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DPD > Neurology - AS > Flashcards

Neurology - AS Flashcards

1
Q

UMN signs

A

Increased tone, refexes and plantars go up

Less power

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2
Q

UMN signs

A

Increased tone, reflexes and plantars go up

Less power

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3
Q

Cerebellar signs

A

DANISH:

Ataxia
Nystagmus
Dysdiadochokinesia
Intention tremor
Speech slurred
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4
Q

Treatment of peripheral neuropathy

A

Duloxetine

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5
Q

Causes of peripheral neuropathy

A 
Drugs
HIV
Diabetes
Alcohol (raised GGT and MCV)
Uremia (U and E)
Amyloidosis - deposition of abnormal protein in organs (if there is a history of myeloma or chronic infection/inflammation)
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6
Q

Tumour causes of peripheral neuropathy ?? LOok back at the slide from 03.12.20

A

Paraeoplastic

Paranproteinaemia

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7
Q

spastic lesion means it’s in the ?

A

spinal cord

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8
Q

Another term for optic ner

A

Papilitis = head of optic nerve neuritis

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9
Q

Symptoms of paipilitis

A

Blurred vision
Blurred optic disc margins
Pain on eye movement

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10
Q

Spastic paraparesis can be caused by

A

Vascular - anterior spinal artery problem
Infection - TB
Inflammation - demyelination or transverse myelitis
Toxic/metabolic
Tumour/malignancy

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11
Q

Spastic paraparesis can be caused by

A

Vascular - anterior spinal artery problem
Infection - TB
Inflammation - demyelination or transverse myelitis
Toxic/metabolic - b12
Tumour/malignancy

NOTE SOMETHING MUST BE PRESSING ON THE CORD

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12
Q

Two lesions together - what do you think?

A

MS

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13
Q

Where do you check for sensation of radial nerve?

A

Base of thumb

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14
Q

Pain distribution in sciatica?

A

Pain in buttock radiation down to the leg belwo th eknee

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15
Q

Causes of sciatica

A

Disc herniation

Spinal canal stenosis

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16
Q

What do you call disease of nerve roots?

A

Radiculopathy

17
Q

What is micrographia

A

Small writing

18
Q

Parkinsons signs

A

Tremor
Rigidity
Bradykinesia

19
Q

Lewy body dementia signs

A

Alzhiemers _ prarksinsons + hallucinations

20
Q

Causes of confusion

A

Post ictal (after seizure)
Dysphasia (stroke/TIA)
Dementia (?????)
Depressive pseudodementia

21
Q

Differentials for CONFUSION

A

HYPOGLYCEAMIA
Vascular - bleed
- they’d have headache and collapse
Subdural haematoma - post fall, fluctutating consciousness

Infection
Intracranial/extracranial

Inflammation
malignancy
metabolic/toxic
Drugs/UandE/LFT/vit D/endocrinopathiese

22
Q

GCS

A 
Eye (4)
- open
open at demand
open at ?
not at all
Verbal 
confused - 4
words  3
sounds 2
nothing 1

Motor
obeying commands - 6

23
Q

First steps in GCS scoring

A 
DOB
Age
Time
Year
Place
REcall West streeet
reocgnise doctor 
who's PM
Second WW
COunt backwards from 20
24
Q

Eye - GCS scoring

A

Spontaenous - 4
opens in response to voice - 3
Opens in resopnse to pain - 2
does not open 1

25
Q

Verbal function GCS scoring

A 
orientated
confused
words
sounds
no words
26
Q

Motor function - GCS scoring

A 
obeys commands - 6
localises pain - 5
withdraws to painful stimuli - 4
Abnormal flexion - 3
extension - 3
no movement - 1
27
Q

Meningitis signs

A

Fever
Neck
Stiffness
Kernig’s sign

28
Q

Causes of headache

A 
Meningitis
SAH
GCA
Migraine
Pituatry apoplexy
29
Q

GCA management/investigations

A

ESR
Steroids
Bx

30
Q

Stroke within 4.5 hrs management and investigation

A

CT would show no haemorrhage??

Thrombolysis

31
Q

Stroke after 4.5 hrs management and investigation

A 
CT head - exclude haemorrhage
Aspirin - 300mg
Maintain hydration 
Oxygenation
Monitor glc?
32
Q

TIA management and investigations

A 
Aspirin
Don't treat BP acutely unless over 220/120 
ECG
Echocardiogram
Carotid doppler
Risk factor modification
33
Q

Lower limb weakness?

A

Guillain Barre

34
Q

Lower limb weakness and back ache?

A

Guillain Barre

DPD (38 decks)

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