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CMS II Final FOCUSED Review - Neurology
Winter Semester 2011
87
Medical
Graduate
03/27/2011

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Cards

Term
What is dysdiadokinesis a characteristic of?
Definition
MS
Term
Is diabetic neuropathy more sensory or motor?
Definition
It is a polyneuropathy than in the peripherals is more sensory than motor
Term
What are horner's syndrome and CN III palsy a symptom of?
Definition
MS
Term
Is alcoholic neuropathy more sensory or motor?
Definition
polyneuropathy (motor, sensory, mixed)
Term
What is optic neuritis a symptom of?
Definition
MS
Term
What is the root of the brachialradialis reflex?
Definition
C6
Term
Is Guillian barre ascending or descending?
Definition
acending
Term
What is a major early finding of ALS?
Definition
Tongue fasiculations
Term
What is not a common symptom of MS?
Definition
vertigo
Term
What are the triad of symptoms of Horner's syndrome?
Definition
anhidrosis, ptosis, miosis
Term
What med is used for acute MS attacks?
Definition
steroid burst and taper
Term
What is the MC neurotoxin?
Definition
ETOH
Term
Pt presents with saddle anesthesia, what condition do you suspect?
Definition
Cauda Equina Syndrome - Medical ER
Term
What is the best test for emergent Head trauma?
Definition
CT Scan
Term
What is the best test for cauda equina syndrome and what is the tx?
Definition
Urgent MRI and neuro consult stat
Term
A pt presents with GI sx, myalgia and fever, what neurological condition might you suspect?
Definition
Polio
Term
What part of the neuro system is affected by Polio?
Definition
Anterior horn is affected
Term
What sx can carotid artery atherosclerosis cause?
Definition
amarosis fugax
Term
Is hyperreflexia characteristic of UMN or LMN lesion?
Definition
UMN
Term
What does the PNS originate from?
Definition
neural crest
Term
If a pt presents with bad balance, + rhomberg, wide gait stance, nl sensory and propioception, what condition do you suspect?
Definition
cerebellar tumor
Term
What occurs to the vagal tone in neurocardiogenic syncope?
Definition
Vagal tone increases
Term
What is the MC inhibitory neurotransmitter?
Definition
GABA
Term
What is the definition of stuporous?
Definition
arouse w/ painful stimulation
Term
What is a major complication of an LP if there is ICP?
Definition
Cerebral herniation
Term
What can prevent spina bifida?
Definition
Folic acid supplement
Term
What does Total cord transaction cause?
Definition
immediate flaccid paralysis
Term
How is myasthenia gravis tx?
Definition
Anticholinesterase - inhibits the breakdown of acetylcholine at the neurotransmitter junction
Term
What is a common symptom of epidural spinal cord?
Definition
back pain at night
Term
If there is stabbing, lacinating face pain, what condition do you suspect?
Definition
Tic delaroux (Trigeminal Neuralgia)
Term
How is herpes zoster tx?
Definition
antiviral acyclovir
Term
What type of neuropathy is described as Stocking glove distribution?
Definition
diabetic neuropathy
Term
How can you tell Bell's palsy from a central lesion?
Definition
central lesion spares the forehead
Term
What is the CN that controls a smile?
Definition
CN 7
Term
What is a finding of oligoclonal bands on CSF electrophoresis characteristic of?
Definition
MS
Term
What may be a sign of cervical radiculopathy, besides neck pain?
Definition
absent bicep reflex
Term
If a pt presents with galactorrhea, and amenorrhea, what must you r/o?
Definition
pregnancy with HCG
Term
Pt presents with loss of taste to their posterior 2/3 of tongue. What condition is this a symptom of and what CN is responsible?
Definition
Bell's Palsy
CN 7
Term
What is the difference in CN 3 palsy and one caused by diabetic neuropathy?
Definition
CN 3 palsy in diabetics affects the mvment but the pupils are nl in size
Term
If there is olfactory hallucination, where can you expect the tumor to be located?
Definition
temporal lobe
Term
If a pt presents with cold-like symptoms and a fever for the past two-weeks, plus a gradual weakening of the lower extremities, what condition might you suspect?
Definition
guillian barre
Term
What is the diagnosis for GCA?
Definition
bx of artery
Term
What is the tx for Wernicke's encephalopathy?
Definition
thiamine IV then bolus of glucose.
Term
What do you find in bacterial meningitis CSF?
Definition
Low glucose, high protein, neutrophils
Term
What are the symptoms of Parkinson's Dx?
Definition
Tremor
Rigidity
Akinesia/bradykinesia
Postural instability
Tremor, Pill-rolling tremor, Resting tremor
Rigidity
Term
Husband brings in wife for confusion, hard time waking her up, disoriented, couldn’t get dressed. Up to now no problems with ADL? What DDx could not be true?
Definition
Alzeheimers dz
Term
What dz is described as chronic tics in both vocal and motor from childhood ?
Definition
tourrettes
Term
How is an essential tremor treated?
Definition
small amt of alcohol help but have rebound tendency, tx by propanolol
Term
Tx for acute dystonia
Definition
Benadryl
Term
Which disease is described as damage to the substantia nigra?
Definition
Patho for parkinson’s
Term
What is the triad for meningitis?
Definition
fever
nuchal rigidity
HA
Term
Boy presents with fever, neck stiffness, and petichial rash, what condition do you suggest?
Definition
N. meningitis
Term
Pt presents with c/o of teacher noticing decline in work and times where they are staring into space blankly and are unable to get their attention and pt is unaware a change has occurred. What condition does this pt have?
Definition
Absence Seizures
Term
What is a contraindication for tPA?
Definition
hemorrhage on CT
Term
What is the long-term prophylactic therapy given to pts with a-fib?
Definition
warfarin is long term tx
Term
Man has a. fib and hyperreflexia, weakness to L side. What is the most appropriate tx
Definition
tPA
Term
What can Chlorpromazine (thorazine) lead to?
Definition
Tardive dyskinesia
Term
What is the most important thing to do for tx and managing a seizure
Definition
determine the type of seizure
Term
HIV person w/stiff neck. What is the most common organism?
Definition
cryptococcus
Term
What is a common cause of seizures in diabetics?
Definition
hypoglycemia
Term
If a pt present s/p stroke and has severe disability, homonymous hemianopsia, global aphasia, gaze deviated toward infarcted hemisphere, which artery is affected?
Definition
Middle Cerebral Artery
Term
If a pt has stroke symptoms including abulia (spontaneous lack of concern that something is wrong), contralateral grasp reflex, sucking reflex, weakness of leg (legs affected more than arms), and apraxia, what artery is affected?
Definition
Anterior Cerebral Artery
Term
What is the MC type of stroke?
Definition
ischemic thrombotic stroke
Term
Bilateral vision problems, dizziness, different bp in each arm, what condition do you suspect?
Definition
subclavian steal syndrome
Term
MCC of viral meningitis and encephalitis
Definition
enterovirus
Term
Boy come in w/ 103 F fever and had a seizure. What is the most appropriate tx?
Definition
control fever
Term
Daughter brings in mom, has stepwise dementia. What is dx
Definition
vascular dementia
Term
Do anticonvulsant meds alter ICP?
Definition
No
Term
What is not a characteristic of prolonged seizure?
Definition
hypothermia
Term
What is the most important risk for ICH?
Definition
Arterial HTN
Term
If pt c/o worst HA of their life, what condition should you suspect?
Definition
SAH
Term
48 yo man, bilateral HA for 3 months, worse in morning, couldn’t exercise anymore, papilledema, no photophobia. Had Nausea, vomited that morning. What is dx?
Definition
tumor
Term
Drilling pain behind eye, better w/movement/exercise/rapid pacing, lasted less than an hour. What is dx?
Definition
cluster HA
Term
Tender scalp, female, HA, diminished pulse, jaw and cheek pain. What is dx?
Definition
temporal arteritis
Term
Parkinsonian features, dementia, hallucinations. What is dx?
Definition
lewy body dementia
Term
Grand Mal seizure tx
Definition
valproic acid
Term
Status epilepticus tx
Definition
diazepam
Term
What infection does Sydenham chorea follow?
Definition
Follows GABS
Term
What is the common denominator as to the cause of syncope?
Definition
Cerebral hypoperfusion
Term
What is the difference between seizure and syncope?
Definition
there is a post-ictal state after seizures
Term
Pt presents with family reporting a few times recently where the pt was found repeatedly picking at her clothes and clapping her hands and was unresponsive to attempts to ask her to stop. The pt was unaware of her actions. What do you suspect?
Definition
complex partial seizure
Term
Pt had hx of MI tx w/thromblics , bad HA, n/v, went into coma, what condition do you suspect?
Definition
ICH
Term
In what dz is sumatriptan contraindicated in?
Definition
Cardiovascular dz
Term
Best prophylaxis for migraines?
Definition
propanolol
Term
Alcohol withdrawal tx
Definition
diazapam
Term
What is a SE of long term med use in Parkinson
Definition
bradykinesia
Term
Pt has photopobia, unilateral eye pain, pounding
Definition
migraine
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