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28 Cards in this Set
- Front
- Back
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Unilateral, severe periorbital HA w/ tearing and conjuctival erythema
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Cluster HA
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Prophylactic treatment for migrane
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antihypertensives, antidepressants, and anticonvulsants
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The most common pituitary tumor? Tx?
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Prolactinoma. Dopamine agonists (ie bromocriptine)
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A 55 y.o. pt presents w/ acute "broken speech". What type of aphasia? What lobe? What vascular distribution?
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Broca's aphasia. Frontal lobe. Left MCA artery
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The most common cause of SAH
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Trauma; second most common is ruptured Berry aneuryms
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A crescent-shaped hyperdensity on head CT; does not cross midline
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Subdural hematoma; tear of the bridging veins
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A hx significant for initial AMS w/ intervening lucid interval. Dx? Most likely source? Tx?
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Epidural hematoma; Middle meningeal artery; Neurosurgical evacuation
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CSF findings in SAH
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Elevated ICP, RBCs and xanthochromia
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Albuminocytologic dissociation
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Guillain-Barre syndrome (increased protein in CSF w/out a significant increase in cell count)
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Cold water is flushed into a pts ear, and the fast phase of teh nystagmus is toward the opposite side. Dx?
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Normal
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The most common primary source of mets to teh brain
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Lung, breast, skin melanoma, kidny, GI tract,
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Seen in children who are accused of inattention in class; confused w/ ADHD
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absence seizures
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The most frequent presentation of intracranial neoplasm
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HA
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The common cause of seizure in kids 2-10 yrs old
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Infection, febrile, trauma, idiopathic
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The most common cause of seizures in young adults ages 18-35
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trauma, EtOH withdrawl, brain tumor
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First line tx for status epilecpticus
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IV benzo's
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Confusion, confabulation, opthalmoplegia, and ataxia
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Wernicke's encephalopathy due to deficiency of thaimine
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What % of lesion is an indication for carotid endarterectomy?
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70% if stenosis is symptomatic
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The most common cause of dementia
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Alzheimer's; second most is multi infacrt
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Dx w/ combines UMN and LMN lesions
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ALS
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Rigidity adn stiffness w/ resting tremor and masked facies
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Parkinson's disease
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Mainstay of tx for Parkinson's
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Levadopa/carbidopa
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Treatment of Guillian-Barre
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IVIG or plasmapheresis
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Rigidity and stiffness that progresses to choreiform movements, accompanied by moodiness and altered behavior
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Huntington's dx
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A 6 y.o. girl w/ port wine stain in V2 area, as well as MR, seizures and ipsilateral leptomeningeal angioma
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Sturge-Weber syndrome. Treat symptomatically. Possible focal cerebral resection of the affected lobe
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Cafe au lait spots
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NF type 1
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Hyperphagia, hypersexuality, hyperorality, and hyperdocility and brain location
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Kluver Bucy syndrome, affecting amygdala
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May be administered to a symptomatic pt to dx myasthenia gravis
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Edrophonium
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