Clinical Neurology (test 1) (part 3)

68 cards

Part 3 Notecards Pick Up After 'chronic Headaches' And Cover Material Through Dementia And ACS. Enjoy


 
  
Created Feb 10, 2011
by
bennett.wyllie

 

 
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  Side A   Side B
1
Who are more likely to develop (a) migranes, (b) cluster HA's and (c) tension HA's? Men, Women...
 
Migrane = women (3:1)Cluster = menTension = equal
2
Swelling around the optic nerve is a red flag symptom for a severe headache.... what is this...
 
Papilledema
3
Berry Aneurysms are most commonly associated with hemorrhage of what area?
 
Subarachnoid hemorrhage
4
T/F:Meningitis patients find a flexed cervical position most comfortable while pts presenting...
 
False; visa versa
5
T/F:
Migraine HA's typically onset in teenage years
 
True
6
Patient complaining of a "daily HA..." what should the doctor suspect?
 
Rebound HA (due to overdose of pain meds)
7
Which type of HA is strongly associated with menstruation in women?
 
Migraines
8
Approximately 35% of Migraines are accompanied by what?
 
Auras
9
In order to diagnose a Classic Migraine the patient must present with at least 3...
 
(1) 1 or more reversible aura symptoms(2) At least 1 aura sx. develops gradually over 5 min.(3)...
10
HA's that last 4-72hrs and cause nausea, photophobia and phonophobia are classified as what?
 
Common Migraine
11
T/F:Common Migraines are aggravated by routine physical activity
 
True
12
What are 3 examples of classic "auras" associated with migraines?
 
Flashing lights, Dysphasia and Numbness/parasthesia
13
T/F:Pulsatile pain associated with migraines is mediated by excitability of the peripheral...
 
True
14
T/F:Migranes are not a progressive disease
 
False
15
T/F:90% of Serotonin is within the brain and platelets
 
False; 90% in the GI tracts
16
What type of migraine is associated with stroke-like symptoms?
 
Hemiplegic migraine
17
What dose of Aspirin is considered very effective for migraines?
 
1000mg
18
What is the only triptan drug used prophylactically for women who have a predicatable monthly...
 
Amerge
19
What is an indication for the use of prophylactic drugs in the treatment of migraine HA's?
 
HA frequency of 2 or more times a month & when the HA's effect the pt's ADLs
20
What is the mean age of onset for Cluster HA's?
 
28 yrs old
21
Nocturnal occurrence is common which arises pt. from sleep.  Pain is extremely severe...
 
Cluster HA
22
How long to Cluster HA's generally last?
 
20-60 min.
23
T/F:Migraines generally respond well to oxygen inhalation while Cluster HA do not 
 
False; visa versa
24
When the pt. describes the HA sensation as "their head feeling like it is in a vise" the doctor...
 
Tension HA
25
A temporal, band-like pain around the head is indicative of what type of HA
 
Tension HA
26
Where may the pain associated with a Tension HA radiate towards on the head?
 
Frontal region
27
What is an AKA for Tension HA?
 
"muscle contraction" HA
28
What are the 2 types of Tension HA's?
 
Episodic & Chronic
29
What type of Tension HA is indicated by a duration of 30 min. to 7 days..... no nausea, may...
 
Episodic
30
What type of Tension HA usually lasts from 15 days to 6 months and is frequently associated...
 
Chronic
31
T/F:Analgesic rebound is usually associated with overuse of OTC drugs.
 
True
32
What type of HA usually onsets after and orgasm?
 
Coital HA
33
T/F:
Coital HA's are self-limiting
 
True
34
How is a diagnosis of Pseudotumor cerebri confirmed?
 
elevated pressure during spinal tap
35
What demographic is most likely to develop Temporal Arteritis?
 
Females over 60 yoa
36
Temporal Arteritis produces pain in what areas besides over the temple?
 
Occipital area, face and side of neck
37
T/F:Visual pathways are unaffected with Temporal Arteritis
 
False; vision loss is a severe complication of TA
38
Severe scalp tenderness is a sx. associated with what condition?
 
Temporal Arteritis
39
When examining for Dementia, what is meant by the 'Flat affect?'
 
Pt. gives up easily when mental status is examined; say they cannot perform tasks
40
An acute confusional state with a sudden onset, fragmented speech and marked hallucination...
 
Delirium
41
What is the m/c cause of dementia?
 
Alzheimer's disease
42
T/F:Pseudodementia is associated with depression
 
True
43
What condition produces a state of confusion due to encephalopathy and opthalmoplegia, and...
 
Wernicke's
44
If a patient has organic problems with the brain what type of hallucinations will they have?
 
Visual
45
What is the cause of audio hallucinations?
 
Psychiatric problem (psychosis)
46
T/F:Dementia is a diagnosis
 
False; just a category
47
T/F:If dementia improves with cessation of drinking then AD is unlikely
 
True
48
When is a lumbar puncture performed for the possible dx. of AD?
 
When symptoms have a quick onset and rapid progression
49
T/F:Rigidity, bradykinesia and parkinsonian gait may be associated w/ more rapid progression...
 
True
50
T/F:The presence of ApoE4 is a risk factor for AD
 
True
51
Senile plaques and neurofibrillary tangles are highly associated with what condition?
 
AD
52
What is the main difference (with respect to onset) between Dementia and Acute Confusional...
 
ACS has an acute or subacute onset of hours to days while Dementia has a chronic onset of months...
53
T/F:Visual hallucinations are common in psychiatric disorders
 
False; auditory (visual hallucinations are associated with confusional states)
54
T/F:The ability to store and recall information is impaired by diffuse cortical disease and...
 
True
55
What area of the brain is responsible for memory?
 
Limbic system
56
T/F:Attention is usually normal in ACS but impaired in pt's with dementia
 
False; visa versa
57
Unilateral neglect is when the brain manifests inattention to sensory stimulus on one side...
 
Parietal lobe
58
What are some examples (4) of integrative sensory functions of the brain associated with Parietal...
 
Astereognosis, Agraphesthesia, Disorder of spatial thought and Allesthesia (misplaced localization)
59
T/F:Dialated pupils may indicate parasympathetic hyperactivity
 
False; sympathetic
60
Dysarthria, dysphagia, hyperactive jaw and gag reflex as well as uncontrollable laughing or...
 
Pseudobulbar Palsy
61
What 2 tracts are disrupted in Pseudobulbar Palsy?
 
Corticobulbar and CS tracts
62
T/F:Myoclonus is a major motor finding associated with ACS
 
True
63
T/F:Broad based, ataxic gait is one of the cerebellar signs of dementia
 
False
64
What dementia associated diseases have Chorea as a primary clinical presentation?
 
Huntington and WIlson disease
65
What dementia associated diseases present with tremor, rigidity and bradykinesia?
 
Wilson disease
66
What dementia associated disease present with Myoclonus?
 
CJD and HIV dementia (ACS is not in the dementia category)
67
Dementia caused by Vit. B12 deficiency, Neurosyphilis and HIV dementia is associated...
 
Decreased DTR
68
What disease or category of disease is associated with the presence of primitive reflexes later...
 
ACS & Dementia


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