Neuro Final Flashcards

1
Q

Tx: Streptococcus pneumoniae

A

Penicillin G

Vancomycin for resistant

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2
Q

Tx: Neisseria meningitidis

A

Penicillin G

Chloramphenicol

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3
Q

Tx: Listeria monocytogenes

A

Ampicillin + Gentamicin

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4
Q

Tx: Enterobacteriaceae

A

Ceftriaxone + Gentamycin

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5
Q

Empiric Tx: Preterm-1 mo

A

Ampicillin + Gentamicin

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6
Q

Empiric Tx: 1 mo-50 yr

A

Cefotaxime

or

Ceftriaxone + Vancomycin + Dexamethasone

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7
Q

Empiric Tx: >50, ETOH, immunosuppressed

A

Cefotaxime

or

Ceftriaxone + Vancomycin + Dexamethasone + Ampicillin

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8
Q

Herniation of subarachnoid and brain tissue

A

Meningoencephalocele

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9
Q

Herniation of subarachnoid, brain tissue, and ventricular fluid

A

meningohydroencephalocele

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10
Q

Interstitial pneumonia

A

Varicella Zoster Virus

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11
Q

Imaging used to evaluate dural sinus for cerebral venous thrombosis

A

Magnetic resonance venography (MRV) and CTV

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12
Q

Pseudotumor cerebri

A

potential vision loss

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13
Q

Tx: Taeniasis

A

Niclosamine

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14
Q

Tx: Neurocysticercosis

A

Praziquantel

or

Albendazole

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15
Q

Duration w/ continuous infusion

Induction

Contraindicated in porphyria

A

Thiopental

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16
Q

Anti-emetic action

Metabolic acidosis, hyperlipidemia, rhabdo, liver enlargement

A

Propofol

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17
Q

Induction in pts with cardiovascular diseases

A

Etomidate

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18
Q

Induciton in pts at risk for hypotension and bronchospasm

Profound analgesia

Increased intracranial pressure

A

Ketamine

19
Q

2 Inhaled anethetics w/ risk of renal toxicity

A

Enflurane

Sevoflurane

20
Q

2 inhalational anesthetics w/ pungent smell

Not for induction

A

Isoflurane

Desflurane

21
Q

Induction in children

Sweet smell

A

Sevoflurane

22
Q

Risks/contraindications of N2O

A

Diffusional hypoxia

Air filled cavities

Vit B12 deficiency

23
Q

Inhalational anesthetics (LIST)

A

Halothane

Isoflurane

Enflurane

Sevoflurane

Desflurane

N20

24
Q

IV anesthetics (LIST)

A

Thiopental

Propofol

Etomidate

Ketamine

25
Q

blocking ______ delays labor

A

COX II

26
Q

Blocks phospholipase A2

A

Corticosteroids

27
Q

Inhibits COX 1 more than COX2

A

Aspirin

28
Q

Used as prophylaxis for heart attack or stroke

A

Aspirin

29
Q

Tx for delayed closure of ductus arteriosus

Tx for preterm labor

A

indomethacin

30
Q

Increases risk of CV events

A

Celecoxib

31
Q

Inhibits COX 1 and COX 2 in the CNS

A

acetaminophen

32
Q

Mechanism of opioids

A

Close Ca

Open K

33
Q

Tx for cough

A

Dextromethorphan

34
Q

Anti-diarrheal

A

Loperamide

35
Q

Contraindication to all opioid use

A

Monoamine oxidase inhibitors

36
Q

Opioid tolerance does not develop to what 2 effects

A

Miosis

Constipation

37
Q

Opioid antagonist

A

Naloxone

38
Q

Bacterial and tb/mycoses CSF analysis both have <45 glucose and similar WBC

What sets them apart?

A

Bacterial PMN is >60

TB/mycoses PMN is <50

39
Q

Normal CSF analysis

Opening pressure =

WBC =

%PMN =

Glucose =

Protein =

A

60-180

0-5 WBC

0 PMN

>60 Glu

<30 protein

40
Q

Histology stains of cryptococcus

A

GMS

Mucin Stain

41
Q

Tx for Naegleria fowleri

(Primary Amoebic Meningoencephalitis)

A

Miltefosine

42
Q

Tx for disseminated or CNS toxoplasmosis

A

Pyrimethamine-sulfadiazine

43
Q

Damage to which vessels off of the middle cerebral a. cause neurological deficits disproportionate to their size

A

Lenticulostriate vessels

  • supply deep structures of diencephalon and telencephalon