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UW CK > Neuro/Opthalmo > Flashcards

Neuro/Opthalmo Flashcards

1
Q

painless proximal muscle weakness in LL> UL
no muscle tenderness
normal ESR, CPK

A

steroid induced myopathy

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2
Q

pons haemorrhage

A

pinpoint pupils
deep coma
total paralysis in minutes

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3
Q

conus medullaris distinguishing factor

A

PERIANAL NUMBNESS ONLY

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4
Q

riley day syndrome

A

PURE AUTONOMIC dysfunction
hypotension
ashkenazi jews

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5
Q

MSA=

A

shy dragger

AUTONOMIC + PD

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6
Q

mallory hyaline since in two places

A

WILSONS

and alcoholic steatosis

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7
Q

Benign Paroxysmal Positional Vertigo

A

changes with head position

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8
Q

Dix Hallpike maneuver

A

vertigo and nystagmus on quickly lying back to a supine position with head rotated at 45 degrees

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9
Q

multiple brain mets

A

lung cancer
melanoma
tx= whole brain radiation

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10
Q

single brain mets

A

all other types

tx= surgery

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11
Q

spinothalamic tract location

A

PC= 2 LEVELS BELOW LESION

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12
Q

hyperdense on CT

A

= haemorrhage

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13
Q

hypodense on CT

A

= infarction

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14
Q

early side effect of L-dopa

A

HALLUCINATIONS

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15
Q

side effects of amantadine

A

ankle edema

livedo reticularis

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16
Q

primidone can precipitate

A

ACUTE INTERMITTENT PORPHYRIA– since its a barbituate

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17
Q

order of tx for RLS

A
  1. iron supplements
  2. pramipexole
  3. gabapentin
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18
Q

Dx dementia, MMSE score

A

less than 24

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19
Q

bilateral trigeminal neuralgia=

A

MS

20
Q

number on risk factor for stroke=

A

HTN

21
Q

number one way to reduce risk of stroke=

A

SMOKING CESSATION

22
Q

antiemetics for migrains

A

prochlorperazine

metoclopramide

23
Q

brain abscess mcc

A

anaerobes and virridans

24
Q

brain dead

A

NORMAL DTRs

25
Q

central cord syndrome PC

A

elderly patients with spondylosis
UL> LL weakness
pain and temp= focal deficit

26
Q

WHO gets central cord syndrome

A

ELDERLY

27
Q

MOA of central cord syndrome

A

hyperextension injuries

28
Q

PC:

  • IVDU
  • anorexic, tired
  • memory impairment
A

HIV DEMENTIA– assume since hx IVDU and weight loss

29
Q

blurring of grey white interface with numerous minute punctuate haemorrhages

A

diffuse axonal injury

30
Q

straight lines appear wavy

A

macular degen

31
Q

penetrating injury– immune recognition of hidden antigens

A

sympathetic opthalmia

32
Q

blurred vision, intraocular hypotension, increase lens thickness

A

HONC

33
Q

tx hordoleum

A

warm compresses

fail 48hrs—> incision and drainage

34
Q

morning stuck shut eye, itchy, hx of allergy

A

allergic conjunctivitis

35
Q

best dx of acoustic neuromas

A

MRI with gadolinium

36
Q

diabetic neuropathy, spinal symptoms

A

MRI spine

37
Q

PC optic neuritis

A
  • central scotoma
  • afferent pupillary defect
  • changes in color perception
38
Q

NFT2 severe mutation

A

NON SENSE

39
Q

NFT2 mild mutation

A

MIS SENSE/ SPLICE SITE

40
Q

dementia> normal aging

A

impaired dialy functioning

41
Q

tx of exertional heat stroke

A

cold water immersion

42
Q

tx of septic emboli going to brain for IVDU

A

IV antibiotics

43
Q

tx of central retinal artery occlusion

A

OCULAR MASSAGE and HIGH FLOW OXYGEN

44
Q

headache worse at night

A

RICP

45
Q

other name for shuffling gait

A

HYPOKINETIC GAIT

UW CK (15 decks)

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