Neurology Flashcards

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1
Q

4 deadly D´s

A

Diplopia
Dizziness
Dysphagia
Dysarthria

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2
Q

single greatest rick factor for stroke

A

Hypertension

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3
Q

carotid endarterectomy indication

A

> 60% in symptomatic patients

>70% in asymptomatic patients

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4
Q

SHE tx

A
CX
blood control(BP
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5
Q

Cushing herniation tria

A

hypertention
bradycardia
irregular respirations

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6
Q

partial and tonic-clonic seizures treatment

A

levetiracetam,phenyon, phenobarbital(first line in children) or valproic acid.

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7
Q

estatus epilepticus

A

IV benzodiazepine(lorazepam or diazepam)

  • ->5min anther dose
  • ->10 min FOSPHENYTOIN,valproate sodiumPHENOBARBITALlevetiracepam or continuus of midazolam
    • > General anestesia
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8
Q

Charcot´s Classic(neurology) Triad

A

MS
scanning speech
internuclear ophthlamoplegia
bystagmus

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9
Q

MS treatment

A

corticosteroids, plasma exchange for those not responding to to steroid

interferon B
copolymer

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10
Q

guillian barre tx

A

plasmaferesis or IVIG

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11
Q

Dementia diferential diagnosis

A
neuroDegenerative diseases
Endocrine
Metabolic
Exogenous
Neoplasm
Trauma
Infection
Affective disorders
Stroke/Structural
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12
Q

mini-mental state examination

A

normal people>24

Alzheimer

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13
Q

dopamine agonist

A

ropinirole
pramipexole
bromocriptine

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14
Q

Tuberous Sclerosis is related with

A
rhabdomyoma
astrocytoma
renal disease( cyst, angiolipoma, and carcinoma)
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15
Q

headaches triggered by darksness

A

closed angle glaucoma

give pilocarpine

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16
Q

ischemic stroke treatment

A

3h=ASA

if already in ASA add dypiradamol pr switch to clopidogrel

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17
Q

best sigle prophilaxis therapy for migraine

A

propanolol

18
Q

trigeminal neuralgia treatment

A

oxcarbamazepine or carbamazepine

19
Q

best test to se seizure possibility of recurrence

A

sleep deprivationEEG

20
Q

how long is ok for withdraw seizure medication

A

2 years seisuze free

21
Q

most acurate test for SAH

A

lumbar puncture

22
Q

enticholinergic medications in parkinson are best for=?

A

tremor and rigidity

23
Q

amantadine indication

A

> 60 who cannot tolerate anticholinergics

24
Q

BEST initial therapy in severe parkinson

A

Pramipexole and ropinirole

25
Q

monst effective medication in parkinson

A

levodopa/carvidopa

-associated with on/off( use tolcapone and entacapone)

26
Q

only medication that retard the progression of parkinsonism

A

MAO inhibitors( rasagiline,selegiline)

27
Q

huntington treatment for dyskinesia

A

tetrabenazine

28
Q

natalizumab adverse effect

A

progressive multiocal leukoencephalopahy

29
Q

acute MS tretment

A

hig dose stereoids

30
Q

most common cause of dead in ALS

A

respiratory failure

31
Q

best initial treatment for peripheral neuropathy

A

pregabaline or gabapentine

32
Q

best initial therapy for myastenia gravis

A

neostigmine and pyridostigmine

33
Q

cluster headache prophylaxis

A

Verapamil

34
Q

best treatment for trigeminal neuralgia

A

oxcarba or carbamazepine
if do not improve
gamma knife

35
Q

best choice for prevention of acute atack in MS

A

gratiramer(copolymer1) and B-interferon

36
Q

oligoclonal bands

A

MS

37
Q

albuminocytoloic dissosiation

A

guillian-barre

38
Q

the four A´s of DEMENTIA

A
  • Amnesia
  • Aphasia(lenguage impairment)
  • Apraxia(inability to perform motor activities)
  • Agnosia(inability to recognize previously known objects/places/people)
39
Q

huntintongton disease

A

atrophy of the CAUDATE

40
Q

wilsons disaese

A

atrophy of the Lenticular nuclei

41
Q

deep intracraneal hemorrage

A

tipially due hypertensive vasculopathy

  • basal ganglia
  • pons
  • thalamus
42
Q

single greatest risk factor for STROKE

A

HYPERTENSION