Neurological Disorders

Front 1

Mini- Mental Status Exam

Back 1

orientation

attention and calculation (spell word backward)

recall (name 3 objects, repeat after 5 minutes)

write a sentence

3- stage command

copy design

dementia or delirium if <24 pts

Front 2

Treatment for Parkinsons

Back 2

#1 : Levodopa (Sinemet)

Dopamine agonist: monotherapy or combo with Levodopa

MAOI

Anticholinergic

Front 3

Most common disorder of neuromuscular transmission.

autoimmune disorder with variable weakness in occular, limb, and respiratory muscles (drooping eye). Weakness increases with activity but improves with rest

hallmark symptom: fatigability

Back 3

Myasthenia Gravis

Front 4

Multiple Sclerosis symptoms

Back 4

fatigue, pain, balance problems, visual loss

sensory symptoms: numbness, tingling, pins and needles, tightness, coldness, swelling of limbs and trunk

Front 5

neurological disorder with signs of hypotension, visual impairment and coma. Symptoms: confusion, ataxia, stupor

Back 5

Korsakoff's Syndrome (caused by chronic alcohol abuse)

Labs: decrease in Thiamine (Vitamin B11)

Treatment: high dose of Thiamine

Front 6

Alcoholism lab findings

Back 6

GGT: high (ALONE)

AST/ALT: both high

MCV: >100fL macrocytic

Front 7

first line therapy for depression

Back 7

selective SSRIs (4- 6 weeks to work up to 12 weeks)

continue SSRIs for at least 4-6 weeks before changing medication

follow-up after 2 weeks of beginning meds

continue treatment for at least 4-9 months

Front 8

Pronator Drift (Barre Test)

Back 8

Neurological exam- patient stands with both arms fully extended at shoulder level, palms upward- hold poisition. If unable to maintain the results are positive.

Front 9

Factors for more adverse outcome of Multiple Sclerosis

Back 9

old age onset

male

persisting deficits in brain stem

short first inter-attack intervals

cerebellar involvement

Front 10

Trembling of hands, head, voice, or lips in elderly.

Back 10

essential tremors

Front 11

Parkinsons cardinal features

Back 11

tremor at rest: pillrolling

bradykinesia (slow movement- major cause of disability)

rigidity (resistance to passive movement)

Front 12

treatment of vertigo

Back 12

antihistamines: meclizine, dimenhydrinate

benzodiazipines: alprazolam (Xanax), lorazepam

time

Front 13

Acute pripheral facial nerve palsy usually caused by a virus (herpes virus)

Back 13

Bels Palsy

Front 14

What cranial nerve is affected with Bels Palsy

Back 14

CN VII

Front 15

Bells Palsy Diagnostic Criteria

Back 15

paralysis of facial muscles

onset over 1-2 days; max by 3 weeks

85% signs of recovery in 3 weeks

function returns in 3-4 months

Front 16

Bels Palsy treatment

Back 16

Prednisone

Front 17

Benign positional vertigo characteristic

Back 17

brief, recurrent

change of position precipitates symptoms

Dix Hallpike maneuver provokes symptoms

Front 18

sudden attack of intense, sharp, piecing stabbing facial pain

Back 18

trigeminal neuralgia

Front 19

trigeminal neuralgia treatment

Back 19

carbamazepine (Tegretol)

Front 20

moderate to severe migraine treatment

Back 20

triptans (Zoming, Maxalt, Imitrex)

analgesics (bultabital)

Ketrolol (Toradol)

Front 21

Moderate to Severe migraine prophylaxis

Back 21

Topamax, Depakote (Anticonvulsants)

Propanolol (beta blockers)

diltiazem, cardiem (CCBs)

SSRIs
TCAs

Front 22

Duration of Migraine headache

Back 22

4-72 hours

Front 23

unilateral headache that begins around eyes - excrutiating pain peaks within minuets

Back 23

cluster

Front 24

cluster headache duration

Back 24

30-90 minutes

Front 25

headache accompanied by red eyes, tears, rhinorrhea

Back 25

cluster

Front 26

bilateral headache with a pressing, bandlike quality

Back 26

tension

Front 27

headache exam red flags

Back 27

age >50

neck stiffness

neuro deficits

papilledema

sudden onset in seconds or minutes

"first or worst"

focal neuro symptoms

fever

change in personality, mental status, LOC

Front 28

what controls mood?

Back 28

Monoamine System-

norepinephrine

serotonin

dopamine

Front 29

cluster headache duration

Back 29

lasts weeks to months (around same time every day)

Front 30

headache with pulsating quality, unilateral, aggravated by walking

Back 30

migraine

Front 31

CN I

Back 31

Oh

Olfactory (smell)

Front 32

CN II

Back 32

Oh

Optic (II eyes)

Front 33

CN III

Back 33

Oh

occulomotor (eye movement)

Front 34

CN IV

Back 34

Trochlear - Topless

(eye movement)

Front 35

CN V

Back 35

Trigeminal - Tiffany

(touch, pain from face and head; chewing)

Front 36

CN VI

Back 36

Abducens - and

eye movements

Front 37

CN VII

Back 37

Facial - Fat

taste, facial expression

Front 38

CN VIII

Back 38

Vestibulolochlear - Vicky

balance and hearing

Front 39

CN IX

Back 39

glossopharyngeal - got

taste and swallowing

Front 40

CN X

Back 40

Vagus - vaginitis

glands, digestion, heart rate

Front 41

CN XI

Back 41

accessory - and

muscles used in head movement

Front 42

CN XII

Back 42

hypoglossal - herpes

tongue muscle

Front 43

Cranial Nerve: Mneumonic

Oh

Oh

Topless

Tiffany

And

Fat
Vicky

Got

Vaginits

And

Herpes

Back 43

Oh - Olfactory

Oh- optic

Oh- occulomotor

Topless - trochlear

Tiffany- trigimenal

And -abducens

Fat- facial

Vicky - vestibulocochlear

Got - glossopharyngeal

Vaginits - vagus

And - accessory

Herpes hypoglossal

Front 44

Middle aged woman complains of chronic recurrent epsidoes of color changes on her fingertips in a symmetrical pattern. Colors range from white, red to blue. Complains of numbness and tingling. Attacks last several hours. Hands and feet become numb and cold

Back 44

Raynauds Phenomenon

reversible vasospasm of peripheral arteries of fingers and roes

autoimmune disorder

treatment: CCBs

Front 45

OCD medication treatment

Back 45

antidepressants

paroxetine (Paxil)

setraline (Zoloft)

fluoxetine (Prozac)

Front 46

seizures with blank stare

Back 46

absense (petit mal)

Front 47

seizure with awake state, breif jerking of limbs and trunk lasting seconds

Back 47

myoclonic,

Front 48

seizure of rigid extension or arms and legs

Back 48

grand mal

Front 49

seizure with awake state and abnormal motor function

Back 49

simple partial (Jacksonian)

Front 50

most common cause of stroke

Back 50

cerebral ischemia

Front 51

Cluster Headache treatment

Back 51

eliminate triggers (alcohol, tobacco)

triptans

NSAIDs

oxygen

Front 52

What antidepressant should not be used in patients with bulimia nervosa?

Back 52

bupropion (Wellbutrin)

can induce further binging or seizures