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Flashcards in Neuro/Psych Deck (30)
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1

most common childhood supratentorial tumor, benign

craniopharyngioma

2

malignant cerebellar tumor in children

medulloblastoma
neuroendocrine tumor, is radiosensitive

3

common, benign, posterior fossa (infratentorial) tumor in children

pilocytic astrocytoma
presents w/drowsiness, ataxia, N/V, cranial neuropathy

4

tx Bells palsy

steroids +/- acyclovir (HSV association)

5

headache associated with jaw pain when chewing

temporal (giant cell) arteritis

6

headache with lacrimation, rhinorrhea
responive to 100% O2

cluster

7

patient produce false signs of illness to receive sympathy or medical attention

factitious disorder

8

treat torticollis

antihistamines (benztropine, diphenhydramine)

9

treat Neuroleptic Malignant Syndrome

stop med
dantrolene
supportive care
bromocriptine/ amantadine

10

personality disorder with lifelong social withdrawal, indifferent to relationships or praise/criticism

schizoid

11

personality disorder with few friends/ social awkwardness and eccentric appearance, behavior, or thinking

shizotypal

12

personality disorder with social inhibition, feelings of inadequacy, fear of criticism/ embarrassment

avoidant

13

vision loss, pain w/eye movement, ophthalmoplegia
preseptal or orbital cellulitis?

orbital cellulitis **emergency**

14

gradual vision loss with multiple small yellow spots in bilateral maculae

age related macular degneration
tx: vitamin supplements

15

sudden vision loss with floaters/ flashers followed by a "curtain coming across"

retinal detachment **emergency**

16

acute, painless vision loss in one eye with cherry-red spot in macula on fundoscopic exam

central retinal artery occlusion

17

progressive vision loss starting at periphery, cupping of optic disc on fundoscopic exam

open angle glaucoma

18

painful vision loss in one eye with relative afferent pupillary defect

optic neuritis (suspect MS)

19

arm pain with neuro symptoms (dizziness, blurred vision, unsteady gait)

subclavian steal syndrome
dx: doppler U/S, MR/CT angio
tx: bypass
(thoracic outlet: just arm pain)

20

eye pain, constricted and irregular pupil, leukoyctes in anterior segment on slit lamp

iritis (anterior uveitis)

21

syndrome w/hypopigmented cafe au lait spots, bilateral acoustic neruomas

Neurofibromatosis II

22

syndrome w/cutaneous neuromas, axillary freckles, unilateral acoustic neruoma, pheochromocytoma, optic glioma

Neurofibromatosis I

23

first line therapy for insomnia in elderly

CBT

24

symptoms of phenytoin toxicity

horizontal nystagmus
(diplopia, ataxia, slurred speech, lethargy)
tx: reduce dose, monitoring alone is NOT appropriate

25

tx Guillan Barre

plasma exchange/ IVIG
supportive

26

frequent underlying cause of restless leg syndrome

iron deficiency anemia (test ferritin)

27

first line therapy for restless leg syndrome

pramipexole (dopamine agonist)

28

tx OCT

exposure and response prevention therapy (type of CBT)
SSRI

29

tx ocular melanoma

if <10mm wide and <3mm thick, monitor Q3 mo
if larger, radiotherapy

30

dementia w/h/o alcohol use disorder. addtl screening beyond B12/TSH?

folate