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Y3 Neurology > Peripheral Neuropathies > Flashcards

Peripheral Neuropathies Flashcards

1
Q

how are reflexes affected in large motor fibre neuropathies

A

reflexes absent

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2
Q

how are reflexes affected in large sensory fibre neuropathies

A

reflexes absent

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3
Q

how are reflexes affected in small fibre neuropathies

A

reflexes present

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4
Q

what type of neuropathy can cause impotence, nausea, orthostatic hypotension and dizziness?

A

autonomic neuropathy

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5
Q

how are reflexes affected in autonomic neuropathies

A

reflexes present

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6
Q

does mononeuritis multiplex affect proximally or distally?

A

distal

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7
Q

is mononeuritis multiplex symmetric?

A

asymmetric

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8
Q

is mononeuritis multiplex a mononeuropathy or polyneuropathy?

A

polyneuropathy

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9
Q

what modalities are affected in mononeuritis multiplex?

A

sensory + motor

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10
Q

what is the aetiology of mononeuritis multiplex?

A

vasculitis, DM

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11
Q

what is the mx of mononeuritis multiplex?

A

IV CCS +- cyclophosphamide

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12
Q

myeloma, breast cancer and SCLC can cause why type of neuropathy?

A

paraneoplastic axonal neuropathy

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13
Q

DM, B12/folate deficiency, hypothyroid, chronic uraemia, porphyria can cause why type of neuropathy?

A

metabolic axonal neuropathy

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14
Q

what condition is a risk factor for bell’s palsy

A

DM

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15
Q

what is the mechanism of bell’s palsy

A

idiopathic / unknown

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16
Q

is bell’s palsy a LMN or UMN problem

A

Can have either LMN or UMN VII palsy

Bell’s is LMN

17
Q

is bell’s palsy uni or bilateral

A

unilateral

18
Q

what factor distinguishes an UMN and LMN lesion in bell’s palsy

A

can’t wrinkle forehead = LMN

19
Q

can bell’s palsy cause excessive eye watering or absent eye watering?

A

excessive eye watering (epiphora)

20
Q

diagnosis of bell’s palsy

A

clinical

21
Q

management of bell’s palsy in primary care

A

early PO CCS, +- acyclovir

22
Q

what type of ulcer is a comp of bell’s palsy?

A

corneal ulcer

Y3 Neurology (23 decks)

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