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Final Year - Neuro > revision course > Flashcards

revision course Flashcards

1
Q

Upper motor neuron lesion

A

Upgoing plantars
Hypertonia
Hyperreflexia

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2
Q

From where to where is upper

A

Cortex to anterior horn cell

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3
Q

Everything ends at which level

A

L2

Anything below L2 = lower motor neuron

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4
Q

Anterior circulation stroke findings

A

Hemiparesis
Aphasia
Apraxia
Neglect
Face, arm, leg

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5
Q

Posterior circulation stroke findings

A

Diplopia
Dysarthria
Dizziness
Dysphagia
Crossed findings

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6
Q

Anterior cerebral artery stroke

A

Leg>arm affected

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7
Q

Upper motor neuron facial nerve involvement

A

Forehead spared

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8
Q

Homonymous hemianopia is where

A

Behind optic chiasm e.g. left occipital lobe if right homonymous hemianopia

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9
Q
A

Homon

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10
Q

iF symptomatic carotid artery stenosis

A

Carotid doppler or CTA/MRA - consider carotid endarterectomy

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11
Q

Stroke long term management

A

Clopi

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12
Q

Stroke long term management if someone has AF

A

Apixaban

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13
Q

Stroke long term management if someone has more than 70 percent carotid artery stenosis +event

A
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14
Q

scoring system for stroke and AF for whether you’re going to anticoag them

A

Chadsvasc score 2 or more for W, 1 or more for M

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15
Q

TIA without AF - mx

A

Aspirin 300mg 14 days then convert to clopidrogel

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16
Q

Vertigo, right sided intention tremor, dysdiadokinesia etc - which side is the problem?

A

IPSILATERAL INNERVATION

17
Q

TIA with AF

A

Apixaban / DOAC

18
Q
A

thrombolysis within 4.5

thrombectomy only if large vessel occlusion

19
Q

SAH - when do you do LP?

A

CT negative - ONLY after 12 hours after the onset of the haemorrhage

20
Q
A
21
Q

stroke within 4.5 hrs

A

Put out a stroke call
Urgent CT head
Don’t give 300mg if thrombolysing - aspirin is only if not within thrombolysis target

Thrombectomy - within 6 hrs

22
Q

Headache red flags

A

Age over 50 - GCA
Neuro - Neuro signs, confusion
Onset maximum suddenly
Pattern change - ncreasing frequency
Fever/weight loss
Worse lying flat/coughing/exertion

23
Q
A

Final Year - Neuro (13 decks)

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