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
Q

C7…

A

….

26
Q

Dorsal root ganglion damaged by

A

Chemotherapy, Paraneoplastic (Anti-Hu) Balance problems

27
Q

Polymyositis

A

Painless, proximal muscle weakness, abnormal EMG, elevated CK

28
Q

Dermatomyositis

A

Rash, internal malignancies

29
Q

Toxic myopathies

A

Steroids, statins

30
Q

Charcot-Marie-Tooth

A

Young people neuropathy

31
Q

Distal neuropathy burning

A

Diabetes

32
Q

Diabetic amyopathy

A

Proximal, hurts in hips, newly diagnosed or out of control diabetes, diagnosed with EMG. Not nerve pain,

33
Q

Pupil sparing palsy

A

Cause vs. pupil encompassing…..

34
Q

Anti-Hu

A

Dorsal root ganglion problem

35
Q

Triceps sparing Saturday night palsy

A

Below the spiral groove

36
Q

Handcuff neuropathy

A

Dorsum of hand

37
Q

Reflex sympathetic dystrophy

A

Regional Complex Pain Syndrome: Abnormal sympathetic response, tx with nerve block

38
Q

Herniation

A

….

39
Q

Dural tail

A

On a meningioma

40
Q

Bacterial meningitis tx

A
  1. Dexamethsone before first dose of ABx, 2. antibiotics, 3. CT, then 4. LP
41
Q

Bacterial meningitis by age group

A

….

42
Q

Herpetic encephalitis CSF

A

Not visibly bloody, but you will have hundreds of RBCs

43
Q

Syndenham’s

A

….

44
Q

Can valproate cause EPS?

A

Yes, it can cause extrapyramidal symptoms like parkinsonism

45
Q

Serotonin syndrome signs

A

Myoclonus, Not rigid like NMS

46
Q

Transverse myelitis

A

Think MS

47
Q

Risk of seizure recurrence over 2 years for lowest risk patients

A

20-30%

48
Q

AED that doesn’t interact with OCPs

A

gabapentin

49
Q

Valproate can be used quickly for seizures?

A

Yes

50
Q

Status epilepticus in old person

A

Cerebrovascular disease

51
Q

3Hz spike and wave activity and tx

A

Absence, treat with Ethosuximide

52
Q

First tx for REM disorder

A

Clonazepam, then ropinirole

53
Q

Autosomal dominant Polycystic kidney disease increases risk of what

A

Cerebral aneurysm

54
Q

Frontotemporal dementia can be very asymmetric

A

55
Q

Paraneoplastic syndrome

A

Can affect medial temporal lobe

56
Q

Weight bearing pain from standing with long doses of steroids

A

Avascular necrosis of femoral head, MRI of hip

57
Q

Klein-Levin syndrome

A

People sleep for days..

58
Q

Sensory ataxia

A

Anti-Hu syndrome, decreased proprioception leading to impaired coordination

59
Q

Baclofen MOA and withdrawal

A

GABAergic and withdrawal can cause seizures

60
Q

Lateral Venous Sinus Thrombosis

A

Looks like pseudotumor

61
Q

Cavernous sinus thrombosis

A

CN III, VI, IV with bulging red eye

62
Q

TB on MRI

A

Ring enhancing regions