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44 Cards in this Set
- Front
- Back
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PT W/ PHX OF SEIZURES AND ESSENTIAL TREMOR P/W ABDOMINAL PAIN, HALLUCINATIONS AND HEADACHES. DX?
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ACUTE PORPHYRIA 2/2 PRIMIDONE (ANTICONVULSANT/TREMOR MED)
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MANAGEMENT OF A SOLITARY METASTATIC BRAIN MASS
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SURGICAL EXCISION F/B WHOLE BRAIN RADIATION
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FEATURES OF BRAIN TUMORS
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HEADACHES N/V 2/2 HIGH ICP
ATAXIA, TREMORS, NYSTAGMUS UNSTEADY GAIT FALLING TOWARDS THE AFFECTED SIDE TITUBATION: BACK AND FORTH TRUNCAL MOVEMENT ON STANDING |
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PT GAIT REMARKABLE FOR ADDUCTION OF AFFECTED ARM AND SEMICIRCLE EXTENDED LEG MOVEMENT FORWARD
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HEMIPARETIC GAIT
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TX FOR ACUTE MS EXACERBATIONS?
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IV STEROIDS
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MECHANISM BY WHICH HYPERVENTILATION DECREASES ICP?
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DECREASES CO2 >>>> CEREBRAL VASOCONSTRICTION
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DX FOR A DOWN SYNDROME PT WHO P/W UPPER MOTOR NEURON SIGNS?
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ATLANTO-AXIAL SUBLAXATION
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PT P/W LE PARALYSIS, LOSS OF PAIN AND TEMPERATURE SENSATION W/ INTACT VIBRATION AND PROPIOCEPTION FEELING. DX? WHATS A COMMON CAUSE?
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ANTERIOR SPINAL ARTERY SYNDROME.
SURGICAL REPAIR OF THORACIC AORTIC ANEURYSM. |
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MOST SIGNIFICANT COMPLICATION OF PSEUDOTUMOR CEREBRI?
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BLINDNESS
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PT P/W VERTIGO, DYSPHAGIA AND PARALYSIS OF HALF HIS FACE. PE SHOWS HORNER SYNDROME ON THAT SIDE AND LOSS OF PAIN SENSATION OF THE OPPOSITE SIDE. DX?
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LATERAL MEDULLARY SYNDROME/ WALLENBERG SYNDROME
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PT P/W PARALYSIS OF HIS RIGHT UPPER AND LOWER EXTREMITIES. PE SHOWS LOSS OF VIBRATION AND PROPIOCEPTION OF THAT SIDE AND DEVIATION OF THE TONGUE TOWARDS THE LEFT SIDE. DX?
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MEDIAL MEDULLARY SYNDROME
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PT P/W RESTING TREMORS, RIGIDITY AND AUTONOMIC DISTURBANCES SUCH AS IMPOTENCE, DRY MOUTH AND INCONTINENCE. DX? TX?
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SHY-DRAGER SYNDROME.
TX: VOLUME MAINTAINANCE WITH NA+ INTAKE, ALPHA-AGONISTS AND COMPRESSIVE GARMENTS |
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24 YO F W/ H/O MIGRAINE AS/W AURA ASKS FOR CONTRACEPTIVE CHOICES. WHATS CONTRAINDICATED?
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OCPs INCREASE THE RISK OF STROKE IN THIS TYPE OF PT
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PT P/W CHILLS, FEVER, HA AND DECREASED VISION. PE SHOWS EOM PALSIES W/ UNILATERAL EXOPHTHALMOS. DX? TOC? TX?
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CAVERNOUS SINUS THROMBOSIS.
CT OF HEAD/ORBITS. COVER STAPH (MRSA IF PREVALENT) |
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MENTION 5 CAUSES OF PSEUDOTUMOR CEREBRI
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VITAMIN A TOXICITY.
HYPOTHYROIDISM/ADDISON'S. TETRACYCLINE, OCPs STEROIDS WITHDRAWAL. SLE |
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WHICH CRANIAL NERVE PALSY IS AS/W PSEUDOTUMOR CEREBRI?
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ABDUCENS PALSY
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WHAT VIT DEFICIENCY CAUSES SEIZURES?
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B6
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PT W/ H/O COPD P/W SEIZURES. WHAT DRUG WAS HE PROB. TAKING?
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THEOPHYLINE
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SPIKE AND WAVE 3 SEC/CYCLE ON EEG. DX?
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ABSENCE SEIZURE
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WHICH DRUGS CAN INCREASE ICP AND ARE THEREFORE CONTRAINDICATED IN SAH?
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NITROPRUSSIDE AND NITROGLYCERIN
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PT P/W IN STATUS EPILEPTICUS SP TCA OVERDOSE. BENZOS FAILED TO CONTROL THE STATUS. WHICH DRUG YOU GIVE NEXT?
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BARBITURATES
*PHENYTOIN IS INEFFECTIVE IN TOXIN-INDUCED SEIZURE DISORDER. |
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PT P/W COMATOSE STATE, HEMIPARESIS AND BREATHING IRREGULARLY. PE SHOWS HORIZONTAL EOM PALSIES W/ EYES POINTING TO HEMIPLEGIC SIDE. DX?
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BASILAR STROKE
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WHAT ARE SPECIFIC SX OF MS?
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MEDIAL LONGITUDINAL OPHTHALMOPLEGIA AND BILATERAL OPTIC NEURITIS (EYE PAIN W/ EYE MOVEMENT)
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PT P/W DEMENTIA AS/W FLUCTUANT BEHAVIOR AND HALLUCIANACIONS. DX?
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LEWY BODY DZ
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TX FOR ACUTE CLOSED ANGLE GLAUCOMA?
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ACETAZOLAMIDE IV, MANNITOL IF REFRACTORY. ONCE IOP IS LOWERED PILOCARPINE DROPS
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LATE COMPLICATION OF CYANIDE POISONING?
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PARKISONISM
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INFANT P/W LIMB ASYMMETRY, ATAXIA AND DELAYED MILESTONES. PE SHOWS HYPERREFLEXIA. PMHX IS REMARKABLE FOR PROLONGED LABOR. DX?
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CEREBRAL PALSY
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PT IS DIAGNOSED W CEREBRAL PALSY FROM BIRTH. MRI SHOWED PERIVENTRICULAR CALCIFICATIONS. WHATS THE CAUSE?
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CONGENITAL CMV
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TX FOR RESTLESS LEG SYNDROME?
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NONERGOT DOPAMINERGICS (PRAMIPEXOLE), BENZOS AND GABAPENTIN.
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FIRST AND SECOND LINE TX FOR OPEN ANGLE GLAUCOMA
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1 BETA-BLOCKER (TIMOLOL), PROSTAGLANDIN ANALOG (LATANOPROST)
2 ALPHA2-AGONIST (CLONIDINE), CA-I (ACETAZOLAMIDE) |
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TX FOR ACUTE CLOSED ANGLE GLAUCOMA
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IV MANNITOL TO DECREASE IOP.
PILOCARPINE (CHOLINERGIC) TO CONSTRICT PUPIL AND OPEN THE ANGLE WHILE MANNITOL DECREASES IOP. B-BLOCKER (TIMOLOL), APRACLONIDINE (A2-AGONIST) TO STOP AQUOUS HUMOR PRODUCTION. DEFINITE TX: LASER IRIDECTOMY |
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FEATURES OF COMPRESSION OF L4?
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DECREASED PATELLAR REFLEX
QUADS WEAKNESS ANTERIOR THIGH NUMBNESS |
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PT P/W INABILITY TO FLEX FOOT AND DECREASED SENSATION OF BIG TOE. WHAT ROOT IS INJURED? WHAT DTR IS IMPAIRED?
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L5
NONE |
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PT P/W INABILITY TO JUMP, NUMBNESS ON LATERAL AREA OF FOOT. WHAT FINDING ON PE? WHAT DTR IS IMPAIRED. WHAT ROOT IS INJURED?
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CANT EXTEND FOOT
ACHILLES TENDON S1 |
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PT W HO PARKINSONS C/O HALLUCINATIONS, CONFUSION AND SOMNOLENCE. WHICH DRUG IS RESPONSIBLE?
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LEVODOPA/CARVIDOPA
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PT HAS A STROKE W CN3 PALSY. WHAT ARTERY WAS OCCLUDED?
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PCA
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WHAT CN IS AFFECTED W INCREASED ICP?
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CN6
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PT W HO CVA C/O BILATERAL LEG WEAKNESS AND DECREASED WILL TO DO ACTIVITIES (ABULIA). WHAT ARTERY IS CAUSING THE CVA?
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ACA
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WHAT ARE THE DIFFERENCES BETWEEN CENTRAL AND PERIPHERAL VERTIGO? WHAT DIFFERENCIATES BOTH FROM SYNCOPE?
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1. CENTRAL VERTIGO HAS VISION-FIXED NYSTAGMUS, PERIPHERAL DOESN'T.
2. CENTRAL VERTIGO HAS NEUROLOGIC DEFICITS LIKE: ABNORMAL GAIT, NUMBNESS, WEAKNESS ETC..WHILE PERIPHERAL V. HAS HEARING IMPAIRMENT BUT NO FOCALITY. 3. SYNCOPE HAS ANS SI/SX AND THERE'S NO MOTION SENSATION LIKE VERTIGO. |
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MOST COMMON CAUSE OF SENSORY-NEURAL HEARING LOSS?
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PRESBYCUSSIS 2/2 AGING
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TRAM-TRACK CALCIFICATIONS ON SKULL XR?
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STURGE-WEBER SYNDROME
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TX FOR OPTIC NEURITIS
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IV METHYLPREDNISOLONE
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MNG OF INCIDENTAL MENINGIOMA?
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EXPECTANT.
*SX CAUSES MORE MORTALITY THAN ACTUAL TUMOR |
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TOC FOR RESTLESS LEG SYNDROME?
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DOPAMINE AGONISTS (PRAMIPEXOLE IS FIRST LINE)
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