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NEUROLOGY SHELF! > World > Flashcards

World Flashcards

1
Q

HSV Encephalitis Presentation

A

Acute neuro findings
Temporal involvement
CSF Lymphocytosis, RBCs, and ↑ protein

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2
Q

Benzo Reactions in Elderly

A

Paradoxical agitation
AMS
Falls

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3
Q

Infant von gierke presentation

A

3-4 months old
hypoglycemia–> sz
lactic acidosis
↑ uric and lipids

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4
Q

Infant von gierke looks

A

doll like face (fat cheeks)
thin extremities
short
↑ tummy (liver/kidney enlarged)

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5
Q

Anterior humeral dislocation nerve problem

A

most common dislocation

Axillary nerve damage

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6
Q

caused by shearing forces to the bridging veins

A

subdural hematoma

crescent shaped hypodensity

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7
Q

Antipsychotics cause prolactinemia by blocking Da in the _________ pathway

A

tuberoinfundibular

hyper-prolactin–> sex dysfx,

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8
Q

Transtentorial herniation is most likely to affect this CN

A

CN 3

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9
Q

What is MOA of modafinil

A

non-amphetamine
Promotes awakness
1st line for daytime sleepiness

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10
Q

What’s the scariest complication of guilan barrie

A

resp failure

serial forced vital capacity can monitor

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11
Q

Internal Carotid injuries can result from?

A

posterior oropharyngeal injuries

aka tripping with toothbrush in mouth

s/s: hemiplegia, facial droop, aphasia

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12
Q

Neurofibromatosis Type 1 s/s

A 
cafe-au-lait spots
macrocephaly
feeding problems
short 
learning disability
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13
Q

pseudotumor-cerbri rx

A

wt loss

acetazolamide

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14
Q

What seizure does not have a postictal state

A

absence

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15
Q

What is a neuro side effect of excess vitamin A

A

idiopathic intracranial hypertension

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16
Q

Where is the ulnar nerve most likely to compress

A

the elbow

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17
Q

What can cluster headaches present with

A
  • horner’s syndrome
  • redness and tearing of eye
  • runny nose
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18
Q

Reasons to neuroimage child with headache

A

incoordination
numbness/tingling
Focal Neuro Signs
HA that awakens from sleep

19
Q

How do you treat myasthenic crisis?

A

IVIG and corticosteroids

20
Q

define small vessel lipohylalinosis

A

lacunar stroke

21
Q

Lacunar stroke s/s

A

commonly affects internal capsule

pure motor hemiparesis

22
Q

Define Shy Drager syndrome

A

aka multiple system atrophy:
Parkinsonsim
Autonomic dysfx
Widespread neuro signs

23
Q

define Riley- Day syndrome

A

ashkenazi
autonomic dysfxn
severe orthostatic

24
Q

How does frontotemporal dementia present

A

early personality change
impulsive behavior
early onset
strong family hx

25
Q

Rx for brain mets

A

single: surgical
multiple: whole brain radiation

26
Q

Work up for febrile sz

A

does not require work up

reassurance and discharge

27
Q

Antibiotic that causes ototoxicity

A

Aminoglycosides, esp Gentamicin

Damages hair cells

28
Q

s/s of wernicke

A

↓ Thiamine
encephalopathy
oculomotor dysfunction
gait ataxia

29
Q

s/s or korsakoff syndrome

A

Chronic ↓ Thiamine
irreversible amnesia
confabulation
apathy

30
Q

Findings of hyperammonemia

A 
anorexia
irritability 
disorientation
Astrexisis
coma
31
Q

Comorbidities of absence sz

A

Psych- often ADHD

32
Q

What is cataplexy

A

intermittent muscle weakness triggered by strong emotion

typical in narcolepsy

33
Q

How does papilledemia present

A

transient vision loss with changes in head position

34
Q

Cauda Equina lesions cause ___ motor neuron signs

A

lower

35
Q

Which “cauda/conous” syndrome has early bowel/ bladder dysfxn

A

conus medullaris

also UMN signs

36
Q

primary brain met is usually from what CA?

A

breast/colon/renal

37
Q

which CA causes mult brain mets

A

Lung

Melanoma

38
Q

Most likely CA to met to brain?

A

Lung

39
Q

What is prochlorperazine?

A

Anti-emetic

40
Q

1st line rx for restless leg syndrome

A

Iron
Pramipexole- Da agonist
Gabapentin- CA channel blocker

41
Q

botulism rx

A

equine antitoxin

42
Q

frontal temporal dementia is also called

A

pick

personality change early

43
Q

Lewy Body dementia is

A

hallucinations
parkinsonism
cognitive impairment

NEUROLOGY SHELF! (13 decks)

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