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NEUROLOGY SHELF! > World 2 > Flashcards

World 2 Flashcards

1
Q

Will GBS typically have increased WBC

A

no

just protein

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2
Q

Which meningitis has the lowest sugar

A

TB

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3
Q

Which general aphasia has greatly diminished comprehension

A

wernike

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4
Q

What symptoms accompany brocas

A

sparse speech

contralateral weakness

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5
Q

s/s of heat stroke

A

confusion
high temp
bleeding
tachycardia

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6
Q

Friedreich ataxia inheritence

A

AR

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7
Q

fredriech ataxia prognosis

A

wheelchair by 25

death by 35

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8
Q

freidrich ataxia MRI

A

atrophy if cervical spine

mild atrophy of cerebellum

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9
Q

Niemann pick deficincy

A

sphingomylinase

Special for heptosplenomegally

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10
Q

Tay Sax deficincy

A

b-hexosaminidase

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11
Q

most common cause of spontatious bleed in age > 60

A

amyloid angiopathy

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12
Q

Myasthenia gravis s/s

A

NMJ plate disease
diploplia, ptosis
upper> lower extremity weakness

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13
Q

Treatment of alzheimers

A

Acth inhibitors
donepizil
rivastigmine
galatamine

slows cognitive decline

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14
Q

trihexyphenidyl is a ?

A

anti-chole

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15
Q

Best test for b12 deficinecy

A

methymalonic acid (more sensitive)

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16
Q

akathesia

A

restlessness

move more frequently

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17
Q

athetosis

A

slow writhing movement

huntinigtons- fingers

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18
Q

Damage to subthalamic nucleus

A

hemibasilus

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19
Q

Lesch Nyhan deficiency

A

hypoxanthine-guanine phosphobosyl transferase (HPRT)

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20
Q

Biggest risk factor for stroke

A

HTN

21
Q

se oflevadopa/carbidopa

A

early: hallucinate, dizzy, HA
late: involuntary movements

22
Q

lesions of CNS of facial nerve

A

In CNS ABOVE facial nucleaus, spare forehead

23
Q

All ischemic stroke pts should be started on this

A

aspirin

reduces risk of recurrent stroke

24
Q

Treatment of GB syndrome

A

IVIG

plasmapheresis

25
Q

Long term problems after bacterial meningitis

A 
1- hearing loss
2- cognitive decline
3- sz
4- retard
5- spaz/paresis
26
Q

Patients with suspected acute stroke should have ____ test

A

Cat scan WITHOUT contrast

goal is r/o bleed

27
Q

How do you test for parkinsons

A

physical exam/ history

no tests

28
Q

s/s of neuroleptic malignant syndrome

A

fever
rigidity
AMS
autonomic instability

29
Q

most common reason > 60 yo forlobar/cortical bleed

A

cerebral amyloid

30
Q

thunderclap HA

A

subarachnoid

31
Q

Hypertensive vasculopathy brin bleed locations

A 
basal ganglia
cerebellar 
thalmas
pons
*Charcot Bouchard aneurysms
32
Q

Tearing of bridging veins

A

subdural hematoma

33
Q

Internal capsule stroke

A

motor

maybe sensorimotor

34
Q

Lateral Medullary infarction

A

PICA

Ipsilateral
Pain temp face
Ipsi Horner

Contralteral
pain temp body

35
Q

Midbrain stroke

A

CN 3 palsy
ataxia
contralateral hemiparesis

36
Q

Putamen stroke

A

HTN
contralateral hemiparesis and sensory loss
Conjugate gaze TOWARDS lesion

37
Q

Thalamic pain syndrome

A

paroxysmal burning

38
Q

Are DTRs present in brain death

A

can be since they are spinal

39
Q

Three most common CA in kids

A

Leukemia
CNS
Neuroblastoma

40
Q

Neuroblastoma

A

adrenal gland or symp chains

may have ↑ HVA and VMA

41
Q

Define Caput Succedaneum

A

diffuse swelling of scalp

42
Q

Cephalohematoma

A

baby born bruise

most resolve in 2 weeks

43
Q

Riluzole treats?

A

ALS

glutamate inhibitor

44
Q

Physiology of NPH

A

CSF is not reabsorbed

45
Q

Bedside test for myasthenia gravis

A

ice pack

improves tosis

46
Q

Severe cancer pain should be treated with?

A

Short acting opioids

47
Q

first line rx for mysathenia gravis

A

pyridostigmine

anti-Cholestsase inhibitor

48
Q

Agitation in the elderly is treated with?

A

low dose haloperidol

NEUROLOGY SHELF! (13 decks)

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