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Peds ⛄️ > Neurology > Flashcards

Neurology Flashcards

1
Q

Werdnig-Hoffman disease survival years

A

< 2

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2
Q

Werdnig-Hoffman disease sits or walks?

A

None

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3
Q

Which SMA can sit?

A

Type 2

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4
Q

Severe muscle weakness (flaccid paralysis) and hypotonia in which SMA

A

Type 1

Werdnig-Hoffman disease

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5
Q

Which SMA has near normal life expectancy?

A

Type III (Kugelberg-Welander disease)

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6
Q

Onset of SMA 2

A

6-18m

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7
Q

Duchenne muscular dystrophy Screening test:

A

Creatine kinase level

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8
Q

Early sign of Duchenne muscular dystrophy:

A

Inability to walk independently until age >18 month

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9
Q

Gowers sign indicates

A

Duchenne muscular dystrophy

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10
Q

Calf psuedohypertrophy seen in

A

Duchenne muscular dystrophy

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11
Q

Duchenne muscular dystrophy treatment

A

Glucocorticoids

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12
Q

Duchenne muscular dystrophy is (inheritance type)

A

X linked recessive

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13
Q

How do Duchenne muscular dystrophy die?

A

Resp/heart failure in 20s

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14
Q

We suspect patient has cerebral palsy when:

A

Definite hand preference before 1 year of age + Persistent moro reflex

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15
Q

Management of CP

A

Baclofen and botulinum

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16
Q

Status epilepticus management

A

—-

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17
Q

How to tell if patient is seizing

A

Tachycardia
Desating
Fixed dialated pupils

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18
Q

Child absence seizure EEG

A

3 hz spikes

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19
Q

Child absence seizure treatment

A

Ethosuxemide

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20
Q

Benign ronaldic epilepsy EEG

A

Centrotemporal spikes

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21
Q

Infantile spasm EEG

A

Hyparrythmia

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22
Q

West syndrome triad

A

1- Hypsarrythmia
2- Infantile spasm
3- Developmental delay

23
Q

Most common partial epilepsy of childhood

A

Benign Rolandic Epilepsy

24
Q

Treatment of stroke in general population

A

Antiplatelet/anticoagulant

25
Q

Treatment of stroke in cardiac patients

A

anticoagulant

26
Q

Treatment of stroke in SCD

A

Hydration

Exchange transfusion

27
Q

Focal seizure classification

A

If impaired consciousness: Complex

If no impaired consciousness: Simple

28
Q

Generalized seizure types

A 
Tonic clonic
Myoclonic
Tonic
Atonic
Absence
29
Q

Most common casues of febrile seizure (in order):

A

Acute respiratory illness > Gastroenteritis (Shigella, Campylobacter) > UTI

30
Q

Miller Fisher Syndrome symptoms

A
  • Stoking-gloving periphral neuropathy
  • Opthalmoplegia & ptosis
  • ataxia + areflexia + dysmetria on heel-to-shin testing
31
Q

Which syndrome is immune-mediated polyneuropathies

A

Miller Fisher Syndrome/GBS

32
Q

Miller Fisher Syndrome Tx

A

Plasmapheresis & IVIG

33
Q
  • Next step in hemodynamically stable in GBS:
A
  1. Spirometry (to monitor respiratory function)

2. If FVC<20ml/kg : Intubation

34
Q

Progressive ascending symmetric muscle weakness

35
Q

Deep tendon reflexes in GBS

A

Absent/depressed deep tendon reflexes

36
Q

Dx of cerebral palsy

37
Q

GBS dx

A

Clinical and LP: Albuminocytologic

38
Q

Transverse myelitis dx

A

Clinically (bilaterla motor & snesory weakness)
+ MRI (enhancement of affect cord without compression)
+ LP CSF (pleocytosis & elevated IgG)

39
Q

Transverse myelitis Tx

A

IV steroid + Plasmapheresis

40
Q

Which has occular weakness (GBS/MG)?

41
Q

Which has depressed tendon reflexes? (GBS/MG)

42
Q

Fatiguability of proximal muscle weakness

A

Myasthenia gravis

43
Q

Myasthenia gravis affect:

A

Occular
Bulbar
Resp

44
Q

Myasthenia gravis Tx

A

AChE inhibitors

Pyridostigmine

45
Q

Myasthenia gravis dx

A

AchR Ab

Ice pack test

46
Q

Transverse myelitis Tx

A

IV steroid + Plasmapheresis

47
Q

Thymoma is associated with which neurological condition

48
Q

Tuberus scelerosis is autosomal

49
Q

Tuberus scelerosis Sx

A

Derm: Ashleaf spots, Angiofibroma
Neuro: CNS lesions
Renal: Angiomyolipoma

50
Q

NF criteria

A 
2 or more present:
2 or more NF
6 cafe au lait spots
Axillary freckling
Lisch nodules 
Glioma 
First degree relative with NF
51
Q

Bilateral acoustic neuroma is present with

52
Q

Lower motor neuron lesion affects

A

Upper and lower sides of face

53
Q

Upper motor neuron lesion affects

A

Lower side of face

Peds ⛄️ (12 decks)

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