Neurological Flashcards
What diagnostic test is best to rule out temporal or giant cell arteritis?
Sedimentation rate
Second most common form of dementia
Vascular dementia
Raynaud’s phenomenon
Vasospasm of blood vessels, bluish color to hands and feet
Two classic triggers of Raynaud’s
Stress and cold
What potential eye complication is associated with Bell’s palsy?
Corneal ulceration from excessive dryness due to paralysis
Kernig’s
Associated with meningitis, flexion of knees and legs. Increases ICP
Seizure that describes “blanking out” and usually last less than 15 seconds
Petit mal seizure
Another name for petit mal seizure
Absent seizure
Brudinski’s
Associated with meningitis/head and neck flexed to chest
Romberg test
Tests cerebellum and vestibular function
What area of the brain is responsible for balance?
Cerebellum
First line treatment for essential tremor
Propranolol
What medication is used to treat postherpatic neuralgia?
Tricyclic antidepressants
What class of antidepressants may help with nerve pain?
Tricyclics
The Mini-Cog test consists of what?
Three item word recall and clock drawing
Mini-Cog score of 0-2
Dementia
Mini-cog score of 3-5
Low likelihood of dementia
What occurs with facial movement in Parkinson’s disease?
Decreased facial movement
Vertigo is defined by what sensation?
Spinning or rotating
What disease is associated with giant cell arteritis?
Polymyalgia rheumatica
What is another name for trigeminal neuralgia?
Tic douloureux
Apraxia
Loss of ability to execute learned purposeful movement
What type of migraine is birth control contraindicated in?
Migraine with aura
Birth control in women with migraine without aura is acceptable in what circumstance?
If the woman is < 35 with no risk factors for stroke, otherwise > 35 is too risky
What migraine mediation is contraindicated in pregnant women?
Valproate
Dix-Hallpike
Movement that elicits reproducible symptoms associated with benign vertigo
First line treatment medication for benign vertigo
Antihistamines, meclizine
Common cause of resting tremor
Parkinson’s
Three cardinal features of Parkinson’s
- Resting (pill rolling tremor), 2. Bradykinesia, 3. Rigidity
Most common cause of action tremor
Essential tremor
First line treatment for essential tremor
Propranolol or primidone
Normal finding in Rinne test
AC > BC, remember A before B
