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Systemic Lab > Quiz > Flashcards

Quiz Flashcards

1
Q

DO mitochondrial myopathies have acquired symptoms

A

YES! Ptosis, EOMS, are acquired

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2
Q

What gaze may be unaffected in mitochondrial myopathies

A

Downgaze

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3
Q

Kearns Sayer key symptoms

A

Night blindness, short stature. Dementia, DM. Heart. Pigment retinopathy.

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4
Q

Kearns Sayer tx

A

low carbs, high lipid, B1 and B7 (biotins) COQ10,

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5
Q

What to avoid in Kearns sayer

A

valproate and phenobarbital. Seizure meds.

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6
Q

MELAS

A

have lactic acidosis, have encephalopathy with developmental delay seizures and dementia. Opthamologples, optic atrophy. Pig retinopathy.

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7
Q

MNGIE

A

GI problems and leukoencephaly

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8
Q

SANDO syndrome

A

Sensory, Ataxic neuropahty, dysarthria, opthamoplegia. Furrowed tongue.

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9
Q

Leigh Syndrome

A

Subacute necrotizing enechalomyelopathy. Atonia. Occurs in children. Strabismus, pig retinopathy, optic atrophy, ptosis, nystagmus, skew.

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10
Q

TX for eight syndrome

A

Decreased carbs, increased lipids, B1, COQ10. Sodium citrate for lacticacidosis

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11
Q

Mito myopathies with pig retinopathies

A

Kay’s sayer (night blindness), Minas, Leight.

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12
Q

Myotonic Dystrophy

A

Look aged, Christmas tree cataract. Mitotic pupils. Retinal dystrophy with sclera showing.

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13
Q

TX for myotonic dystrophy

A

phenotonin for myotonia. Cataract, ptosis, prism for diplopia

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14
Q

Oculopharyngeal dystrophy

A

Hispanic. Dysphagia, Astrologist posture. Ptosis is bilateral and complete and EO is mild if present.

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15
Q

DX of oculopharyngeal dystrophy

A

High creatine phosophkinase. Vacuoles in muscle.

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16
Q

Grave’s Disease

A

Fibrotic. IM SLO. Tendons will be spared.

17
Q

Myositis

A

IIOP (idiopathic inflammatory orbital psudotumor). Inflammation where tendons are not spared. Treat with steroids. Have painful acute onset of diplopia, conj chemises with edema or proptosis.

18
Q

Brown SO tendon sheath

A

difficulty for adduction and up gaze. IF acquired treat with corticosteroids.

19
Q

Eye questions for como

A
  1. misalignment 2. conjugate gaze deviation 3. spontaneous eye movements 4. doll’s eye?
20
Q

horizontal deviation with hemiparesis

A

if hemispheric lesion it will be away from the hemiparesis. If thalamus or pons it will be toward the hemiparesis.

21
Q

Caloric testing

A

COWS. The fast phase. Cold=away. Warm=same.

22
Q

Lesion in horizontal canal with testing

A

Fast will be contralesional

23
Q

Atypical bobbing

A

Horizontal movements too

24
Q

Reverse bobbing

A

Quick phase up

25
Q

Inverse bobbing

A

very slow downward

26
Q

Converse bobbing

A

very slow upward

27
Q

Depressants HGN, VGN, pupils, body temperature, pulse, convergence, lids, light

A

Alcohol, barbiturates, soma (qualludes). HGN yes, VGN with big amounts, pupils (normal except with soma), decreased pulse (except with qualludes and etch), normal temperature, convergence decreased, ptosis. slow reaction to light. flaccid muscle tone.

28
Q

Stimulants

A

Meth and cocaine. Only dilate eyes. Slow reaction to light. Have increase temperature, pulse rate, blood pressure. Rigid muscle tone.

29
Q

Number one drug in oregon

A

Meth

30
Q

Prescription Stimulants

A

Ritaline, Adderal, Dexedrine, Atomoxetrine (non prescription but serious SE)

31
Q

HGN

A

Depressants, Inhalents, PCP

32
Q

VGN

A

Depressants, Inhalts, PCP

33
Q

Lack of convergence

A

Cannabis, Inhallents, Depressents, PCP

34
Q

Dilation of eyes

A

Cannabis, stimulants, hallucinogens.

35
Q

Constriction of eyes

A

narcotics

36
Q

Slow light response

A

Stimulants, Narcotics, inhalents, Depresessents.

37
Q

Normal light response

A

PCP, hallucigenics, Cannabis.

38
Q

Myopathies and pig retinopathy

A

kauert sauer, MELAS,

Systemic Lab (3 decks)

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