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Surgery > Surgery Neuro > Flashcards

Surgery Neuro Flashcards

1
Q

Umbilical hernia associated with

A

African American
Premature birth
Beckwith wideman
Hypothyroidism

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2
Q

Lumbar Puncture or imaging first

A

Imaging if coma or Hx of neurosurg

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3
Q

Cataplexy

A

Loss of muscle tone with surge of emotion

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4
Q

Cataplexy tx

A

Sodium oxylate (abuse potential)

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5
Q

Narcolepsy features

A

Daytime drowsiness and cataplexy

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6
Q

Downs with torticollis and urinary incontinence

A

Atlanto-axial instability

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7
Q

Downs with torticollis and urinary incontinence and Babinski or upper motor neuron findings

A

Atlanto-axial instability

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8
Q

Downs with torticollis and urinary incontinence and Babinski or upper motor neuron findings

A

Atlanto-axial instability

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9
Q

what is conjugate gaze

A

moving eyes in same direction

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10
Q

where do conjugate gaze palsies come from

A

midbrain or pons stroke

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11
Q

where do conjugate gaze palsies come from

A

midbrain or pons lesion/stroke

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12
Q

where do conjugate gaze palsies come from

A

midbrain or pons lesion/stroke or…. Wernicke’s

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13
Q

wernicke’s is from what

A

from B1 thiamine deficiency

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14
Q

wernicke’s is from what

A

from B1 thiamine deficiency

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15
Q

Cerebellar infarction of vermis causes what

A

severe vertigo and nystagmus

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16
Q

cerebellar infarction of lateral cerebellum causes what

A

dizziness and ataxia

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17
Q

B12 deficiency causes what neurologic

A

impaired vibratory and position sense

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18
Q

B12 deficiency causes what neurologic

A

impaired vibratory and position sense

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19
Q

Wernicke’s Triad

A

1 encephalopathy,
2 oculomotor dysfxn,
3 gait ataxia

20
Q

what is
1 irreversible amnesia,
2 confabulation
3 apathy

A

Korsakoffs

21
Q

what is Korsakoffs caused by

A

Chronic thiamine deficiency

22
Q

Anterior Cord Syndrome

A

Total loss of motor at site of lesion

Loss of pain and temp on both sides below lesion

Normal Proprioception (DCML intact) DCML is posterior

23
Q

Central Cord Syndrome

A

Burning pain and paralysis in UE/ Sparing of LE

  1. Weakness in uppers
  2. loss of pain and temp in cape like distribution over neck shoulders upper arms and hands. (Patients may burn hands)
24
Q

Anterior Cord Syndrome with what type of injury

A

burst fracture of vertebra

25
Q

Central Cord Syndrome common in what injury

A

Elderly that hyperextend their neck

26
Q

Acute Disk prolapse

A

severe radicular pain with positive straight leg test

27
Q

Cauda Equina Syndrome

A

paraplegia, some sensory loss, urinary and fecal incontinence

28
Q

Brown Sequard Syndrome

A

Acute hemisection of cord and is characterized by ipsilateral motor proprioception loss and contra lateral pain loss below level of lesion

29
Q

Brown Sequard Syndrome

from what?
what is presentation?

A

Acute hemisection of cord and is characterized by ipsilateral motor proprioception loss and contra lateral pain loss below level of lesion

30
Q

Syringomyelia

A

presents with central cord syndrome

31
Q

tabes dorsalis

A

posterior spinal cord lesion

loss of proprioception
ataxia
paresthesia

32
Q

what causes tabes dorsalis

A

neurosyphilis

33
Q

Cushings triad

A

HTN
Bradycardia
Irregular eespirations

From increased ICP

34
Q

Burst fracture of vertebra associated with what

A

Anterior Cord Syndrome

35
Q

Korsakoffs

A

1 irreversible amnesia,
2 confabulation
3 apathy

chronic (Wernicke’s is acute)

36
Q

Cortical Dysplasia

A

congenital abnormality of neurons common in kids with epilepsy

37
Q

Tic Douloureux

A

External compression of trigeminal nerve V results in short bursts of pain lasting seconds to minutes

38
Q

Tabes Dorsalis

A

lesion of posterior spial cord with lost of proprioception, ataxia and paresthesia in Syphillis

39
Q

Cushing Reflex

A

HTN
Bradycardia
Respiratory Depression

40
Q

Inability to abduct the eye

A

CN 6 injury from uncal herniation

41
Q

Jugular Foramen syndrome

A

damage/compression to CN 9 glossopharyngeal from tumor

Loss of gag reflex
Loss of tast and sensation on posterior 1/3 of tongue

42
Q

MS Lesions

A

Multiple foci of white matter on CT. Periventricular regions revealed on MRI

43
Q

Syringomyelia

A

CSF from central canal of spinal cord is disrupted leading to compression of surrounding tissue…

lost of pain and temp below and
loss of UE motor

Classically whiplash

44
Q

Spondylosis

A

age releated wear and tear of a vertebra

45
Q

spondylolisthesis

A

forward movement of a vertebra, commonly L5

46
Q

Multiple Sclerosis

A

demylinating dz with TWO lesions of asymmetry

Nystagmus and Scanning speech are common.

47
Q

Twitching
Muscles weakness
cramping

A

ALS

Surgery (17 decks)

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