Neurology Review Session Flashcards

1
Q

Altitudinal hemianopia cause

A

Vascular cause

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2
Q

Meyer’s loop damage cause

A

Tumor

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3
Q

Papilledema visual field

A

large blind spot and constricted periphery

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4
Q

Optic neuritis visual field

A

central scotoma

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5
Q

Central Retinal Vein Occlusion

A

Pizza pie fundus

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6
Q

Young stroke workup

A

TEE for patent foramen ovale

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7
Q

CADASIL

A

?

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8
Q

Risk of stroke in migraine headache with aura

A

OR 2.0

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9
Q

Prevalence of PFO in general population

A

25%, common cause of a stroke

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10
Q

Warfarin indications

A

A. fib, DVT, cardiomyopathy decreased EF, mechanical valve

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11
Q

Treatment for lateral medullary syndrome

A

IV Heparin because the most common cause is vertebral occlusion/dissection

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12
Q

INO cause in young and old

A

Young: MS Old: Stroke

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13
Q

L5 root level compression

A

Foot drop, no reflex deficits

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14
Q

L4 root level disc compression

A

Quads weak

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15
Q

C6/7 compression

A

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16
Q

Cauda equina syndrome

A

Disc, or infection CMV polyradiculitis

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17
Q

Cervical spondylotic myelopathy

A

Old people, degeneration of discs and lig flavum hypertrophy

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18
Q

know dermatomes

A

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19
Q

Brown-Sequard

A

Ipsiateral CST, DC, contralateral STT

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20
Q

Anterior spinal artery syndrome

A

Like Central cord

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21
Q

Anterior cord viruses

A

Polio, WNV

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22
Q

Post. cord things

A

B12, Cu, syphilis

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23
Q

C5

A

Upper arm

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24
Q

C6..

A

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25
C7...
....
26
Dorsal root ganglion damaged by
Chemotherapy, Paraneoplastic (Anti-Hu) Balance problems
27
Polymyositis
Painless, proximal muscle weakness, abnormal EMG, elevated CK
28
Dermatomyositis
Rash, internal malignancies
29
Toxic myopathies
Steroids, statins
30
Charcot-Marie-Tooth
Young people neuropathy
31
Distal neuropathy burning
Diabetes
32
Diabetic amyopathy
Proximal, hurts in hips, newly diagnosed or out of control diabetes, diagnosed with EMG. Not nerve pain,
33
Pupil sparing palsy
Cause vs. pupil encompassing.....
34
Anti-Hu
Dorsal root ganglion problem
35
Triceps sparing Saturday night palsy
Below the spiral groove
36
Handcuff neuropathy
Dorsum of hand
37
Reflex sympathetic dystrophy
Regional Complex Pain Syndrome: Abnormal sympathetic response, tx with nerve block
38
Herniation
....
39
Dural tail
On a meningioma
40
Bacterial meningitis tx
1. Dexamethsone before first dose of ABx, 2. antibiotics, 3. CT, then 4. LP
41
Bacterial meningitis by age group
....
42
Herpetic encephalitis CSF
Not visibly bloody, but you will have hundreds of RBCs
43
Syndenham's
....
44
Can valproate cause EPS?
Yes, it can cause extrapyramidal symptoms like parkinsonism
45
Serotonin syndrome signs
Myoclonus, Not rigid like NMS
46
Transverse myelitis
Think MS
47
Risk of seizure recurrence over 2 years for lowest risk patients
20-30%
48
AED that doesn't interact with OCPs
gabapentin
49
Valproate can be used quickly for seizures?
Yes
50
Status epilepticus in old person
Cerebrovascular disease
51
3Hz spike and wave activity and tx
Absence, treat with Ethosuximide
52
First tx for REM disorder
Clonazepam, then ropinirole
53
Autosomal dominant Polycystic kidney disease increases risk of what
Cerebral aneurysm
54
Frontotemporal dementia can be very asymmetric
...
55
Paraneoplastic syndrome
Can affect medial temporal lobe
56
Weight bearing pain from standing with long doses of steroids
Avascular necrosis of femoral head, MRI of hip
57
Klein-Levin syndrome
People sleep for days..
58
Sensory ataxia
Anti-Hu syndrome, decreased proprioception leading to impaired coordination
59
Baclofen MOA and withdrawal
GABAergic and withdrawal can cause seizures
60
Lateral Venous Sinus Thrombosis
Looks like pseudotumor
61
Cavernous sinus thrombosis
CN III, VI, IV with bulging red eye
62
TB on MRI
Ring enhancing regions