Neurological

Question 1

Signs of Lewy body dementia

Answer 1

Decreased attention, visual hallucinations (particularly small animals), falls, syncope, autonomic dysfunction, seizures, comes with Parkinson’s

As a result of aggregate of alpha-synuclein and abnormal NT levels. Avoid anti-psychotics

Question 2

HINTS exam

Answer 2

Head Impulse Test
Nystagmus
Test of Skew

Tests for cerebellar stroke

Question 3

Sx of Lateral Medullary Syndrome?

Answer 3

Vertical nystagmus, nausea/ vertigo, one sided sensory defects - to temp and hiccups

Question 4

Sx of right MCA stroke?

Answer 4

This is non-dominant hemisphere: left hemiparesis, sensory loss, homonymous hemianopia, dysarthria, neglect left side, stroke denial, loss of intonation do speech, flat affect

More stroke info go to: Stroke Best Practices Ca - executive summary

Question 5

Global aphasia occurs with what sided stroke?

Answer 5

Left sided, global aphasia refers to inability to speak at all. Both Broca and Wernicke’s area are effected

Question 6

Damage to Wernicke’s area leads to what kind of aphasia?

Answer 6

Receptive aphasia - struggles to grasp words and meanings of sentences, impaired reading and writing, may speak nonsense.

Question 7

Damage to Broca’s area leads to what kind of aphasia?

Answer 7

Expressive aphasia - will have effortful speech but will struggle, will understand when being spoken to but trouble replying

Question 8

Rotary nystagmus?

Answer 8

BPPV

Question 9

Treatment for Meniere’s?

Answer 9

Diuretic and low salt diet

Question 10

Less than 18 on MMSE?

Answer 10

No drivers license.

Question 11

What can you measure with fluid from an LP?

Answer 11

Cultures, gram stain, cytology, cell count, chemistry, transudate/ exudate

Question 12

Cushing’s Triad?

Answer 12

Hypertension, Bradycardia, Decreased respiration’s

Increased ICP.