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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