Neurologic Flashcards

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1
Q

Seizure

  • Primary Generalized: describe two main types
  • Focal: describe two main types
  • Criteria for static epilepitus
A

Primary Generalized

  • Tonic-Clonic: incontinence, post-ictal
  • Myoclonic: contraction single muscle group

Focal

  • Simple focal: twitching without impaired consciousness
  • Complex focal: impaired consciousness

Static epilepitus

  • 30mins seizure activity, repeating episodes without regaining consciousness
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2
Q

Timing for fibrinolysis in ischemic stroke

A

<3 hours from CVA onset

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3
Q

Intracranial bleeding

Epidural/Subdural/Subarachnoid

  • Vessel
  • Symptoms
  • Diagnosis
  • Treatment
A
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4
Q

Serotonin Syndrome

  • Onset
  • Symptoms
  • Treatment
A
  • Onset <24hours
  • Hyper everything, HA, confusion
  • Serotonin antagonist
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5
Q

Neuroleptic Malignant Syndrome

  • Onset
  • Cause
  • Symptoms
  • Treatment
A
  • Onset over weeks
  • Decreased dopamine function due to dopamine blockade (neuroleptic medications)
  • Hyperthermia, muscle rigidity, altered conscioussness
  • Treatment: dantrolene, hold neuroleptic drugs
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6
Q

Parkinson disease

  • Symptoms
  • Pathophys
  • Treatment
A
  • resting tremor, postural instability, bradykinesia
  • Dopamine receptors defective in substantia nigra
  • Dopamine agonists, anticholinergics
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7
Q

Huntington disease

  • Symptoms
  • Pathophys
  • Treatment
A
  • Chorea (abnormal, involuntary movements), dementia
  • Atrophy of caudate nucleus
  • No treatment available
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8
Q

Alzheimer

  • Symptoms
  • Pathophys
  • Treatment
A
  • memory loss, unable to perform ADLs
  • Pathophys unknown, but generally decreased levels of acetylcholine
  • AVOID anticholinergics
  • Treatment = Donepezil (Aricept) = Central acting acetylcholinesterase inhibitor
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