PANCE Neuro 8/11/20 Flashcards
1
Q
what is the autodominate neurodegenerative disorder that affects chromosome 4
A
Huningtons
2
Q
what are the three areas affected by hubtingtons
A
- behavorial
- chorea
- dementia
3
Q
what the the CT show of hungtigtons
A
cerebral and caudate nucleus atrophy
4
Q
what age for huntingtons
A
30-50
5
Q
what age for essential (benign tremor)
A
60
6
Q
what is another name for essential tremor
A
benign
7
Q
what is the tx for essential tremor
A
propanolol
8
Q
idopathic dopamine depletion
A
parkinsons
9
Q
what is the #1 tx for tourette’s
A
habit therapy
10
Q
what disease is a necrosis of both upper and lower motor neuron
A
ALS
11
Q
what 3 things are spared in ALS
A
- sensation
- eye movements
- urination
12
Q
tx for ALS
A
- riluzole
13
Q
what are the 2 dopamine agonist used in RLS
A
- praminpexole
- ropinirole
14
Q
what supplementation may you use in RLS
A
iron
15
Q
what infection increases the chances of someone getting GBS
A
- campylobactor jajuni
16
Q
what direction is GBS
A
ground up (Gbs)
17
Q
what is the CSF in GBS
A
high protein
normal WBC
18
Q
what Tx is contraindicated in GBS
A
prednisone
19
Q
what are the two tx for GBS
A
- plasma pharesis
- IVIG
20
Q
what condition involved autoimune antiobodies against ACH
A
myasthenia Gravis
21
Q
what muscles are most effected with myasthenia Gravis
A
eyes
22
Q
myasthenia Gravis eye movement that is most effected
A
upward gaze
23
Q
what is the treatment for myasthenia Gravis
A
“stigmines”
24
Q
what dx is similar to myasthenia Gravis but improves with movement
A
lambert eaton syndrome
25
lambert eaton syndrome is associated with what condition
small cell lung cancer
26
what autoimmune condition is unilateral eye pain that gets worse with movement
MS
27
what are the 2 dx of MS
MRI: what matter plques
LP: oligoclonal bands
28
what is the primary tx for MS flares
corticosteroids
29
what medication is helpful with fatigue in MS
amantadine
30
what is a ulilateral facial nerve palsy of CN 7
bells palsy
31
what condition is bells palsy associated with
- herpes
32
what are the two treatments for bells palsy
- steroids
| - artificial tears
33
what is a tension HA described as
"tight- Band like"
34
what is the MC type of HA
tension
35
what are the 3 1st line tx for tension HA
asprin
acetaminophen
NSAID
36
what is the suspected cause of migraine HA
dilation of blood vesicles by the trigeninal nerve
37
what are the 2 primary tx for migranes
- triptans
| - ergoatamines
38
what medicaton class is used as a prophalacitic tx for migranes
antihypertensives
39
what is the CI to triptans and ergots
CAD, PVD
40
what medication is the tx for trigenial neralgia
carbamazapine
41
what is the dx for idiopathic intracranial HTN
LP with elevated pressure
42
what is the tx for idiopathic intracranial HTN
acetazolamide
43
what is the triad for NPH
dementia
gait disturbance
urinary incontinence
44
what is the ventriculoperitonial shunt used for
NPH
45
what is the best test for brain injury
CT
46
acute abrupt transient confused state
delirum
47
what is the best test for alzheimers
CT (Atrophy of cortex)
48
- donexpzil
| - memantine are used to tx what
alzheirmers
49
what is the most imortant risk factor for vascular dementia
HTN
50
what is the MC brain cancer in adults
GBM (this is a type of astrocytoma)
51
what type of brain cancer is associated with NF 1
menigioma
52
jefferson fx is what level
C1
53
hangmans fx what level
C 2
54
clay shovalers fx
C 7
55
clay shovalers fx
C 7
56
Brown swquard syndrome
motor ipsilateral
| pain and temp contralateral
57
SCI loss of vibratory sense only
posterior cord syndrome
58
what symptoms does an occultion if ICA cause
amaurosis fugax
59
after a CT to confirm it's a TIA what meds
aspirin
| plavix
60
what medication for ishemic stroke
TPA
61
what you think it's a stroke what is the test
non contrast CT
62
managemnet of hemmoragic stroke
shunt
63
what is the cause of bacterial meningitis 18- 50
step penumo
64
bacterial meningitis LP
- Protein:
- Glucose:
- WBC:
- Protein: elevated
- Glucose: decreased
- WBC: elevated
65
viral meningitis LP
- Protein:
- Glucose:
- WBC:
- Lymphocyte:
- Protein: normal
- Glucose: normal
- WBC: normal
- Lymphocytes: elevated
66
viral meningitis LP
- Lymphocytes
- gram stain:
- Lymphocytes: +
| - gram stain: -
67
how do you tell the difference between enphalitis and menngitis
enchephalitis associated with abdormal cebral function
68
lip smaking what type of seizure
complex partial
69
tx petit mal seizure
ethusuximide
70
tx of grand mal seizure
valproic acid
71
how do you treat strep pneumo meningitis 1-18
ceftriaxone + vanco
72
how do you treat strep pneumo meningitis 18- 50
ceftriaxone + vanco + ampcillin
73
MCC encehpahlitis (viral)
HSV -1
74
MCC menengitis (viral)
coxackie
75
what % of GBS recover after 1 year
60%
76
MG is associated with a dysfunction in what organ
thyroid
77
if someone OD on their MG meds "sigmines" what do you do 2
plasmapheresis
| IVIG
78
what is charcots neurologic triad associated with
MS
79
what medication for relapmsiing remiting MS
glatiramir
80
honers syndrome is associated with what
cluster HA
81
how do you tx cluter HA
O2
| - sumatriptan
82
fungal Meningitis CSF
- Glucose:
- WBC:
- Glucose: decreased
| - WBC: lymphocytes
83
LP with xanthocromia what
subarachnoid hemorrhage
84
what is cushing reflex 3
- irregular respiration
- HTN
- Bradycardia
85
what is cushing reflex associated with
GBM
86
CNS lymphoma associated with what
large B cell lymphoma
87
CNS lymphoma risk factor
EBV
88
loss of pain and temp + light touch + Lower extremity motor
what area of the cord
anterior
89
shawl distribution
| what area of the cord
central
90
what area of the brain is affected
- flat affected
- impaired judgement
right
91
what area of the brain is affected
| - poor math skills
left
92
Brocas and wernicke area affected by what artery
Middle cerebral
93
MC location of a berry
COW
94
MOI for epidural hematoma
temporal bone fx
95
lenticular shaped bleed on CT
epidural hematoma
96
tering of cortical briding veins due to blunt trauna what type of hematoma
subdural
97
what shape for subdural hematoma on CT
cresent shape
98
bacterial meningitis < 1 month cause
Strep agalactate
99
bacterial meningitis 1 month - 18 years cause
N meningitdis
100
PEP meningitis
cipro
101
tx for viral encepalitis
valacyclovior
102
what type of seizure if conscientious maintained
simple partial
103
no post ictal phase what seizure
absense
104
how do you tx status epilepticus
bezos
105
ramusy hunt what nerve
facial
