Neuromuscular Part Seven Flashcards

1
Q

how should status epilepticus be treated

A

medical emergency

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2
Q

traumatic nerve injuries ranked least to worst

A
  1. neurapraxia
  2. axonotmesis
  3. neurotmesis
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3
Q

in general, what muscles are affected with myasthenia gravis

A

proximal

extraocular

facial

muscles of mastication

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4
Q

myasthenia gravis generally affects proximal or distal muscles

A

proximal

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5
Q

for polyneuropathy:

are arms or legs more affected

proximal or distal more

A

legs > arms

distal segments involved earlier than proximal

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6
Q

most common gait deviation with cerebellar issues

A

ataxic

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7
Q

what is asthenia

A

generalized weakness

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8
Q

describe a temporal lobe seizure

A

episodic changes in behavior

complex hallucinations

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9
Q

when is canalith repositioning treatment appropriate

A

horizontal SCC BPPV

posterior SCC BPPV

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10
Q

what is trigeminal neuralgia exacerbated by

A

stress/cold

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11
Q

what is vestibular neuronitis/labyrinthitis

A

acute infection with prolonged attack of symptoms (persists for several days or weeks)

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12
Q

what are Brandt-Daroff exercises for

A

residual or mild vertigo (BPPV)

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13
Q

generalized seizures AKA

A

grand mal seizures

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14
Q

what is nystagmus

A

involuntary, cyclical movement of the eyeball

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15
Q

what is Meniere’s disease

A

recurrent and usually progressive vestibular disease

episodic attacks (minutes-several hours)

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16
Q

for trigeminal neuralgia, are symptoms symmetrical or asymetrical

A

asymmetrical

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17
Q

what is trigeminal neuralgia relieved by

A

relaxation

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18
Q

for cerebellar lesions, what would be appropriate to assist decreasing ataxic movements

A

weighted waist belts

walkers

ankle cuffs, wrist cuffs

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19
Q

for cerebellar lesions, postural control is weakened in what group of muscles

A

proximal

20
Q

consistent finding of meniere’s

A

edema of membranous labyrinth

21
Q

what is status epilepticus

A

prolonged seizures/series of seizures lasting over 30 minutes with very little time between attacks

22
Q

what is Wallerian degeneration

A

degeneration of the axon and myelin sheath distal to the site of axonal interuption

23
Q

what should be done in the presence of a seizure

A

remain with patient

remove potentially harmful nearby objects

loosen restrictive clothing

do not restrain limbs

TURN HEAD TO SIDE/sidelying

24
Q

what is neuralgia

A

pain along a nerve

25
Q

what is epilepsy

A

recurrent seizures

26
Q

what is a temporal lobe seizre preceded by

A

aura

27
Q

etiology of myasthenia gravis

A

autoimmune antibody-mediated attack on Ach receptors at NMJ

28
Q

classic LMN syndrome symptoms

A

weakness

hyporeflexia

hypotonia

atrophy

fatigue

29
Q

what is myasthenic crisis

A

myasthenia gravis with respiratory failure

treat as medical emergency

30
Q

is fatigue common with myasthenia gravis

A

YUP

31
Q

what parts of the brain are involved for partial/focal seizures

A

only one part (symptoms specific to that area)

32
Q

what is mononeuropathy

A

involvement of a single nerve

33
Q

what is a petit mal seizure

A

posture is maintained

repetitive blinking or other small movements present

typically brief (last a few seconds)

34
Q

what is ployneuropathy

A

bilateral symmetical involvement of peripheral nerves

35
Q

difference between X1 and X2 paradigm

A

X1 - side-to-side eyes on stationary target

X2 - side-to-side eyes on moving target

36
Q

what is radiculopathy

A

involvement of nerve roots

37
Q

with cerebellar lesions, what type of tremor is present

A

intention

38
Q

what divisions of the trigeminal nerve are most affected by trigeminal neuralgia

A

mandibular

maxillary

(opthalmic is rare)

39
Q

what is the liberatory maneuver for

A

posterior SCC BPPV

40
Q

what is vertigo

A

sensation of moving around in space or having objects move around a person

41
Q

symptoms of generzlied/grand mal seizure

A

dramatic loss of consciousness

stiffening

rhythmic movement of arms and legs

eyes generally open

42
Q

how long does a grand mal seizure last

A

2-5 minutes

43
Q

do cerebellar lesions produce ipsilateral or contralateral symptoms

A

ipsilateral

44
Q

what is myasthenia gravis

A

neuromuscular junction disorder characterized by

progressive muscular weakness

fatiagability on exertion

45
Q

what is BPPV

A

brief attacks of vertigo and nystagmus that occur with certain head positions

46
Q

symptoms of meniere’s disease

A

tinnitus

deafness

sensation of pressure/fullness within ear