Neurology Flashcards
What is the gold standard for diagnosing temporal arteritis?
artery biopsy
What is the treatment for temporal arteritis?
What lab is elevated?
prednisone, sed rate
refer to ophthalmology or ETC (can cause blindness)
treatment for an essential tremor?
propranolol (Inderal)
Korsakoff-Wernicke dementia brain damage is caused by what vitamin?
B1 thiamine
What screening test is used for dementia?
MMSE
Is an essential tremor an action or resting tremor?
action
What type of headache (migraine, cluster, tension) has…
tearing, rhinorrhea, drooping eye at the same time of day
cluster
prophylactic treatment for cluster migraines
verapamil
“worst headache of my life” with decline of consciousness after trauma
subarachnoid hemorrhage
what CN is involved in Bell’s Palsy
CN7
treatment for Bell’s Palsy
Prednisone + Acyclovir +
eye lubricant
three CN involved in eye movement
3- oculomotor
4- trochlear
6- abducens
facial sensation (sharp/soft), corneal reflex
CN5 Trigeminal
Taste, smile, raise eyebrows, puff cheeks
CN7 Facial
Snellen chart
CN2 Optic
“ahh” palate rises, swallowing
CN9 Glossopharyngeal
gag reflex
CN 10 Vagus
stick out tongue
CN 12 Hypoglossal
sudden, severe one-side facial pain triggered by chewing, cold food, or cold air?
trigeminal neuralgia
treatment for trigeminal neuralgia?
anticonvulsants:
carbamazepine (Tegretol) or phenytoin (Dilantin)
(+) Brudzinskis sign
Think Brudzinskis Bend
severe neck stiffness and flexion of hip/knees when neck is flexed = bacterial meningitis
(+) Kernig’s sign =
think Kernig’s Kick
bacterial meningitis, flex pt’s hips one at a time then attempt to straighten leg while hip is flexed at 90*, positive= resistance to leg straightening d/t painful hamstrings or back pain
lumbar puncture for bacterial meningitis will show?
high WBCs
high protein
low sugar
cloudy
A clinical sign of hypocalcemia which consist of twitching of muscles innervated by facial nerve.
Chvostek’s sign
