Confusion/Vertigo/Sleep Flashcards Preview

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Flashcards in Confusion/Vertigo/Sleep Deck (21)
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1
Q

Wernicke Triad?

A

Nystagmus/Opthalmoplegia
Ataxia
Anteriograde amnesia

2
Q

Wernicke irreversible sympt?

A

Amnesia

3
Q

Specific CSF finding for Hepatic encephalopathy?

A

Elevated glutamine

4
Q

Nystagmus direction in cerebellar dysfunction? Vestibular?

A

Towards lesion = Cerebellar

Away = Vestibular

5
Q

Infectious agent in acute labrynthitis?

A

HSV1

6
Q

TX for acute labrythitis?

A

Steroids

7
Q

Meniere vs. vestibular neuronitis?

A

Meniere = hearing symptoms + Vertigo

Vestibular N = vertigo only

8
Q

Meniere tx?

A

HCTZ, triamterene

9
Q

Vertigo caused by pushing on tragus?

A

Perilymphatic fistula

10
Q

Next step if suspected central vertigo?

A

Imaging

11
Q

Vertigo with Hx of trauma (Scuba diving?)

A

Perilymphatic Fistula

12
Q

Vertigo brought on by exertion?

A

Perilymphatic Fistula

13
Q

Vertigo made worse with hyperventilation?

A

Psychogenic

14
Q

Meclizine, Dimenhydrinate, promethazine used for?

A

Vestibular suppression

15
Q

Indications for CT with head trauma? (6)

A
Persistent HA
Emesis
Age >60
Anterograde Amnesia
Damage above clavicle
Intoxication
16
Q

Subfalcine herniation occludes what?

A

ACA

17
Q

Uncal/Transtentoral herniation compresses what?

A

CN III
Cerebellum
PCA

18
Q

Foramen magnum herniation signs?

A

Episodes of Cerebellar dysfunction
Arching of back and neck
Pulse changes
LOC

19
Q

Three possible REM sleep problems with narcolepsy?

A

Cataplexy
Vivid hallucinations
Sleep paralysis

20
Q

RLS tx?

A

DA agonist, pramipexole, ropinerole

21
Q

Tx for old man who hits wife in his sleep?

A

Clonazepam