Neuro - Fast Facts

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Last updated: January 2, 2024
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First submittedDecember 27, 2023
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most common artery involved in ischemic stroke
MCA
hypertension in ischemic stroke should only be treated if BP >
220/110
loss of motor function and pain and temperature sensation below the level of the injury with preservation of position and vibratory sensation are all neurological deficits associated with what condition
anterior cord syndrome
what syndrome presents after hyperextension of the spine, causing decreased strength and sensation that is more pronounced in the upper extremities than the lower extremities?
central cord syndrome
[condition] is characterized by descending paralysis and absent deep tendon reflexes
guillain barre
low glucose, high protein, and neutrophil predominance on CSF analysis indicates
bacterial meningitis
autoimmune destruction of what antibody is the cause of myasthenia gravis
acetylcholine
urinary incontinence, ataxia and dementia are characteristic features of
normal pressure hydrocephalus
what type of ischemic cerebrovascular incident causes homonymous hemianopia?
posterior cerebral stroke
guillain barre causes this form of paralysis
ascending
following dix hallpike maneuver, a pt with BPPV will exhibit this kind of nystagmus
rotary
first line for migraine prophylaxis
propranolol, topiramate
MCC dementia
alzheimers
first line for absense seizures
ethosuxamide, valproate
disease characterized by accumulation of negri bodies within brain tissue
rabies
neurodegenerative disease caused by increased CAG trinucleotide repeats
huntingtons
type of seizure characterized by brief 3hz spike and wave pattern on EEG
absence
first line for status epilepticus
ativan
first line for essential tremor
propranolol
first line prophylaxis for chronic tension headache
amitriptyline
first line prophylaxis for cluster headaches
verapamil
type of seizure characterized by focal or lateralized sharp spikes and slow waves on EEG
complex partial
first line for focal seizures
valproate, phenytoin, phenobarbital, lamotrigine
first line for tonic clonic seizures
phenytoin, phenobarbital, carbamazepine, levecitiracem
med classes used to treat alzheimers
cholinesterase inhibitors, NMDA receptor antagonists
direction of nystagmus seen in BPPV
horizontal
bell’s palsy (does/does not) spare the forehead?
does not
bell’s palsy is associated w/ loss of taste and hyperacusis due to involvement of this cranial nerve
7th
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answer
type of headache characterized by unilateral periorbital pain, conjunctival injection, rhinorrhea, and congestion
cluster headache
Degeneration of the basal ganglia in the substantia nigra leading to dopamine and arch depletion is characteristic of
parkinsons
this med can be given subcutaneously or intranasally as an alternative to oxygen therapy in patients with cluster headache
sumatriptan
saddle anesthesia is a red flag for
cauda equina syndrome
causes of horizontal nystagmus (5)
BPPV, meniere's, vestibular neuritis, labyrinthitis, cholesteatoma
causes of vertical nystagmus (5)
multiple sclerosis, vestibular neuroma, migraine, CVD, tumor
horizontal nystagmus usually indicates ____ causes of vertigo
peripheral
vertical nystagmus usually indicates ____ causes of vertigo
central
causes of pendular nystagmus (2)
multiple sclerosis, brainstem stroke
causes marcus gunn pupil
retinal vascular occlusion
type of nystagmus associated with menieres disease
Horizontal or rotary
this disorder is characterized by progressive unilateral sensorineural hearing loss, disequilibrium, and facial numbness secondary to compression of the vestibulocochlear nerve
acoustic neuroma/vestibular schwannoma
labyrinthitis is characterized by inflammation of this nerve
vestibulocochlear
associated w/ tabes dorsalis and argyll robertson pupils
neurosyphillis
MCC of syncope
vasovagal
brain bleed associated with a lucid interval
epidural hematoma
epidural hematoma is MC caused by trauma to this bone
temporal
rupture of this artery causes epidural hematoma
middle meningeal artery
fixed, dilated or “blown” pupil may be associated with
epidural hematoma
biconvex hyperdensity not crossing suture lines is a CT finding seen in
epidural hematoma
triad of HTN, bradycardia and respiratory irregularities is also known as
cushing reflex
rupture of bridging veins associated with blunt trauma is the MCC of
subdural hematoma
concave or crescent shaped hyperdensity crossing the suture lines is a CT finding that indicates
subdural hematoma
what degree of midline shift is an indication for surgical evacuation of subdural hematoma
≥ 5mm
MCC of subarachnoid hemorrhage is rupture of
berry aneurysm
xanthochromia is a red flag for
subarachnoid hemorrhage
pupils that accommodate appropriately but are not reactive to light are also called
argyll robertson pupils
preliminary ECG is required in this class of meds that has negative cardiac side effects including QT prelongation
TCA's
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