Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MJ- PCS1 EOR > Neuro treatments > Flashcards

Neuro treatments Flashcards

1
Q

Tx for myasthenic crisis for rapid response?

chronic?

A

Plasmapheresis or IVIG

Chronic- Corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do you use Entacapone and Tolcapone in the tx of Parkinsons

A

Use as adjunctive tx

MOA- prevents dopamine breakdown.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

1st line tx for tension headaches

A

NSAIDS, aspirin, acetaminophen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Drug of choice for mild Tourettes (simple tics)? (smartypance)

A

simple tics- Lorazepam

Simple and complex tics- Clonidine (may be effective)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Abortive tx for migraines

A
  • Triptans or Ergotamines
  • NSAIDs/Acetominophen if mild sxs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Parkinson Disease:

What medication may help early on with mild sxs and improves long-term levodopa induced dyskinesias.

A

Amantadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Tx for Huntington Disease?

A

No cure

Tx for chorea- Tetrabenzine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What medication can be helpful in treating the fatigue in MS?

A

Amantadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What can be used to tx seizures in Cerebral Palsy?

A

antiepileptics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Parkinson Disease:

What are 7 alternative treatments to Levodopa/Carbidopa

A
  • Dopamine agonists (used in young patients to delay use of Levodopa d/t bad S/e):
    • Bromocriptine
    • Pramipexole
    • Ropinirole
  • Anticholinergics (<70 w/ tremor predominance- helps with ttremors and drooling):
    • Trihexyphenidyl
    • Benztropine
  • MAO-B inhibitors (mild sxs- JUST tremors):
    • Selegiline
    • Rasagiline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Abortive tx for cluster headache

A
  • 1st line= 100% O2
  • SQ Sumitriptan
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

5 tx options for Alzheimers?

“the man with Alzheimers lost his MEMory while GALAvanting DOwn the RIVer looking for TACos”

A
  • Ach-esterase inhibitors:
    • Donepezil
    • Tacrine
    • Rivastigmine
    • Galantamine
  • NMDA antagonist:
    • Memantine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Prophylaxis for Cluster headaches

A

1st line= Verapamil

Corticosteroids, Ergotamines, Valproic acid, Lithium, Cyprophetadine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What can be used to improve spasticity in Cerebral Palsy? (2)

A

Baclofen

Diazepam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

1st line tx for Myasthenia Gravis? (2)

A

Pyridostigmine*

Neostigmine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx for tension HAs in severe or recurrent cases, prophylaxis`

A

TCAs (ex. Amitriptyline)

Beta Blockers

17
Q

Tx for acute exacerbations of MS?

A

1st line: IV corticosteroids (high dose)

Plasmapheresis (if not responsive to steroids)

18
Q

What is (are) the drug(s) of choice for mild cases of Parkinson Disease (mild meaning that the main or only symptom is tremor)?

A. Amantadine

B. Trihexyphenidyl

C. Levodopa-Carbidopa

D. Ropinirole or Pramipexole

E. Selegiline or Rasagiline

A

E. Selegiline or Rasagiline

(Levodopa-­carbidopa is still the cornerstone of treatment, although dopamine receptor agonists (ropinirole and pramipexole) or monoamine oxidase (MAO) type B (MAO­B) inhibitors (selegiline or rasagiline) or amantadine can be used as monotherapy early in the disease or as adjunctive therapy in later stages. Anticholinergic agents are helpful in treating tremors and drooling in patients with Parkinson disease. Although the drug of choice is still levodopa-­carbidopa, its use should be delayed as long as possible because of the side effect profile and the eventual development of tolerance to these medications. Catechol O-Methyltransferase inhibitors (tolcapone or entacapone) along with levodopa-carbidopa are useful for patients with motor fluctuations. Follow liver function test results and watch for postural hypotension and nausea. Bromocriptine is a dopamine agonist but is not used too often because of its side effect profile.)

19
Q

Tx for relapse-remitting/progressive MS:

2 meds that decrease #/severity of relapses?

A

_B-interferon*_

or

Glatiramer acetate

20
Q

Tx for Essential tremor?

A

1st line- Propanolol

2nd line (or adjunct)- Primidone

3rd line- Alprazolam

21
Q

Tx for severe Tourettes

A

antipsychotics, such as haloperidol, olanzapine, resperidone, or pimozide

22
Q

2 tx for GBS

A
  • Plasmapheresis (best if done early)
  • IVIG
  • +/- mechanical ventilation

PREDNISONE CONTRAINDICATED

23
Q

Tx for TIA?

What is contraindicated?

A

Aspirin +/- Dipyridamole or Clopidogrel

** Thrombolytics contraindicated!!**

24
Q

Prophylactic tx for migraine headaches

A
  • Beta blockers, CCBs
  • TCAs
  • Valproate
  • Topiramate
  • NSAIDs
25
Q

What is the most effective tx for Parkinsons?

A

Levodopa/Carbidopa

(try to avoid until necessary d/t SEs)

26
Q

Tx for idiopathic intracranial HTN (Pseudotumor cerebri)

A

Acetazolamide

+/- furosemide +/- short course steroids

MJ- PCS1 EOR (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions