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Exam 6 Medical Emergencies > Neurology > Flashcards

Neurology Flashcards

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USMLE® Step 1 flashcards
1
Q

What is the patients goal when in Cheyne stokes?

A

Hyperventilation

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2
Q

What is the name given for arms inwardly rotating?

A

Extension

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3
Q

Deep rapid - short shallow breathing is known as?

A

Cheyne stokes

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4
Q

What are the three areas assessed in Glasgow?

A

Eye opening, verbal response, motor response

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4
Q

Blood pressure in shock is?

A

Decreased

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5
Q

Pulse in shock is?

A

Increased

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6
Q

Respirations in shock are?

A

Increased

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7
Q

Level of consciousness in shock is?

A

Decreased

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8
Q

Blood pressure in increased ICP is?

A

Increased (systolic)

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9
Q

Pulse in increased ICP is?

A

Decreased

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10
Q

Respirations in increased ICP is?

A

Decreased or erratic

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11
Q

Level of consciousness in increased ICP is?

A

Decreased?

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12
Q

Pulse is not increased when patient is in what type of shock?

A

Neurologic - decreases

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13
Q

What is the drug of choice to treat benzo overdose?

A

Flumazenil (Romazicon)

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14
Q

What is the drug of dose for aspirin/tricyclic anti-depressant overdose?

A

Sodium carb

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15
Q

A hypoglycemic alcoholic should be given what prior to D50?

A

Thiamine

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16
Q

D50 is what kind of solution?

A

Hypertonic

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17
Q

Wernicke syndrome can originate from?

A

Chronic alcoholism

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18
Q

What are the two types of occlusive strokes?

A

Embolic and thrombotic

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19
Q

Aphasia

A

Inability to speak

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20
Q

Dysphasia

A

Difficulty speaking

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21
Q

How long due symptoms last in Transient Ischemic Attacks (TIA)?

A

Resolve in less than 24 hours

NO LONG TERM EFFECTS

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22
Q

Pulse is not increased when patient is in what type of shock?

A

Neurologic - decreases

23
Q

What is the drug of choice to treat benzo overdose?

A

Flumazenil (Romazicon)

24
Q

What is the drug of dose for aspirin/tricyclic anti-depressant overdose?

A

Sodium carb

25
Q

A hypoglycemic alcoholic should be given what prior to D50?

A

Thiamine

26
Q

D50 is what kind of solution?

A

Hypertonic

27
Q

Wernicke syndrome can originate from?

A

Chronic alcoholism

28
Q

What are the two types of occlusive strokes?

A

Embolic and thrombotic

29
Q

Aphasia

A

Inability to speak

30
Q

Dysphasia

A

Difficulty speaking

31
Q

How long due symptoms last in Transient Ischemic Attacks (TIA)?

A

Resolve in less than 24 hours

NO LONG TERM EFFECTS

32
Q

IVs in patients with stroke-like symptoms should be done in which arm?

A

Unaffected side

33
Q

Auras are usually experienced before what type of seizure?

A

Tonic-Clonic

34
Q

What are the three parts of a tonic-colonic seizure?

A

Tonic, hypertonic, clonic

35
Q

What occurs in the tonic phase of a tonic-clonic seizure?

A

Body becomes stiff

36
Q

What occurs in the clonic phase of a tonic-clonic seizure?

A

Muscle twitching

37
Q

A simple partial seizure occurs to what parts of the body?

A

One body area

38
Q

Complex partial seizures are characterized by?

A

Auras

39
Q

Complex partial seizures typically last _____minutes

A

1-2

40
Q

Loss of contact with surrounds occur with what type of partial seizure?

A

Complex partial seizures

41
Q

What position do syncope seizures begin?

A

Standing

42
Q

Patient will usually remember a warning of fainting with a ______.

A

Syncopal episode

43
Q

What are examples of seizure medications?

A

Dilantin, depakote, tegretol

44
Q

Cluster headaches usually last how long?

A

1-4 hours

45
Q

Migraines May last for?

A

Extended periods of time

46
Q

Migraines are more frequent in men or women?

A

Women

47
Q

Cluster headaches are more common in men or women?

A

Men

48
Q

What are the two types of vascular headaches?

A

Migraines and cluster headaches

49
Q

Nystagmus is?

A

Eye quivering when looking at stimulus

50
Q

What is the mnemonic of common causes of AMS?

A

AEIOUTIPS

51
Q

What is the main cause of TIA?

A

carotid artery disease followed by decreased cardiac output, hypotension, and psychotic meds.

52
Q

What are the three parts of the Cincinnati stroke scale?

A
  1. Arm drift
  2. Speech
  3. Facial droop
53
Q

What position should a patient with stroke be placed in?

A

Lateral or sitting up

54
Q

Treatment for seizures?

A

2.5-5mg versed IN

Exam 6 Medical Emergencies (4 decks)

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