Term
| autonomic hyperreflexia occurs with spinal cord lesions at ______ and the most common cause is ___________ |
|
Definition
T6 and above
over distended bladder |
|
|
Term
| What are the symptoms of autonomic hyerreflexia? |
|
Definition
diaphoresis
htn
headache
flushing |
|
|
Term
| Pts diagnosed with RLS require what type of replacement? |
|
Definition
|
|
Term
What is meralgia paresthetica?
What is its clinical presentation? |
|
Definition
entrapment of the lateral cutaneous nerve
It presents with numbess over the lateral thigh, and tapping of the inguinal ligament causes pain.
Pain is worsened with walking or standing. |
|
|
Term
| What is the sequence of medications administered during status epilepticus? |
|
Definition
1. Benzos
2. fosphenytoin
3. barbituates (phenobarbital)
4. Propofol (with intubation) |
|
|
Term
| What defines status epileptus? |
|
Definition
| grand mal seizure lasting for more than 30 minutes |
|
|
Term
| What is the next step in any pt presenting with a cc of syncope? |
|
Definition
| EKG followed by carotid massage (assuming EKG is negative) |
|
|
Term
| What are the contraindications to carotid massage? |
|
Definition
|
|
Term
| LP that shows straw colored CSF should make you think . . . |
|
Definition
| SAH (straw colored = xanthochromia) |
|
|
Term
| If a pt has meningococcal meningitis, what specifically is given to close contacts? |
|
Definition
|
|
Term
| What is a key distinguishing feature between neurofibromatosis I and II? |
|
Definition
Type I has Lisch nodules and axillary freckling
Neurofibromatosis Type II will present with bilateral accoustic neuromas
(cataracts is another finding) |
|
|
Term
| What is the DIX-HALLPIKE maneuver? |
|
Definition
|
|
Term
| What is the EPLEY maneuver? |
|
Definition
|
|
Term
|
Definition
| swelling of the optic nerve |
|
|
Term
| How will papilledema present? |
|
Definition
| blurring of the optic disc margins |
|
|
Term
| How is prolactin helpful in seizure work up? |
|
Definition
| Prolactin will be elevated with a true seizure and normal in a pseudoseizure |
|
|
Term
| What is subclavian steal syndrome? |
|
Definition
| causes neurologic deficits and upper arm claudication with exercise of the upper extremity |
|
|
Term
| Carotid ultrasound is used when you suspect. . . |
|
Definition
|
|
Term
| What artery is occluded in amourosis fugax? |
|
Definition
|
|
Term
| What will absence seizures show on EEG? |
|
Definition
| three-per-second spike wave pattern |
|
|
Term
| Acute MS is treated with ________ whereas chronic MS is treated with _________ and _________ |
|
Definition
High dose steroids
beta-interferon
glatiramer |
|
|
Term
| What is the next step in a pt with a ring-enhancing lesion withOUT HIV? |
|
Definition
| Image guided biopsy (you need to know what you're dealing with) |
|
|
Term
| Pts with tourette's are more likely to have what other two disorders? |
|
Definition
|
|
Term
| Brown-sequard syndrome presents with ipsilateral __________ and contralateral _______________ |
|
Definition
ipsilateral hemiparesis, loss of propioception, and loss of vibratory sense
Contralateral: loss of pain and temp |
|
|
Term
| tabes dorsalis presents as . . . |
|
Definition
decreased lower extremity reflexes
proprioception impaired
FORMICATION
unsteady gait |
|
|
Term
| What is a pharmocologic treatment for tourette's . . . |
|
Definition
|
|
Term
| What is the most common artery affected by CVA? |
|
Definition
|
|
Term
| What artery is occluded if a pt presents with homonymous hemianopsia with sparing of the macula, and prosopagnosia? |
|
Definition
| posterior cerebral artery |
|
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