Nutritional and toxic disorders of the nervous system

Question 1

Pinpoint pupils

Answer 1

opiate overdose

Question 2

wernicke’s encephalopathy

Answer 2

thiamine deficiency

Question 3

confusion, ataxia, ophthalmoplegia, nystagmus

Answer 3

wernicke’s encephalopathy tetrad

Question 4

wernicke’s tx

Answer 4

thiamine before glucose

Question 5

hemorrhagic mamillary bodies

Answer 5

wernicke’s encephalopathy

Question 6

wet beriberi = thiamine deficiency

Answer 6

peripheral edema, cardiomegaly, cardiomyopathy, CHF, arrhythmia, tachycardia

Question 7

dry beriberi = thiamine deficiency

Answer 7

sensorimotor peripheral neuropathy w/ weakness and distal sensory loss

Question 8

vitamin B12 deficiency

Answer 8

subacute combined degneration

Question 9

garlic breath

Answer 9

arsenic poisoning

Question 10

almond odor

Answer 10

cyanide

Question 11

alopecia and painful neuropathy

Answer 11

thallium

Question 12

cherry-red skin

Answer 12

carbon monoxide and cyanide poisoning

Question 13

wrist and foot drop & encephalopathy

Answer 13

lead poisoning

Question 14

optic nerve necrosis

Answer 14

methanol poisoning

Question 15

globus pallidus necrosis

Answer 15

carbon monoxide

Question 16

putamen necrosis

Answer 16

methanol