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Disease of the peripheral Nervous System
Test 4 Sem 2
21
Medical
Graduate
02/28/2011

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Cards

Term
Which cranial nerves are not included in "peripheral nerves"?
Definition
CN I-II
Term
What is a common manifestation of nerve disease?
Definition
pain
Term
What is the first line meds for pain management with nerve disease?
Definition
TCAs
Term
What is the most common cranial neuropathy?
Definition
bells palsy
Term
how does facial neuropathy manifest?
Definition
1) unilateral weakness
2) begins abruptly
3) preceded w/pain behind ear
4) 85% recover w/in 1 year
Term
What is trigeminal neuralgia (tic douloureux)? How is treated?
Definition
facial pain syndrome in elderly characterized by dozens of paroxysms of intense pain p/day

Treat w/carbamazepine
Term
What is carpal tunnel syndrome?
Definition
1) compression of medial nerve
2) painful
3) worse at night/during flexion/extension activities
Term
What is an effective treatment for nocturnal symptoms of carpal tunnel?
Definition
wrist splinting
Term
What is ulnar neuropathy most commonly caused from?
Definition
mechanical injury to elbow
Term
Where is weakness and muscle wasting first noticed with ulnar neuropathy?
Definition
dorsal interosseous muscle
Term
What condition is thought to autoimmune related and presents with severe shoulder pain? Resolved within 1-2 years
Definition
brachial plexus neuropathy
Term
peroneal neuropathy usually presents with what?
Definition
foot drop (also can be L5 radiculopathy)
Term
What is the most common type of diabetic polyneuropathy and in what type of diabetes?
Definition
1) distal, symmetrical polyneuropathy
2) type 1 diabetes
Term
the severity of diabetic polyneuropathy is closely correlated with what?
Definition
degree of hyperglcemia, also retinopathy and nephropathy
Term
What is the most common cause of acute generalized paralysis in the western world?
Definition
guillain-Barre syndrome - immune-inflammatory
Term
What is the most common presenting symptom of Guillain-Barre syndrome?
Definition
pricklking paresthesia beginning in feet and spreading proximally hour by hour

*Pain is also a common early symptom
Term
What is a priority to measure with guillian-Barre syndrome?
Definition
respiratory function - vital capacity or maximum inspiratory force
Term
What treatment should be done within 2 weeks of onset of Guillian-Barre? (3)
Definition
1) plasma exchange
2) IV immunoglobulin
3) CSF filtration
Term
What is the most common drug-related cause of polyneuropathies?
Definition
Ethanol
Term
What is most likely the most common cause of neuropathy worldwide?
Definition
leprosy
Term
Which infectious disease cause polyneuropathies?
Definition
1) leprosy
2) HIV
3) Lyme
4) Varicella-zoster
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