Agacnp 2016 Review Neuro!

Front 1

Mini-Mental exam acronym and meaning

Back 1

ORAL 2, 3 RWD

Orientation

Repeat three objects

Attention (serial 7s)

Recall the first 3 objects

Language

Identify 2 objects

Follow three step command

Read and follow a sentence

Write a sentence

Draw a picture

Max=30 18-23 = mild impairment 0-7= Severe

Front 2

Vertebrobasilar TIA sx

Back 2

Balance & vision

vertigo,

ataxia,

dizziness,

visual field deficits,

Weakness,

confusion

Front 3

Carotid TIA s/s

Back 3

Aphasia, dysarthria, altered LOC, weakness, numbness

Front 4

TIA management

Back 4

ASA

plavix

? ticlid

carotid endartectomy for vessels >70% stenosed in Symptomatic patients

Front 5

Left CVA s&s

Back 5

R hemiparesis

aphasia

dysarthria

difficulty reading or writing

Front 6

Right CVA s&s

Back 6

L hemiparesis

R visual field change

spatial disorientation

Front 7

3 H's that increase ICP

Back 7

Hypotension

Hypoxia

Hypercapnia

Front 8

ICP goal in CVA

Back 8

<20

Front 9

Vasospasm prevention

Back 9

MAP 110-130

Nimodipine- CCB will counter by keeping Ca out

Front 10

Simple partial vs complex partial seizure

Back 10

One side of body but impaired consciousness in complex

Front 11

Myasthenia Gravis cause

Back 11

Autoimmune attack on acetylcholine receptor sites

Front 12

Myasthenia Gravis s&s

Back 12

Improves with rest *Droopy eyelid * Diplopia * WeaknessWeakness, respiratory issues

Front 13

Myasthenia Gravis tx

Back 13

Symptoms improved with drugs that block ACTH breakdown (pyridostigmine) Immunosuppressive

Plasmapheresis

Ventilator support

Front 14

MS cause

Back 14

Autoimmune attacks myelin

Front 15

MS s&s

Back 15

Remissions, and exacerbationsNumbness

Weakness

spasticity

diplopia

urinary sx

nystagmus

lack of coordination

Front 16

MS tx

Back 16

Symptomatic

Antispasmodics

Immunosuppression

plasmapheresis

Front 17

Guillain -Barre syndrome cause

Back 17

Inflammatory Causing demyelination of peripheral nerves.

Usually preceded by viral infection and fever about a week before

Front 18

Guillain -Barre syndrome s&s

Back 18

Symmetrical ascending paralysis

cranial nerve impairment with speech, swallow, chew

low reflexes

Impair breathing

Front 19

Guillain -Barre syndrome labs/dx

Back 19

CSF protein elevated

CBC: leukocytesis

Front 20

Guillain -Barre syndrome tx

Back 20

Supportive

Sx improve in 2 Weeks full recovery 2 Years

Front 21

Which meningitis is the emergency?

Back 21

Bacterial. S. pneumoniae hi influenzae Or n. meningitidis

Front 22

Meningitis sx

Back 22

Fever stiff neck

+ Kernig's sign = pain & spasm in hamstring + Bradzinski sign= neck down causes knees up

Front 23

LP in meningitis shows?

Back 23

+protein (bacterial)

low glucose (bacterial)

WBC

Front 24

Meningitis tx

Back 24

Sx control

Abx = PCN G and Vanco til cx back

Front 25

Cushing's Triad

Back 25

widening pulse pressure

Decreased RR

Decreased HR

Front 26

Normal ICP?

Back 26

0-15

Front 27

spinal cord injury needing ventilation

Back 27

Above C4

Front 28

Above where will be quadraplegic?

Back 28

T1

Front 29

Above where has no bladder control?

Back 29

T9

Front 30

Strength grading pertinent points

Back 30

5/5 normal against full resistance

3/5 full ROM but not against resistance

0/5 no movement

Front 31

Autonomic Dysreflexia

Back 31

T4-6 injury

Response to stimulus causes flushing above injury

HTN,

brady

HA

Tx stimulus removal

Front 32

Neurogenic shock

Back 32

T6 & above

sympathetic nerve dysruption causes unopposed parasympathetic = vasodilation,

reduced CO

Tx= vasopressors

Front 33

Parkinson's cause

Back 33

Insufficient dopamine, degenerative

Front 34

Parkinson's S&S

Back 34

Tremor -worse with stress

Rigidity

Bradykinesia

Front 35

Parkinson's tx

Back 35

Increase dopamine: carbidopa-Levodopa amantadine tolcapone ropinirole Anticholinergics may help with tremor

Front 36

Meds for alzheimer's

Back 36

Increase ACTH

Donepezil Galantamine Rivastigmine