Vascular Flashcards

1
Q

The typical presentation of pontine hemorrhage is?

A

Coma + HTN + pinpoint reactive pupils.

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2
Q

MOA of anterior shoulder dislocation?

A

Abd and external rotate

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3
Q

SAH presens with?

A

sudden onset HA

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4
Q

Thalamic hemorrhage presents with?

A

AMS, contralateral motor and sensory issues.

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5
Q

Cerebellar hemorrhage presents with

A

impaired gait and speed, limb ataxia

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6
Q

flexor tenosinovitis presents with

A

pain with finger ext and associated with felon.

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7
Q

An AP radiograph shows a round cuboid lucency is a sign of?

A

Bone destruction with osteomyolitis

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8
Q

pseudomonas from a nail in the shoe is tx with?

A

Cipro (FQ)

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9
Q

lucid interval, biconvex opacity, middle meningeal artery is what type of brain bleed

A

epidural

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10
Q

if a patient has warfarin and developes a brain bleed, how do you tx them?

A

Vit K , prothrombin, and FFP

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11
Q

contralateral hemisensory loss is associated with what part of the brain?

A

Thalamus

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12
Q

Clear speech w/ poor understanding is due to a lesion in the

A

temporal region

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13
Q

Good understanding and poor speech is due to a lesion in the

A

frontal region

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14
Q

myasthenic crisis with sob is tx with

A

negative inspiratory force

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15
Q

low-birth-weight children preterm and substance abuse can lead to what

A

cerebral palsy

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16
Q

myasthenia gravis will most likely exhibit ——- deep tendon reflexes

A

Normal

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17
Q

periventricular white matter, lumbar puncture may show oligoclonal bands

A

MS

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18
Q

Becomes more prevalent the farther you live from the equator

A

MS

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19
Q

what metric is used to grade SAH? how can you medically stop vasospasms?

A

Hess and Hunt: worse with motor issues

Tx = Nimodipine

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20
Q

Contralateral hemiparesis/hemiplegia, Contralateral sensory loss, ipsilateral deviation of the eyes, stupor, coma and mydriatic pupils

A

Left putamen

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21
Q

monocular vision loss, sensory abnormalities, decreased color vision in her left eye

A

MS

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22
Q

Morning headaches associated with vomiting are indicative of increased intracranial pressure and raise concern of a CNS ——–

A

glioblastoma

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23
Q

motor abnormality that does not progress, brain lesion. what is this?

A

Cerebral palsy

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24
Q

No 1 risk factor for Cerebral palsy ?

A

pre-maturity birth

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25
Q

Is Cerebral palsy regression?

A

no

26
Q

if primitive reflexes persist, the kid has?

A

Cerebral palsy

27
Q

Cerebral palsy leads to what if not treated?

A

aspirative PNA, Kernicterus

28
Q

Neuro syncope is due to

A

Cardiac C fibers - vasodilate->brady & HoTN

29
Q

MCC of syncope?

A

vasovagal

30
Q

micturition or carotid sinus hypersens can lead to

A

syncopy

31
Q

syncopy diag?

A

tilt test

32
Q

Do concussions have a brain bleed?

A

no

33
Q

AV malformations is associated with

A

aneurysms and ICH

34
Q

AV malformations sxs

A

ICH, seizure, headhaches,

35
Q

AV malformations diag?

A

MRI - vessels

Gold - Xray Angio, CT helps

36
Q

AV malformations tx?

A

neurosurgical referral

37
Q

AV malformations can lead to

A

hemorrhages

38
Q

mass effect, well circumscribed

A

Benign neoplasm

39
Q

MC Benign neoplasm ?

A

meningioma - benign

glioma - bad

40
Q

Benign neoplasm diag?

A

MRI

41
Q

Benign neoplasm =tx?

A

surgery

42
Q

low mets are associated with (due to BBB)

A

Malignant neoplasms

43
Q

MC met is to the?

A

brain, from lung/breast

44
Q

MC primary brain tumor is?

A

glioma (glioblastoma)

45
Q

Malignant neoplasms diag? TX?

A

MRI and surgery

46
Q

complications to Malignant neoplasms

A
cebreal edema (steroids)
Seizure (val, lamic)
47
Q

CRPS is

A

severe pain + post surgical + trophic changes. Pain doesnt follow dermatomes or nerves

48
Q

CRPS sxs

A

4-6 wks post surgery, red, hot, dusty red, decreased ROM, more hair frowth, skin atrophy

49
Q

CRPS diag/ Tx

A

work up will be negative clinical/pt or ot, nsaid

50
Q

encephalopathic diag?

A

Clinical, CSF analysis

51
Q

will Radiculopathy had decreased DTR, numbness, weakness?

A

yes

52
Q

loss of conscience, HA, N/V, blurrued vision after MVA could be due to a?

A

traumatic brain injury

53
Q

GCS mild is? Severe GCS is?

A

13-15, 8 and under

54
Q

Trigeminal neuraglia is tx with?

A

Carbamezapine then Stereotactic Gamma knife surgery

55
Q

What is Argyll-Robertson

A

Syph or DM, small irreg pupils that react to vision but not to light.

56
Q

The lack of altered consciousness and focal motor symptoms are strongly indicative what kind of seizure?

A

Simple - partial

57
Q

What spinal nerve root associated with deltoid and biceps weakness and diminished biceps reflex

A

C5

58
Q

What spinal nerve root triceps weakness and paresthesias in the middle finger and diminished brachioradialis reflex

A

C7

59
Q

What spinal nerve root is most likely affected in a patient with weak wrist extension, thumb and index finger paresthesias and diminished triceps reflex?

A

C6

60
Q

widespread muscle atrophy, fasciculations, and bilateral hyperactive reflexes with Babinski sign. Which of the following is the most likely diagnosis?

A

Amyotrophic lateral sclerosis