

right optic tract

34
Q

Von Hippel-Lindau

A

AD, ch 3 cavernous hemagiomas in skin bilateral renal cell (clear cell) hemangioblastoma in retina brainstem, cerebellum, pheo

35
Q

Myasthenia Gravis

A

muscle weakness, ptosis, dysarthria worse as day progresses abs against ach receptor

36
Q

left lower quadrantic anopia

A

right parietal lesion, MCA

37
Q

Death from Guillan-Barre

A

respiratory acidosis

38
Q

midbrain nerves

A

CN 3,4

39
Q

left upper quandrantic anopia

A

right temporal lesion, MCA

41
Q

cherry red spot near fovea

A

central retinal artery occlusion

42
Q

West Nile Virus

A

Encephalitis, fever, muscle weakness, flaccid paralysis, Parksinon features, tremors

43
Q

Treatment for Listeria

A

ampicillin

44
Q

Horner syndrome

A

ptosis anhidrosis miosis spinal cord lesion above T1

45
Q

treatment of pseudotumor cerebri

A

LP, acetazolamide

47
Q

Lennox-Gastaut syndrome

A

seizures in babies

47
Q

Meniere’s disease

A

tinnitus, hearing loss, vertigo increase in endolymphatic fluid damaging hair cells

49
Q

posterior communicating artery aneurysm

A

headache one pupil not responding to light (CN III)

50
Q

Carbamazepein

A

hyponatremia hepatic dysfunction

52
Q

normal pressure hydrocephalus

A

dementia incontinence ataxic gait

53
Q

Guillan-Barre pathogen

A

Camplylobacter jejuni or resp. infection

54
Q

Miosis

A

constricts parasympathetic

56
Q

pons nerves

A

CN 5,6,7,8

57
Q

lesion in left temporal cortex

A

right superior homonymous quandrantopia

59
Q

4 year old awakes screaming, inconsolable, no memory

A

night terrors/sleep terrors

60
Q

LMCA infarct

A

aphasia

62
Q

MCA stroke

A

contralateral face, arm weakness and sensory loss eyes deviate towards lesion

63
Q

thiamine def/Wernicke

A

opthalamoplegia (nystagmus) ataxia confusion

64
Q

Toxoplasmosis

A

HIV, low CD4 headache multiple ring enhancing lesions

65
Q

Cause of Lambert Eaton Syndrome

A

antibodies against voltage gated P/Q calcium channels

66
Q

bitemporal hemianopia

A

optic chiasm

66
Q

Central retinal vein occlusion

A

abrupt onset of painless visual loss, hemorrhages, cotton wool spots

67
Q

migraine treatment

A

triptans, NSAIDs

68
Q

Lambert Eaton syndrome

A

lung mass muscle weakness autonomic symptoms better with activity

69
Q

valproic acid

A

acute hepatic failure pancreatitis teratogen

71
Q

spinal stenosis

A

“pseudoclaudication” pain in calves when walking better going uphill (lean forward and relieves pressure on spinal area)

72
Q

Thyoma

A

Myasthenia Gravia anterior mediastinal mass

73
Q

loss of pigmentation in substantia nigra

A

parkinson’s

74
Q

peroneal n.

A

foot drop

76
Q

Lower motor neuron signs

A

weakness, atrophy fasiculations decreased reflexes, tone flaccid paralysis

77
Q

Upper motor neuron signs

A

weakness increased reflexes and tone + Babinski spastic paralysis

78
Q

accumulation of amyloid plaques

A

alzheimer’s

78
Q

epidural hematoma

A

middle meningeal artery rapid onset after lucid interval temporary skull fracture

79
Q

pseudotumor cerebri/idiopathic intracranial HTN

A

overweight young women bilateral papilledema

80
Q

Central scotoma

A

macular degeneration

81
Q

Neurosyphilis

A

CN palsy posterior column signs general paresis, dementia pupil accomodates but doesn’t react

82
Q

meralgia parasethetic

A

lateral femoral cutaneous nerve decreased sensation in lateral outer thigh

84
Q

cluster headache treatment

A

triptans, oxygen

85
Q

Levetiracetam

A

irritability, depression

86
Q

juvenile myoclonic epilepsy

A

stress-sleep deprivation involuntary jerks: tonic-clonic

87
Q

lip smacking spaced out

A

temporal lobe

89
Q

Topiramate

A

kidney stones, wt loss glaucoma, metabolic acidosis

90
Q

retinal detachment

A

sudden onset, floater, peripheral vision first affected days to weeks

91
Q

progressive deficits in upper and lower motor neurons

A

ALS