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General Surgery > Neuro Pance > Flashcards

Neuro Pance Flashcards

1
Q

what is the autodominate neurodegenerative disorder that affects chromosome 4

A

Huningtons

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2
Q

what are the three areas affected by hubtingtons

A
  1. behavorial
  2. chorea
  3. dementia
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3
Q

what the the CT show of hungtigtons

A

cerebral and caudate nucleus atrophy

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4
Q

what age for huntingtons

A

30-50

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5
Q

what age for essential (benign tremor)

A

60

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6
Q

what is another name for essential tremor

A

benign

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7
Q

what is the tx for essential tremor

A

propanolol

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8
Q

idopathic dopamine depletion

A

parkinsons

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9
Q

what is the #1 tx for tourette’s

A

habit therapy

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10
Q

what disease is a necrosis of both upper and lower motor neuron

A

ALS

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11
Q

what two things are spared in ALS

A
  • sensation

- eye movements

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12
Q

tx for ALS

A
  • riluzole
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13
Q

what are the 2 dopamine agonist used in RLS

A
  • praminpexole

- ropinirole

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14
Q

what supplementation may you use in RLS

A

iron

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15
Q

what infection increases the chances of someone getting GBS

A
  • campylobactor jajuni
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16
Q

what direction is GBS

A

ground up (Gbs)

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17
Q

what is the CSF in GBS

A

high protein

normal WBC

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18
Q

what Tx is contraindicated in GBS

A

prednisone

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19
Q

what are the two tx for GBS

A
  • plasma pharesis

- IVIG

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20
Q

what condition involved autoimune antiobodies against ACH

A

myasthenia Gravis

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21
Q

what muscles are most effected with myasthenia Gravis

A

eyes

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22
Q

myasthenia Gravis eye movement that is most effected

A

upward gaze

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23
Q

what is the treatment for myasthenia Gravis

A

“stigmines”

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24
Q

what dx is similar to myasthenia Gravis but improves with movement

A

lambert eaton syndrome

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25
Q

lambert eaton syndrome is associated with what condition

A

small cell lung cancer

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26
Q

what autoimmune condition is unilateral eye pain that gets worse with movement

A

MS

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27
Q

what are the 2 dx of MS

A

MRI: what matter plques
LP: oligoclonal bands

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28
Q

what is the primary tx for MS flares

A

corticosteroids

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29
Q

what medication is helpful with fatigue in MS

A

amantadine

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30
Q

what is a ulilateral facial nerve palsy of CN 7

A

bells palsy

31
Q

what condition is bells palsy associated with

A
  • herpes
32
Q

what are the two treatments for bells palsy

A
  • steroids

- artificial tears

33
Q

what is a tension HA described as

A

“tight- Band like”

34
Q

what is the MC type of HA

A

tension

35
Q

what are the 3 1st line tx for tension HA

A

asprin
acetaminophen
aspirin

36
Q

what is the suspected cause of migraine HA

A

dilation of blood vesicles by the trigeninal nerve

37
Q

what are the 2 primary tx for migranes

A
  • triptans

- ergoatamines

38
Q

what medicaton class is used as a prophalacitic tx for migranes

A

antihypertensives

39
Q

what is the CI to triptans and ergots

A

CAD, PVD

40
Q

what medication is the tx for trigenial neralgia

A

carbamazapine

41
Q

what is the dx for idiopathic intracranial HTN

A

LP with elevated pressure

42
Q

what is the tx for idiopathic intracranial HTN

A

acetazolamide

43
Q

what is the triad for NPH

A

dementia
gait disturbance
urinary incontinence

44
Q

what is the ventriculoperitonial shunt used for

A

NPH

45
Q

what is the best test for brain injury

A

CT

46
Q

acute abrupt transient confused state

A

delirum

47
Q

what is the best test for alzheimers

A

CT (Atrophy of cortex)

48
Q
  • donexpzil

- memantine are used to tx what

A

alzheirmers

49
Q

what is the most imortant risk factor for vascular dementia

A

HTN

50
Q

what is the MC brain cancer in adults

A

GBM (this is a type of astrocytoma)

51
Q

what type of brain cancer is associated with NF 1

A

menigioma

52
Q

jefferson fx is what level

A

C1

53
Q

hangmans fx what level

A

C 2

54
Q

clay shovalers fx

A

C 7

55
Q

clay shovalers fx

A

C 7

56
Q

Brown swquard syndrome

A

motor ipsilateral

pain and temp contralateral

57
Q

SCI loss of vibratory sense only

A

posterior cord syndrome

58
Q

what symptoms does an occultion if ICA cause

A

amaurosis fugax

59
Q

after a CT to confirm it’s a TIA what meds

A

aspirin

plavix

60
Q

what medication for ishemic stroke

A

TPA

61
Q

what you think it’s a stroke what is the test

A

non contrast CT

62
Q

managemnet of hemmoragic stroke

A

shunt

63
Q

what is the cause of bacterial meningitis 18- 50

A

step penumo

64
Q

bacterial meningitis LP

  • Protein:
  • Glucose:
  • WBC:
A
  • Protein: elevated
  • Glucose: decreased
  • WBC: elevated
65
Q

viral meningitis LP

  • Protein:
  • Glucose:
  • WBC:
A
  • Protein: normal
  • Glucose: normal
  • WBC: normal
  • Lymphocytes
66
Q

viral meningitis LP

  • Lymphocytes
  • gram stain:
A
  • Lymphocytes: +

- gram stain: -

67
Q

how do you tell the difference between enphalitis and menngitis

A

enchephalitis associated with abdormal cebral function

68
Q

lip smaking what type of seizure

A

complex partial

69
Q

tx petit mal seizure

A

ethusuximide

70
Q

tx of grand mal seizure

A

valproic acid

71
Q

how do you treat strep pneumo meningitis 1-18

A

ceftriaxone + vanco

72
Q

how do you treat strep pneumo meningitis 18- 50

A

ceftriaxone + vanco + ampcillin

73
Q

MCC encehpahlitis (viral)

A

HSV -1

74
Q

MCC menengitis (viral)

A

coxackie

General Surgery (30 decks)

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