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CM 2 > Neurology for primary Care > Flashcards

Neurology for primary Care Flashcards

1
Q

A CSF lab result of glucose of 35 is indicative of

A

CSF infection

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2
Q

Of the 4 types of stroke which one is the most common and has a gradual onset?

A

Thrombotic

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3
Q

Leading cause of bacterial meningitis ?

A

Streptococcus pneumonia

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4
Q

What is the first sign of Parkinson’s disease

A

Rest tremor

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5
Q

Which test is specific of Myasthenia Gravis

A

Serum acetic hotline receptor antibody

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6
Q

Types of stokes

A

Ischemic

Hemorrhagic

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7
Q

Cardiac sources for an emboli

A

A fib
Mitral valve disease
Post Mi thrombi
Atrial defects

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8
Q

Client has a trike what is done first when presenting to the ER.

A 
No contrast CT
ECG
CBC
Cardiac Enzymes and troponin
PT and INR
PTT
O2
Lipid profile
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9
Q

What are stroke treatments to decrease the brain tissue infarction

A

IV thrombolitics
Neuroprotection: hypothermia
Antithrombic treatment
Medical support and rehab

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10
Q

Cerebral sculpt sources for Emboli

A 
Ulcerated plaque from a cerebral artery
Atherosclerosis  near the carotid artery
Hypotension
Sickle cell
Polycythemia
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11
Q

What Is contralateral homonymous hemianopsia:

A

Loss of half of the vision on the same side in both eyes.

Seen in a stroke and tram attic head injury.

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12
Q

Which drug used for Parkinsonism mimics dopamine?

A

Bromocriptine

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13
Q

Ways to prevent a stroke

A

Statin Therapy
Antiplatelet therapy
ASA 325
Warfarin in selected pts.

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14
Q

Define hemianopsia

A

Decrease vision in half the visual field.

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15
Q

What is the most sensitive indicator of Increased intracranial pressure and the first symptom to change as pressure rises.

A

Altered mental status

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16
Q

Which type of meningitis is a benign, self limited syndrome caused primary by viruses?

A

Aseptic

17
Q

Which prognosis is better a cerebral infarct or subarachnoid hemorrhage.

A

Infarct

18
Q

Define cry of which nutritional source leads to paresthesias of the hands and feet that are usually painful?

A

B12

19
Q

Infarct stroke is

A

Thrombotic

Embolic

20
Q

LOC with a cerebral infarct is predictive of what?

A

Poorer prognosis

21
Q

What are the parts of the Stroke Scale

A

Facial droop
Arm drift
Speech

22
Q

A client that is 52 and presents with rapidly progressive weakness of her legs that is moving up her trunk. Has absent reflexes and no sensory changes
What do you suspect?

A

Guillain- Barre syndrome

23
Q

Two type of stroke

A

Thrombotic

Embolic

24
Q

Risk Factors for Stroke

A

HTN, Hx of TIA, carotid stenosis, cardiac disease, DM, dyslipidemia, smoking,hypercoaguable states.

25
Q

Main the treatment for a stroke is to do what?

A

Decrease or reverse the amount of brain tissue infarction.

26
Q

What are some of the hypercoagulable disorders to test for when a person has a stroke.

A

Factor V Leiden
Protein C, S,
Antithrobim
Prothrombin gene mutations

27
Q

Which following cardiac drugs is used to treat Migraine H/A

A

Beta Blockers

28
Q

Hypercoagualble states that can lead to a emboli

A

Oral contraceptives
Protein C,S deficiency
Antithrombin III
TTP

29
Q

Major signs and symptoms of a stroke?

A 
Hemiparesis and sensory loss
Hemineglect
Expressive or receptive aphasia
Dysarthria 
Contra lateral homonymous hemianopsia
30
Q

Stroke is gradual or abrupt?

A

About

31
Q

What are a differential diagnosis for a stroke

A

Hypoglycemia
TIA
Mass lesion
Intercept rail hemorrhage

32
Q

What are some s/s that can lead to a stroke diagnosis

A

Sudden onset of a neurological onset
HX of high B/P, valvular heart disease, athrosclerosis
Dissenting neuro signs related to region of the brain involved.

33
Q

You place a key in a persons hand and have them close their eyes and identify the object is called.

A

Stereo gnosis

34
Q

Define agraphesthesia:

A

Inability to recognize writing on the skin.

35
Q

Should you give a CT of the head in a suspected stroke before you give ASA

A

Yes

36
Q

Goals of neuro imaging

A

Evidence of vascular origin
Alternative non ischemic sign
Underlying vascular mechanism hat allows for selection of best therapy.
Prognostic outcomes

37
Q

Mess that lower seizure threshold

A 
Quinolone so
Cephalosporins 
Antipsychotics
Wellbutrin
TCAs
Fentanyl/Demerol 
Cocaine
Amphetamines
Theophylline

CM 2 (9 decks)

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