Neuro/Psych Flashcards

(30 cards)

1
Q

most common childhood supratentorial tumor, benign

A

craniopharyngioma

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2
Q

malignant cerebellar tumor in children

A

medulloblastoma

neuroendocrine tumor, is radiosensitive

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3
Q

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

A

pilocytic astrocytoma

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

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4
Q

tx Bells palsy

A

steroids +/- acyclovir (HSV association)

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5
Q

headache associated with jaw pain when chewing

A

temporal (giant cell) arteritis

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6
Q

headache with lacrimation, rhinorrhea

responive to 100% O2

A

cluster

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7
Q

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

A

factitious disorder

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8
Q

treat torticollis

A

antihistamines (benztropine, diphenhydramine)

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9
Q

treat Neuroleptic Malignant Syndrome

A

stop med
dantrolene
supportive care
bromocriptine/ amantadine

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10
Q

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

A

schizoid

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11
Q

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

A

shizotypal

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12
Q

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

A

avoidant

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13
Q

vision loss, pain w/eye movement, ophthalmoplegia

preseptal or orbital cellulitis?

A

orbital cellulitis emergency

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14
Q

gradual vision loss with multiple small yellow spots in bilateral maculae

A

age related macular degneration

tx: vitamin supplements

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15
Q

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

A

retinal detachment emergency

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16
Q

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

A

central retinal artery occlusion

17
Q

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

A

open angle glaucoma

18
Q

painful vision loss in one eye with relative afferent pupillary defect

A

optic neuritis (suspect MS)

19
Q

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

A

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

20
Q

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

A

iritis (anterior uveitis)

21
Q

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

A

Neurofibromatosis II

22
Q

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

A

Neurofibromatosis I

23
Q

first line therapy for insomnia in elderly

24
Q

symptoms of phenytoin toxicity

A

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