Neurology Shelf

Front 1

Amylosis fugax--caused by _______________, significance = _________; management = ___________

Back 1

-painless loss of vision (curtain coming down) caused by EMBOLI (usu from carotid bifurcation);

-warning sign of impending stroke;

-next step in mgmt = Duplex study of neck (to ID any plaques that may be present)

Front 2

Drug approved for use in patients with Amotrophic Lateral Sclerosis (ALS)

Back 2

Riluzole--
a glutamate inhibitor...doesn't arrest process, but may prolong survival and the time to tracheostomy

Front 3

Treatment for Guillain-Barre syndrome

Back 3

Plasmaphoresis & IV immunoglobulins

Front 4

2 drugs used to treat Essential Tremor, and what important side effect is possible:

Back 4

Propranolol and Primidone (anticonvulsant--but it can cause Acute Intermittent Porphyria--which manifests as abdominal pain, confusion, headaches, hallucinations, dizziness--ie abdominal, neuro, & psych symptoms)

Front 5

Acute onset of eye pain, photophobia, headache, and nausea, with a mid-dilated pupil on PE....
What is it and What is the best diagnostic test?

Back 5

Acute Glaucoma,

Ocular Tonometry

Front 6

What other neuro/psych drug besides clozapine can cause agranulocytosis?

Back 6

Carbamzepine

Front 7

Best way to monitor respiratory function in a patient with Guillain-Barre

Back 7

Serial measurements of bedside Vital Capacity

Front 8

Hypertensive bleeds occur most commonly in the _______________, with other common locations including ___________, ____________, and _____________.

Back 8

Most common location = Basal Ganglia

Other common locations = cerebellum, thalamus, and pons

Front 9

Signs of Cerebellar Dysfunction

Back 9

°Ataxia,
°Broad-based gate
°Intention tremor
°Dysmetria (lack of coordination of mvt typified by overshoot or undershoot of intended position with arm, hand, leg, or eye...it is a type of ataxia)
°Nystagmus
°Difficulty with rapid alternating movements;

-->can also have muscle Hypotonia, where with patellar reflex you get pendulum knee reflex (a single tap on patellar tendon elicits several to-and-fro leg movements)

Front 10

HIV-infected patient with focal neurologic signs and multiple non-enhancing lesions with no mass effect on CT scan

Back 10

PML (Progressive Multifocal Leukoencephalopathy)

common presenting signs are hemiparesis (one-sided weakness) and disturbances in speech, vision, and gait

Front 11

Hemorrhages are seen as _________________ areas on CT, while infarcts characteristically have _________ parenchymal areas on CT

Back 11

Hemorrhages--hyperdense;
Infarcts--hypodense

Front 12

Triad of encephalopathy, oculomotor dysfunction, and gait ataxia

Back 12

Wernicke encephalopathy

Front 13

Drug that can cause Pseudotumor cerebri (Idiopathic intracranial hypertension)

Back 13

Isoretinoin (or vitamin A toxicity)

Front 14

rapidly progressive dementia, myoclonus, and bi- or tri- phasic sharp waves on EEG

Back 14

Creutzfeldt-Jacob disease (prion disease)

Front 15

Tx for Trigeminal Neuralgia

Back 15

Carbamazepine