Semiologia neurológica Flashcards

1
Q

Papiledema sugere

A

Hipertensão intracraniana

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2
Q

Primeiro sinal de hipertensão intracraniana à oftalmoscopia

A

Ausência do pulso venoso

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3
Q

Manchas de Roth à oftalmoscopia sugerem

A

Endocardite infecciosa

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4
Q

Sinal de Romberg

A

Ataxia sensitiva que piora significativamente ao fechar os olhos - sugere lesão de fibras proprioceptivas grossas (lemnisco medial)

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5
Q

Hemorragia sub-hialoide sugere

A

hemorragia subaracnoidea

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6
Q

Paralisia facial central vs periférica

A

Central só hemiface inferior contralateral

Periférica toda hemiface ipsilateral

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7
Q

Paralisia de Bell

A

Paralisia facial periférica idiopática responsiva a corticoide e de bom prognóstico

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8
Q

Manobra Dix-Hallpike

A

Diagnóstico de vertigem posicional paroxística benigna

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9
Q

Manobra de Epley

A

Tratamento de vertigem posicional paroxística benigna

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10
Q

Inervação da língua

A

Motora - hipoglosso
Sensitiva 1/3 posterior - glossofaríngeo
Tátil 2/3 anteriores - ramo mandibular
Gustativa 2/3 anteriores - facial

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11
Q

Síndrome piramidal

A

Lesão em SNC provocando déficit motor: Hipertonia, hiperreflexia, clônus e sinal de Babinski

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12
Q

Lesão cerebelar axial (vérmis)- achados

A

Marcha atáxica ou ebriosa, disartria, nistagmo

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13
Q

Anomia

A

Não nomeia

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14
Q

Anomia

A

Não nomeia

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15
Q

Lesão cerebelar apendicular (hemisférios)- achados

A

Tremor de intenção, incoordenação, dismetria, decomposição do movimento e disdiadococinesia

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16
Q

Hipertonia elástica vs plástica

A

Elástica- espasticidade

Plástica- Parkinson (rigidez roda denteada)