Term
Depression or dementia?
Has trouble with concentration. |
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Definition
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Term
Depression or dementia?
Difficulty with short term memory. |
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Definition
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Term
| American academy of neurology standard to slow decline in Alzheimer type Dementia (AD)? |
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Definition
Vitamin E 1,000 IU twice daily.
or
Selegiiline 5mg BID |
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Term
| American academy of neurology standard in mild to moderate stages of AD? |
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Definition
Cholinesterase inhibitors
-Donepezil (aricept)
-Rivastigmine (Exelon) |
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Term
| American academy of neurology standard in moderate to severe AD? |
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Definition
N-methyl-D-asparate receptor antagonist. (namenda)
-effect is on glutumate
also: aricept is approved, donepizil |
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Term
| Adverse effects of atypical antipsychotics? |
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Definition
worsen insulin resistance.
wt gain, Increased glucose.
Increased clotting.
Increased risk of stroke, CV disease. |
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Term
| What is the mneumonic for the DSM-IV criteria for major depressive episode? |
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Definition
> or = 5 symptoms within a 2 week period:
SIGECAPS
S Sleep: insomnia, hypersomnia,
I Interest: Depressed mood, loss of interest or pleasure.
G Guilt: feelings of worthlessness
E Energy: Fatigue
C Concentration: Diminished ability to think clearly or make decisions.
A Appetite: Wt change, loss of food enjoyment
P Psychomotor: psychomotor retardation or agitation
S Suicide: recurrent thoughts of death, passive without plan. |
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Term
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Definition
| inability to receive pleasure |
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Term
|
Definition
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Term
| Tension headache..unilateral or bilateral? |
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Definition
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Term
| Type of headache more common in males |
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Definition
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Term
| Type of headache with pulsating quality |
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Definition
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Term
| Migraine headache..unilateral or bilateral? |
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Definition
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Term
| Associating symptoms of migraines |
|
Definition
n/v
photophobia
phonophobia |
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Term
| What time of day do cluster headaches usually occur? |
|
Definition
| About one hour after sleep |
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Term
| Associating symptoms of cluster headache |
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Definition
| ipsilateral autonomic sign such as lacrimation, conjunctival injection, ptosis, nasal stuffiness |
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Term
| What type of headache is oxygen used to treat? |
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Definition
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Term
| Some prophylactic (controller) medications for headaches |
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Definition
BB
CCB (verapamil)
TCA (noritryptiline, amitryptiline)
antieleptic drugs (neunontin, depakote, topramax)
lithium (cluster headache specific) |
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Term
| Conditions in which "Triptans" should not be used |
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Definition
pregnancy
CVD- vasoconsrictive effect
uncontrolled htn |
|
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Term
| first line treatment for prevention of tension headaches |
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Definition
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Term
| Pressing pain is a description of what kind of headache |
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Definition
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Term
| Pulsating pain is a description of what kind of headache |
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Definition
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Term
| CSF in bacterial meningitis |
|
Definition
glucose levels of about 30% that of serum (reduced)
WBC around 1200 with neutrophils predominate
Elevated CSF protein level |
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Term
| CSF results in viral meningitis |
|
Definition
predominence of lymphocytes
normal glucose and protein levels |
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Term
| Drugs that can be used in chemoprophylaxis of meningococcal meningitis |
|
Definition
single dose of ceftriaxone
multiple doses of rifampin
Menactra |
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Term
|
Definition
-suggestive of nuchal rigidity and meningeal irritation
Patient is laying supine, and passive flexion of hip causes hip and knees |
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Term
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Definition
| Pt is laying supine and hips flexed to 90 degrees. Positive sign with extension of knee from this position elicits pain in lower back or posterior thigh |
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