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
lambert eaton syndrome is associated with what condition
small cell lung cancer
26
what autoimmune condition is unilateral eye pain that gets worse with movement
MS
27
what are the 2 dx of MS
MRI: what matter plques LP: oligoclonal bands
28
what is the primary tx for MS flares
corticosteroids
29
what medication is helpful with fatigue in MS
amantadine
30
what is a ulilateral facial nerve palsy of CN 7
bells palsy
31
what condition is bells palsy associated with
- herpes
32
what are the two treatments for bells palsy
- steroids | - artificial tears
33
what is a tension HA described as
"tight- Band like"
34
what is the MC type of HA
tension
35
what are the 3 1st line tx for tension HA
asprin acetaminophen aspirin
36
what is the suspected cause of migraine HA
dilation of blood vesicles by the trigeninal nerve
37
what are the 2 primary tx for migranes
- triptans | - ergoatamines
38
what medicaton class is used as a prophalacitic tx for migranes
antihypertensives
39
what is the CI to triptans and ergots
CAD, PVD
40
what medication is the tx for trigenial neralgia
carbamazapine
41
what is the dx for idiopathic intracranial HTN
LP with elevated pressure
42
what is the tx for idiopathic intracranial HTN
acetazolamide
43
what is the triad for NPH
dementia gait disturbance urinary incontinence
44
what is the ventriculoperitonial shunt used for
NPH
45
what is the best test for brain injury
CT
46
acute abrupt transient confused state
delirum
47
what is the best test for alzheimers
CT (Atrophy of cortex)
48
- donexpzil | - memantine are used to tx what
alzheirmers
49
what is the most imortant risk factor for vascular dementia
HTN
50
what is the MC brain cancer in adults
GBM (this is a type of astrocytoma)
51
what type of brain cancer is associated with NF 1
menigioma
52
jefferson fx is what level
C1
53
hangmans fx what level
C 2
54
clay shovalers fx
C 7
55
clay shovalers fx
C 7
56
Brown swquard syndrome
motor ipsilateral | pain and temp contralateral
57
SCI loss of vibratory sense only
posterior cord syndrome
58
what symptoms does an occultion if ICA cause
amaurosis fugax
59
after a CT to confirm it's a TIA what meds
aspirin | plavix
60
what medication for ishemic stroke
TPA
61
what you think it's a stroke what is the test
non contrast CT
62
managemnet of hemmoragic stroke
shunt
63
what is the cause of bacterial meningitis 18- 50
step penumo
64
bacterial meningitis LP - Protein: - Glucose: - WBC:
- Protein: elevated - Glucose: decreased - WBC: elevated
65
viral meningitis LP - Protein: - Glucose: - WBC:
- Protein: normal - Glucose: normal - WBC: normal - Lymphocytes
66
viral meningitis LP - Lymphocytes - gram stain:
- Lymphocytes: + | - gram stain: -
67
how do you tell the difference between enphalitis and menngitis
enchephalitis associated with abdormal cebral function
68
lip smaking what type of seizure
complex partial
69
tx petit mal seizure
ethusuximide
70
tx of grand mal seizure
valproic acid
71
how do you treat strep pneumo meningitis 1-18
ceftriaxone + vanco
72
how do you treat strep pneumo meningitis 18- 50
ceftriaxone + vanco + ampcillin
73
MCC encehpahlitis (viral)
HSV -1
74
MCC menengitis (viral)
coxackie