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29 Cards in this Set
- Front
- Back
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unilateral, severe periorbital h/a with tearing and conjunctival edema
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cluster h/a
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prophylactic treatment for migraine
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B-blockers, CCBs, TCAs
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55 y/o presents with acute 'broken speech'. What type of aphasia? What lobe and vascular distribution? First step in w/u?
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Broca's
frontal lobe, left MCA head CT to r/o hemorrhage |
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most common pituitary tumor?
Rx? |
prolactinoma
Dopamine agoinists (bromocriptine) |
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Most common cause of SAH
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trauma
2nd - berry aneurysm |
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crescent shaped hyperdensity on CT that does not cross midleine
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SDH
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CSF findings with SAH
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increased ICP, RBCs, xanthochromia
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61 y/o pt in ICU is awake and alert but cannot move anything but eyes and eyelids
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locked in syndrome
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cold water is flushed in patients ear and the fast phase of nystagmus is toward the opposite side. Normal or Pathological
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Normal
COWS cold opposite, warm same |
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most common primary sources of mets to brain
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lung, breast, skin (melanoma), kidney, GIT
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dysequilibrium associated with tinnitus and hearing loss. Rx?
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Meniere's
acetazolamide |
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most frequent presentation of intracranial neoplasm
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h/a
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most common cause of seizures in children age 2-10
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infection
febrile trauma idiopathic |
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most common cause of seizures in young adults (18-35)
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trauma
alcohol withdrawl brain tumor |
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mainstay of treatment for myasthenia gravis
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immunosuppresants (prednisone)
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first-line medication for status epilepticus
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IV benzo
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most common intracranial malignancy
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mets
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what percent lesion is an indication for carotid endarterectomy
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70 percent if symptomatic
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most common causes of dementia
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Alzheimer's and multi-infarct
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atophy of mammillary bodies
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Wernicke's encephalopathy
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combined upper and lower motor neuron disease
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ALS
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rigidity and stiffness with resting tremor and masked facies
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parkinson's
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mainstay of parkinson's Rx?
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levo or carbidopa
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treatment for Guillain Barre
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IVIG or plasmapheresis
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rigidity and stiffness that progress to choreiform movements accompanied by moodiness and altered behaviour
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Huntington's
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6 y/o girl presents with prot-wine stain in V2 distribution, mental retardation, seizures, and leptomeningeal angioma
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Sturge-Weber syndrome
Rx symptomatically possible focal cerebral resection of affected lobe |
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cafe au lait spots
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NF1
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hyperphagia, hypersexuality, hyperorality, hyperdocility
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Kluver-Bucy syndrome (amygdala)
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administer to symptomatic patient to dx myasthenia gravis
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edrophonium
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