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MedicalCNS > Neurology > Flashcards

Neurology Flashcards

1
Q

Cortical spreading depression

A

Assoc: trauma, migraines, hemorrhage (Rx magnesium, topiramate)

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2
Q

Sotagliflozin (sglt1 and SGLT2 inhibitor)

A

May reduce stroke risk

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3
Q

Cognitive motor dissociation

A

Functional MRI
EEG

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4
Q

Albuminocytologic dissociation

A

Guillain-Barre
Elevated CSF protein
Normal white blood cell count

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5
Q

New stroke and New afib

A
  1. Minor to moderate-after 48 hrs DOAC
  2. Major stroke 6-7 days start DOAC Fischer U et al NEJM 2023
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6
Q

NIHSS <3, stroke OR
ABCD2 of 4 or more, 21 days of dual antiplatelet

A

Ticagrelor (if plavix unresponsive) and aspirin

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7
Q

Carotid stenosis 70-99% , fix it.

A
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8
Q

Intracranial stenosis 90 days dual antiplatelet treatment

A
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9
Q

Guillén Barre

A

Paresthesias and weakness
FVC/MIF (MIF negative value) NORMAL >20cc/kg
EMG/NCS

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10
Q

Upper motor exam

A
  1. Pronator drift
  2. Fine finger movements (toe tap
  3. Finger extensors, big toe extensors
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11
Q

Falls in elderly

A
  1. Parkinson
  2. Neuropathy
  3. Cervical myelopathy (Lhermitte sign
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12
Q

Afib burden

A
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13
Q

G

A
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14
Q

G

A
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15
Q

High ICP TREATMENT

A

Goal is to get blood out of brain
Head of bed > 30 degrees
Mannitol reduce
Cerebral perfusion pressure = MAP-ICP

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16
Q

Meningitis

A
  1. Vancomycin q6 hrs
  2. CTX 2g q12
  3. Amp 2g q4 (bactrim)
  4. DEXA 10 q 6 hrs
17
Q

Aphasia testing

A
  1. Fluency naming , conversation
  2. Comprehension: follows difficult tasks
  3. Repetition: today is a sunny day
18
Q

Attention span:

A

Five digits
24637

19
Q

New brain mass

A

Tumefactive multiple sclerosis

20
Q

Attention span

A

Digits forward 5724631

21
Q

Aphasia testing

A

Fluency
Comprehension (follows difficult commands)
Repetition “today is a sunny day)

22
Q

Aphasia: repetition, fluency, comprehension

A

Broca lesion: fluency bad, repetition bad
Wernicke: repetition bad, comprehension bad
Conduction, repetition bad (fluency and comprehension good)

23
Q

Speech
Fluency: naming, conversation
Comprehension: complex commands
Repetition “today is a sunny day

A
24
Q

Aphasia

A

Broca= poor fluency
Conduction = poor repetition
Wernicke = poor comprehension

25
Q

Cranial nerves
II pupils, acuity, visual fields
3,4,6 extra ocular movements
5 sensation

A

7 facial strength
8 hearing
9, 20 palatal elevation
XI SCM, trapezius
XII TONGUE

MedicalCNS (38 decks)

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