Neurological Flashcards

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1
Q

90% of meningitis occurs between what ages?

A

1mo-5yrs

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2
Q

+ kernig sign is what?

A

when you bend the KNEE you have HA

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3
Q

+brudzinski sign is what?

A

involuntary flexion of the legs when the neck is flexed.

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4
Q

what do you expect to find in the CSF for a pt who has meningitis?

A

CLOUDY
increased WBC
Increased protein
Decreased glucose

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5
Q

a 2 year old presents with iritability, loss of developmental mile stones and increased head circumference? what is your diagnosis and tx?

A

tumor, CT

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6
Q

Do classic migraines present with an aura or without?

A

With aura

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7
Q

Do common migraines present with or without an aura?

A

WITHOUT

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8
Q

A pt has had multiple episodes of abd pain with n/v and HA. Labs and imaging normal, what is your diagnosis? tx?

A

abdominal migranes

head ache diary, limit caffeine no MSG, NSAIDs may consider triptans

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9
Q

If a pt has cafe au lait spots, how many and what size would concern you for neurofibromatosis?

A

more than 6 and greater than 5mm pre pubertal or >15 mm post pubertal

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10
Q

smell is CN ___?

A

1

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11
Q

bells palsy is when which cranial nervel is affected?

A

CN 7

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12
Q

hypoglossal is what nerve?

A

CN 12

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13
Q

eye movents are related to what CNs?

A

3, 4 and 6

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14
Q

what is an iris lisch nodule?

what disorder often has these?

A

black/ brown spots on iris

neurofibromatosis 1

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15
Q

2 diagnostic criteria must be met to dx with neurofibromatosis, list as many ass possible?

A

cafe au lait spots (>6), iris lisch nodules, 2 or more cutaneous neurofibromas, axillary or inguinal fracking, present in 1st degree relative

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16
Q

In spastic CP what would you expect?

a. increased DTR and sustained clonus
b. dystonic posturing
c. abnormal invol movements

A

A= Increase in DTR also dyskinetic and ataxic CP

17
Q

what is not characteristic of generalized seizures?

a. unilateral motor movement
b. disturbance of consiousness
c. simultaneous cerebral hemisphere discharge

A

A- movements are BILATERAL

18
Q

most common headache in teens is?

sinus, tension, migraine?

A

TENSION

19
Q

migraine headaches: you would expect?

a. throughout head no localization
b. restricted to one side
c. occipital
d. across head temporal side to another

A

B- pain is on one side, may switch to another site but pain is restricted to one side.