Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
what are some features of acute dystonia
|
acute onset
sustained contractions of the limbs/neck |
|
what are some features of tardive dyskinesia
|
delayed onset
repetitive mouth/facial movements |
|
what is the MC adult brain tumors
|
"MGM Studios"
Metastasis (#1) Glioblastoma Meningimoma Schwannoma |
|
what is the MC pediatric brain tumors
|
astrocytoma (#1)
medulloblastoma ependymoma |
|
what is the next step once a metastatic brain tumor (grey-white junction) has been identified on CT or MRI
|
full body CT scan to look for mets
(head, neck, chest, abdomen, & pelvis) bone scan (to look for mets) |
|
what are some characteristics of neurofibromatosis I
|
neurofibromas
café-au-lait spots lisch nodules freckling of axilla and inguinal area |
|
what are the sleep patterns of depressed patients
|
decr'd slow wave (N3)
incr'd REM decr'd REM latency |
|
what are the sleep patterns in elderly
|
decr'd slow wave (N3)
decr'd REM incr'd REM latency frequent night-time awakenings |
|
what is the difference between nightmare and night terror
|
NIGHTMARE
during REM if pt appears awake, they actually ARE awake NIGHT TERROR during non-REM if pt appears awake, they actually are NOT awake |
|
what is pickwickian syndrome
|
aka OBESITY HYPOVENTILATION SYNDROME (OHS)
obesity hypersomnolence dyspnea hypoxemia (cyanosis, polycythemia, plethora) pulmonary HTN --> R-side HF --> peripheral edema |
|
Rx for narcolepsy
|
modafinil (Provigil)
|
|
Rx for cataplexy
|
venlafaxine
fluoxetine atomoxetine |
|
insomnia Rx a/w:
vivid dreams |
melatonin
|
|
insomnia Rx a/w:
studies show no benefits |
valerian
|
|
insomnia Rx a/w:
poor sleep quality and anticholinergic SE |
antihistamines
|
|
insomnia Rx a/w:
priapism |
trazodone
|
|
insomnia Rx a/w:
arrhythmias and anticholinergic SE |
TCA
|
|
insomnia Rx a/w:
works on benzo receptor and causes rebound insomnia |
zolpidem/zaleplon
|
|
insomnia Rx a/w:
may be used long term |
eszopiclone
|
|
insomnia Rx a/w:
works on melatonin receptors (t/f non-addictive) but must be avoided in hepatic insufficiency |
ramelteon
|
|
Rx for RLS
|
Da Agonists:
pramipexole ropinirole levodopa/carbidopa |
|
what are the stages of sleep & assoc'd wave forms
|
"BATS Drink Blood"
AWAKE/EYES OPEN: beta-waves AWAKE/DRIFTING OFF TO SLEEP: alpha-waves STAGE N1: theta-waves STAGE N2: sleep spindles & k-complexes STAGE N3: delta-waves REM: beta-waves |
|
benzos have what affect on sleep stages
|
incr's N2
decr's N3 & REM |
|
MC sources of metastatic brain tumors
|
"Lots of Bad Stuff Kill Glia"
Lungs Breast Skin (melanoma) Kidney GI Tract |