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
right anopia
right optic nerve
20
complex vs. simple seizure
complex - lose consciousness
20
subdural hematoma
-slow onset of mental status changes - at risk: elderly with falls, alcoholics - torn bridging veins from shearing
22
metoclopramide
drug induced parkinsons
22
Benign position vertigo
sudden onset of vertigo triggered by positions otolitihs in semi-circular canal treat with Epley maneuver
23
HSV
encephalitis confusion, fever, headache, CN findings RBCs in CSF
23
vertebrobasilar infarct
Vomiting, vertigo, ataxia, dysarthria, CN palsies, diplopia hemiparesis or hemisensory loss
24
Mydriasis
dilate sympathetic
24
acoustic neuroma
unilateral hearing loss, vertigo, tinnitus bilateral in NF2
26
subarachnoid headache
worst headache of my life blood in csf
28
Neisseria
gram- meningitis
28
Tuberous sclerosis
hamartomas in skin and CNS adenoma sebaceum Ash leaf spot/hypopigmented macules MR, AD
29
trigeminal neuralgia
intense facial/jaw/teeth pain
31
absence seizure
little kids staring spells
32
mid shaft of the humerus
radial n.
33
ACA stroke
contralateral foot and leg weakness behavioral changes, confusion impairment of gait and stance (ataxia) akinetic, mutism, incontinence,
34
Left homonymous hemianopia
right optic tract
34
Von Hippel-Lindau
AD, ch 3 cavernous hemagiomas in skin bilateral renal cell (clear cell) hemangioblastoma in retina brainstem, cerebellum, pheo
35
Myasthenia Gravis
muscle weakness, ptosis, dysarthria worse as day progresses abs against ach receptor
36
left lower quadrantic anopia
right parietal lesion, MCA
37
Death from Guillan-Barre
respiratory acidosis
38
midbrain nerves
CN 3,4
39
left upper quandrantic anopia
right temporal lesion, MCA
41
cherry red spot near fovea
central retinal artery occlusion
42
West Nile Virus
Encephalitis, fever, muscle weakness, flaccid paralysis, Parksinon features, tremors
43
Treatment for Listeria
ampicillin
44
Horner syndrome
ptosis anhidrosis miosis spinal cord lesion above T1
45
treatment of pseudotumor cerebri
LP, acetazolamide
47
Lennox-Gastaut syndrome
seizures in babies
47
Meniere's disease
tinnitus, hearing loss, vertigo increase in endolymphatic fluid damaging hair cells
49
posterior communicating artery aneurysm
headache one pupil not responding to light (CN III)
50
Carbamazepein
hyponatremia hepatic dysfunction
52
normal pressure hydrocephalus
dementia incontinence ataxic gait
53
Guillan-Barre pathogen
Camplylobacter jejuni or resp. infection
54
Miosis
constricts parasympathetic
56
pons nerves
CN 5,6,7,8
57
lesion in left temporal cortex
right superior homonymous quandrantopia
59
4 year old awakes screaming, inconsolable, no memory
night terrors/sleep terrors
60
LMCA infarct
aphasia
62
MCA stroke
contralateral face, arm weakness and sensory loss eyes deviate towards lesion
63
thiamine def/Wernicke
opthalamoplegia (nystagmus) ataxia confusion
64
Toxoplasmosis
HIV, low CD4 headache multiple ring enhancing lesions
65
Cause of Lambert Eaton Syndrome
antibodies against voltage gated P/Q calcium channels
66
bitemporal hemianopia
optic chiasm
66
Central retinal vein occlusion
abrupt onset of painless visual loss, hemorrhages, cotton wool spots
67
migraine treatment
triptans, NSAIDs
68
Lambert Eaton syndrome
lung mass muscle weakness autonomic symptoms better with activity
69
valproic acid
acute hepatic failure pancreatitis teratogen
71
spinal stenosis
"pseudoclaudication" pain in calves when walking better going uphill (lean forward and relieves pressure on spinal area)
72
Thyoma
Myasthenia Gravia anterior mediastinal mass
73
loss of pigmentation in substantia nigra
parkinson's
74
peroneal n.
foot drop
76
Lower motor neuron signs
weakness, atrophy fasiculations decreased reflexes, tone flaccid paralysis
77
Upper motor neuron signs
weakness increased reflexes and tone + Babinski spastic paralysis
78
accumulation of amyloid plaques
alzheimer's
78
epidural hematoma
middle meningeal artery rapid onset after lucid interval temporary skull fracture
79
pseudotumor cerebri/idiopathic intracranial HTN
overweight young women bilateral papilledema
80
Central scotoma
macular degeneration
81
Neurosyphilis
CN palsy posterior column signs general paresis, dementia pupil accomodates but doesn't react
82
meralgia parasethetic
lateral femoral cutaneous nerve decreased sensation in lateral outer thigh
84
cluster headache treatment
triptans, oxygen
85
Levetiracetam
irritability, depression
86
juvenile myoclonic epilepsy
stress-sleep deprivation involuntary jerks: tonic-clonic
87
lip smacking spaced out
temporal lobe
89
Topiramate
kidney stones, wt loss glaucoma, metabolic acidosis
90
retinal detachment
sudden onset, floater, peripheral vision first affected days to weeks
91
progressive deficits in upper and lower motor neurons
ALS