Nuero CCP

Question 1

lyme disease

Answer 1

rash

erethema migrans

Question 2

dysesthesia

Answer 2

distorted sensation to stimulus

Question 3

paresthesia

Answer 3

distorted without sensation

Question 4

DTR increase

Answer 4

CNS lesion

hyperreflexia

Question 5

DTR decrease

Answer 5

PNS lesion

hyporeflexia

Question 6

differential for neuropaties

Answer 6

increased B6
decreased B12
DM II
lyme
myasthenia gravis
malabsorpion

Question 7

campylobacter

Answer 7

causes guiann barre

-diarrhea

Question 8

zoster

Answer 8

shingle

Question 9

repetitive nerve stimulation

Answer 9

myastenia gravis

best diagnostic nerve test to perform because it wears out available ACh more quickly than demand is created by stimulation

Question 10

multiple myeloma

Answer 10

often have B12 deficiency

Question 11

methylmelonic acid

Answer 11

most sensitive for B vitamins

Question 12

VDRL

Answer 12

screen for syphilis

Question 13

classic multiple sclerosis

Answer 13

numbness and tingling that comes and goes

with bizarre symptoms

Question 14

myasthenia gravis

Answer 14

not tired, but weak
-fatigue

ptosis, diplopia
bulbar symptoms
limb weakness or fatigability

antibodies against ACh receptor
-autoimmune

Question 15

edrophonium test

Answer 15

AChestersae inhibitor

-should improve strength acutely

Question 16

autoimmune polyradiculoneuropathy

Answer 16

guillan barre

Question 17

EMG

Answer 17

electromyogram

-distinguishes nerve or muscle involved

Question 18

NCS

Answer 18

distinguish axonal or demyelinating or mixed pattern

Question 19

EMG

Answer 19

electrode in muscle

-activity rest and contraction

Question 20

NCS

Answer 20

stimulates motor or sensory nerves electrically at 2 or more site
-muscle at one site for motor nerve measure or another place along nerve for sensory

Question 21

amyloid

Answer 21

abnormal protein deposition in organs or tissues

can deposit in nerves

biopsy diagnosis

Question 22

idiopathic

Answer 22

“idiots about the pathology”

Question 23

prognosis better

Answer 23

for demyelinating

-regenerates quicker

Question 24

prolonged QT interval

Answer 24

low K, Mg, Ca
arsenic
CVA (stroke)
drugs

Question 25

DMSA and EDTA

Answer 25

chelating agents

to get heavy metals out

Question 26

Tx for polyneuropathy

Answer 26

topicals - lidocaine
opiods
antiepileptics
tricyclic antidepressants