Peripheral nerve diseases

Question 1

Unilat facial weakness without other sxs?

Answer 1

Bells palsy (CN 7)

Question 2

Cant close eye, cant smile, cant raise eye brows. What is this? With Ipsolateral ear pain

Answer 2

Bell’s palsy

Question 3

Does stroke spare the forehead?

Answer 3

Yes - lower facial paralysis

Question 4

How do you treat bells?

Answer 4

Acyclovir, patch, ICS

Question 5

chronic hyperglycemic, lower extremity neuropathy, bladder/sex dysfunc

Answer 5

Diabetic peripheral neuropathy

Question 6

Diabetic peripheral neuropathy diag?

Answer 6

LABS, nerve study, renal failur, Vit B 12

Question 7

Diabetic peripheral neuropathy tx?

Answer 7

Control Sugar, gabapentin, compression stockings

Question 8

Guillian barre is due to?

Answer 8

Campylobacter, flu shot

Question 9

does Guillian barre have low DTR

Answer 9

yes

Question 10

Ascending paralysis is?

Answer 10

Guillian barre

Question 11

Guillian barre diag?

Answer 11

CSF (high protein)

Question 12

Guillian barre tx?

Answer 12

IVIG + Plasmapheresis

Question 13

Guillian barre complication

Answer 13

resiratory failure

Question 14

improves with rest and worse paralysis with activity is

Answer 14

Myasthenia gravis - Ab Acetylcholin receptor

Question 15

ptosis with muscle weakness is? chewing weakness?

Answer 15

Myasthenia gravis

Question 16

Myasthenia gravis diag?

Answer 16

Edrophonium and MRI

Question 17

why do you do an CXR with Myasthenia gravis?

Answer 17

Rule out Thymoma

Question 18

Myasthenia gravis tx?

Answer 18

Pyridostigmine, thymectomy, IVIG, Plasmaperesis

Question 19

Lambert Eaton Synd is associated with?

Answer 19

Small cell Lung cancer

Question 20

Meningitis mcc is?

Answer 20

viral

Question 21

Aseptic Meningitis is due to?

Answer 21

NSAIDS

Question 22

farm worker or pregnancy get Meningitis from?

Answer 22

Listeria

Question 23

Meningitis in neonates is due to?

Answer 23

Strep pyo

Question 24

Meningitis in 2m -6y is due to?

Answer 24

Strep pneumo

Question 25

Pt presents with Fever
o Altered mental status
o Stiff neck, 
o Photophobia
o Petechial rash, what is it?

Answer 25

meningitis

Question 26

Poor feeding, irritable, bulging fontanelles, lethargic sxs of?

Answer 26

meningitis

Question 27

meningitis diag?

Answer 27

clinical, CT ->LP

Question 28

meningitis tx?

Answer 28

<8 wks age: Ampicillin + Cefotaxime (Ceftriaxone - liver problems in kids)
3m+ = Ceftriaxone + Vancomycin
ETOH, immunocomp = Ceft, Vanco, Amp

Question 29

encephalitis diag?

Answer 29

CT, LP MRI (temporal lobes HSV)

Question 30

Encephalitis MRI will show?

Answer 30

Bitemporal lobes white

Question 31

Encephalitis tx?

Answer 31

acylovir, foscarnet.
Meningitis Abx (Amp + Vanco, Cetriaxone)

Question 32

bacterial CSF is

Answer 32

High open pressure, high protein, high PMN, low glucos

Question 33

viral CSF

Answer 33

protien, iop, glucose = normal,

Lymphocytes

Question 34

encephalitis CSF is

Answer 34

high pressure, normal protein, lymphocutosis, normal