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Patient Assessment- Neuro
Misc
48
Medical
Graduate
10/01/2018

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Cards

Term
What structures comprise the limbic system?
Definition
Amygdala, hippocampus, mamillary bodies & cingulate gyrus
Term
Difference between central and peripheral lesions?
Definition
Central: lesions in the brainstem (not CN nuclei), cerebrum or cerebellum
Peripheral: lesions of the CN nuclei, the nerves themselves or the neuromuscular junction
Term
Location of upper motor neuron?
Definition
Proximal to anterior horn; distal is lower
Term
Babinski in UMN vs. LMN degeneration?
Definition
Positive in UMN
Negative in LMN
Term
UMN pattern of weakness
Definition
Upper extremities- extensors weaker than flexors
Lower extremities- flexors weaker than extensors
UE supinator weakness- causes pronator drift
Term
Paratonia
Definition
aka gegenhalten
is defined as "a form of hypertonia with an involuntary variable resistance during passive movement." In other words, attempting to move the limb of a person with paratonia will result in that person involuntarily resisting the movement.
Can be seen in dementia
Term
Dysdiadochokinesia
Definition
medical term for an impaired ability to perform rapid, alternating movements
Term
Festination
Definition
Involuntary acceleration of gait
Term
Brudzinski's meningeal sign
Definition
Lay child supine, tilt chin toward chest. Positive if hips & knees flex
Term
Kernig's meningeal sign
Definition
Supine child, flex hip & knee, then straighten knee. Positive if resistance
Term
Faulty gene in Huntington's?
Definition
CAG trinucleotide repeat on Huntington (HTT) gene on chromosome 4p
Term
How would muscular dystrophy present in adulthood?
Definition
Dilated cardiomyopathy with little to no muscle weakness
Term
When does DMD weakness present?
Definition
2-3 yrs of age
Proximal then distal muscles
Term
Clinical features of BMD?
Definition
Swayback
Protruding belly due to weak abdominal muscles
May walk on toes; falls frequently
Term
Myelomeningocele
Definition
AKA spina bifida
Outpouching of meninges AND spinal cord through skin
Term
Chorea
Definition
a neurological disorder characterized by jerky involuntary movements affecting especially the shoulders, hips, and face.
Term
Athetosis
Definition
Slow, sinuous involuntary movements (dance-like)
Term
Functional movement disorders
Definition
Acute onset, diminished w/ distraction
Term
Pharm tx for Tourettes
Definition
antidopaminergics, alpha adrenergic agonists, topiramate, botulinum toxin
Term
Tx for acute ischemic stroke?
Definition
alteplase (tissue plasminogen activator- tPA)
Term
Which area of the brain controls language output?
Definition
Broca's or Brodman's area 44
Term
Which area of the brain receives language input?
Definition
Wernicke's or Brodman's area 22
Term
What structure connects Broca's and Wernicke's area?
Definition
Arcuate fasciculus
Term
DX of Complex Regional Pain Syndrome?
Definition
Report one symptom in 3 of the 4 categories & present w/ sign of 2 of the 4 symptom categories
Sensory, vasomotor, sudomotor/edema, motor trophic
+ No other explanation for symptoms
Term
Loss of reflex in limb that does not appear weak or wasted indicates axonal or demyelinating neuropathy?
Definition
Demyelinating
Term
Axonal neuropathy affects mostly motor or sensory functions?
Definition
motor
Term
5 Demyelinating diseases of PNS?
Definition
Guillain- Barre
Anti-MAG peripheral neuropathy
Charcot-Marie tooth disease
Cu deficiency
Progressive inflammatory neuropathy
Term
MS management
Definition
Ocrelizumab, azathioprine, cyclophosphamide, methotrexate, cladribine, cyclosporine, interferons, plasma exchange
Term
Most commonly identified infectious precipitant of Guillain Barre (GBS)?
Definition
Campylobacter jejuni
Term
GBS management?
Definition
Plasma infusion, IVIG
Term
MC causes of encephalitis
Definition
HSV, rabies, enterovirus, tick-borne viruses
Term
Bacterial meningitis symptom triad?
Definition
Fever, nuchal rigidity, change in mental status
Term
Most likely cause of Bell's palsy?
Definition
HSV activation
Term
Drugs that can induce cerebellar syndrome?
Definition
Phenytoin, aminoglycosides, Li, carbamazepine, chemotherapeutic agents
Term
Decorticate posturing?
Definition
Problem in cervical spinal cord or cerebral hemispheres
Flexors (arms like a "C")
Term
Decerebrate posturing?
Definition
Problems w/in midbrain or pons
Extensors (arms like "e"s)
Term
What pathologic state can result from mixing St. John's wort and SSRIs?
Definition
Serotonin syndrome
Term
Cause of Neuroleptic Malignant Syndrome (NMS)?
Definition
Acute dopamine D2 receptor blockade in the corpus striatum, hypothalamus, and spinal cord
Term
Tx for NMS?
Definition
Stop causative agent
IV fluids
Antipyretics, cooling blanket
Dopamine agonists, levodopa, amantidine, or dantrolene
Term
What drugs can cause optic neuritis?
Definition
Chloramphenicol, antituberculous agents such as ethambutol and INH, alpha interferons, isotretinoin, amiodarone
Term
Nerve roots for biceps reflex?
Definition
C5-C6
Term
Nerve roots for triceps reflex?
Definition
C6-C8
Term
Nerve roots for brachoradialis reflex?
Definition
C5-C6
Term
Nerve roots for patellar reflex?
Definition
L2-L4
Term
Nerve roots for Achilles reflex?
Definition
S1-S2
Term
Nerve roots for plantar flexion?
Definition
L5-S2
Term
Nerve roots for abdominal reflex?
Definition
T8-T12
Term
Pinguecula
Definition
a yellowish, slightly raised thickening of the conjunctiva on the white part of the eye (sclera), close to the edge of the cornea.
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