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Neurology week 5 > Pattern recognition in neurology > Flashcards

Pattern recognition in neurology Flashcards

1
Q

Movement disorders affecting the pyramidal/UMN?

A

Pyramidal weakness

Spasticity

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2
Q

Hyperkinetic MD?

A 
Dystonia
Tics
Myoclonus
Chorea
Tremor

Affect basal ganglia

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3
Q

Hypokinetic MD?

A

Parkinsonism

Parkinsons

Affect basal ganglia

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4
Q

Features of UMN weakness?

A

Increased tone
Brisk reflexes
Pyramidal pattern (Weak extensors in arm, flexor in leg)

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5
Q

Features of LMN weakness?

A

Wasting
Fasciulation
Decreased tone
Decreased or absent reflexes

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6
Q

Features in muscle disease?

A

Wasting
Decreased tone
Decreased or absent tendon reflexes

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7
Q

Features in NMJ disease?

A

Fatiguable weakness
Normal/decreased tone
Normal reflexes
No sensory symptoms

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8
Q

Features in functional weakness

A 
No wasting
Normal tone
Normal reflexes
Erratic power
Non-anatomical loss
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9
Q

Cerebellar signs?

A

Borad based gait and unsteady

Intention tremor/ataxia

Dysdiadochokinesis- Clumsy fast alternating movements

Nystagmus and dysarthria

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10
Q

Extrapyramidal symptoms?

A 
Bradykinesia
Hypomimia
Hypophonia
Reduced arm swing, festination
Assymmetry in PD
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11
Q

What is the frontal lobe responsible for?

A

Personality, executive function

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12
Q

Defects that can occur in temporal lobe?

A 
Memory dysfunction
Agnosia
Language
Visual field
Auditory dysfunction
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13
Q

Defects that can occur in parietal lobe?

A

Visual field defect
Sensory dysfunction
Dyspraxia
Innattention

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14
Q

Treatment options for Parkinsons?

A 
Levodopa
Dopamine agonist
MAOB inhibitors
Anticholinergics
Amantadine- NMDA antagonist
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15
Q

Cardinal features of PD?

A

Resting tremor
Rigidity
Bradykinesia
Postural instability

Usually assymetrical

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16
Q

Cardinal features of MS?

A

Vision problems
Stiffness
Weakness

Symptoms can worsen with fever or higher temps

17
Q

LMN signs?

A

Fasciculations

Wasting in groups outside a single myotome

18
Q

UMN signs?

A 
Increased tone
Clonus
Loss of dexterity
Brisk reflexes
Babinski sign
19
Q

Symptoms of lacunar syndromes?

A

Motor hemiparesis or

pure sensory deficit of one side

20
Q

Symptoms of posterior circulation syndrome

A 
CN palsy
Uni or bilateral motor or sensory deficit
Disorder of conjugate eye movement
Cerebellar dysfunction
Homo hemianopia
Cortical blindness
21
Q

Symptoms of total anterior circulation syndrome?

A

Hemiplegia and homonymous hemianopia contralateral to lesion
Aphasia or visuospatial disturbance
+/- sensory deficit contralateral to lesion

22
Q

Symptoms of anterior circulation syndrome?

A

Unilateral motor or sensory, aphasia or visuospatial neglect

Motor or sensory deficit

Neurology week 5 (7 decks)

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