REVIEW Flashcards

1
Q

rapid screen for stroke

A

BE FAST
Balance: check LOB/coordination
Eyes:
Face:
Arm:
Speech:
Time:

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2
Q

atypical synergies

A

predictable movement patterns occurring during voluntary OR as associated reactions. Thus, movements become “stereotypical” and restrictive of normal activities.

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3
Q

lumbar puncture diagnoses what conditions?

A
  1. inflam/infection: meningitis, encephalitis, MS
  2. subarachnoid hemorrhage
  3. pseudotumor cerebri (high opening pressure)
  4. cancer involving meninges
  5. INJECTING MEDS (chemo, anesth)
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4
Q

complications of lumbar puncture

A

post LP headache (positional)
bleeding
infection
back pain
(could rare: herniation, nerve injury)

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5
Q

CT is used for

A

acute: stroke, trauma
can see skull
vascular structures but NOT BRAINSTEM WELL
*radiation exposure

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6
Q

what is hyperdense and hypodense on CT

A

hyper: WHITE: bone
hypo: DARK: CSF, fat
BLOOD IS HYPERDENSE WHITE ON CT

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7
Q

what is hypodense on CT

A

stroke, edema, fluid, air

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8
Q

what is the best test for CNS diseases

A

MRI
infarcts, hemorrhages, vascular malformations, aneurysms, tumors, degenerative disorders, contusions, demyelination (MS), epilepsy, infections

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9
Q

DWI is what color in acute stroke

A

BRIGHT

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10
Q

what is myelography used for

A

visualization of subarachnoid space (via lumbar puncture)
spinal stenosis, cord AVM, tumor, abcess

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11
Q

conventional angiography is used for

A

occlusions, dissections, angiitis, aneurysms, vascular malformations
injection of thrombolytics

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12
Q

EEG is used for

A

seizures, brain death, encephalopathy, dementia, coma

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13
Q

VEP, BAEP, SSEP

A

visual: VEP: alternating checkerboard pattern
auditory: BAEP: auditory clicks through earphones
sensory: SSEP: Electrical stimuli applied to peripheral nerves

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13
Q

evoked potentials are used for

A

MS to find subclinical demyelination
brain lesions (BAEP)
acoustic neuroma (BAEP)
SCI (SSEP)

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14
Q

what is EMG?

A

Electromyography (EMG): Insertion of a small needle into individual muscles and recording of motor unit potentials at rest and with activity

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15
Q

what is NCV

A

Nerve conduction velocities (NCV): Electrical stimulation over nerves with recording of sensory and motor nerve potentials and velocities

16
Q

what do axonal neuropathies show on EMG/NCV

A

low amp on NCV
abnormal spont activity on EMG

17
Q

what do demyelinating neuropathies show on EMG/NCV

A

slowed conduction

18
Q

what do myopathies show on NCV/EMG

A

normal NCV, small duration, low amp pot

19
Q

MG on NCV/EMG

A

abnormalities on repetitive nerve stim

20
Q

lacunar pure motor stroke

A

weak face arm leg
IC or PONS

21
Q

lacunar sensory stroke

A

lack sensation in face arm leg
THALAMUS

22
Q

lacunar sensorimotor stroke

A

both face arm leg sens and motor
THALAMUS AND IC

23
Q

dysarthria/clumsy hand syndrome

A

lacunar stroke at base of pons

24
Q

ataxia/hemiparesis stroke

A

PONS/IC/ subcortex

25
Q

thalamic stroke

A

pain, sensory loss contra, mild hemiparesis

26
Q

cerebellar stroke: AICA

A

hearing loss
face weak
ataxia
horners syndrome

27
Q

PICA/vertebral artery stroke

A

Wallenburg
Spinothalamic
throat 9, 10 , 11, 12
autonomic

28
Q

superior cerebellar artery stroke

A

ipsi ataxia, scanning speech

29
Q

standard door to needle time in a stroke:

A

60 min! (45 or less is best)
for ever 30 min delay, 10% decrease in prognosis

30
Q

Intracerebral hemorrhage due to HTN is in what locations

A

putamen, cerebral hemisphere, thalamus, cerebellum, pons

31
Q

ICH score combines

A

ICH volume, IVH, age and GCS score

32
Q

predictors of TBI outcome

A

location of injury, size, area
LOC
PTA
age
prev hx of TBI
intelligence