UWorld Questions Flashcards
Most important risk factor for stroke?
Hypertension
Which type of hematoma crosses suture lines?
Subdural hematoma
Fetal hydantoin syndrome
Caused by mother use of carbamazepine or phenytoin. Microcephaly, cleft lip/palate, digital hypoplasia, hirsuitism.
Long term sequelae of bacterial meningitis?
Hearing loss, mental retardation, loss of cognitive function, seizures, spasticity or paralysis.
Creutzfeld Jacob Disease Symptoms.
Rapidly progressive dementia, ataxia, myoclonus, hypokinesia, bi/triphasic sharp waves on EEG.
What is preserved in brain death?
Deep tendon reflexes – no brain needed.
Symptoms of hypokalemia
Weakness and cramps in extremities. Broad flat t waves, u waves, can cause vfib or torsades.
What is biggest risk factor for development of cerebral palsy?
Prematurity before 32 weeks.
Most common form of cerebral palsy in premature infants?
Spastic diplegia. Hypertonia and spasticity in legs often with an equinovarus (down and in) deformity of the foot.
When to perform craniotomy after a epidural hematoma?
Cerebellar signs, pupil defect, GCS
What causes anterior cord syndrome?
Paraparasis, loss of pain and temp. Proprioception intact. Caused by a burst fracture of a vertebrae
Cauda equina syndrome
Motor loss on one side, variable sensory loss, urinary and fecal incontinence.
Wernicke’s encephalopathy
Due to malnutrition (lack of B1). Gait dysfunction, ocular problems, altered mental status.
Key indicator of dementia?
Impaired functioning with ADLs and IADLS
Multiple System Atrophy symptoms
Autonomic dysfunction with parkinsonism. AKA shy-drager syndrome.