-
-
-
-
-
-
-
-
-
-
-
-
-
Which CN maybherpes zoster affect?
CN 5 (opthalmic Branch - can result in corneal blindness)
-
How is temporal arthritis treated?
High dose prednisone x several weeks
-
What is the screening test for temporal arteritis?
- (Elevated) Sedimentation Rate
- & C-reactive protein (CRP)
-
Treatment of Bell’s Palsy?
Corticosteroids x10 days
-
Which nerve does carpal tunnel effect?
Median
-
Tapping anterior wrist briskly to assess for carp tunnel
Tinel’s Sign
-
Full flexion of wrist for 60 seconds assessing for carpal tunnel?
Phalen’s Sign
-
How is a cluster headache treated?
High Dose Oxygen
-
How is trigeminal neuralgia treated?
High dose anticonvulsants
-
Which headache appears bilaterally?
Muscle tension headache
-
Band like head pain that may last for days is what type of headache?
Muscle Tension Headache
-
Migraine is accompanied by what 4 symptoms?
- Nausea
- Throbbing
- Photo/phonophobia
-
Pain on one side of the face/cheek that is precipitated by talking, chewing, cold food, or cold air on affects area is caused by?
Trigeminal Neuralgia (tic douloureux)
-
Infuriated temporal artery with pain behind eye/scalp is caused by?
Temporal Arteritis
-
Which headache is accompanied by tearing, nasal congestion, severe pain behind one side of eye. May occur several times a day that is seen mostly in middle aged males?
Cluster
-
Acute onset of higher fever, severe headache, stiff neck with a classic purple colored petechial rash that is accompanied by nausea, vomiting, & photophobia is concerning for what disease?
Acute Bacterial Meningitis
-
The most common head injury during a fall in the elderly & and MVA of a young adult is what?
Subarachnoid Hemorrhage
-
Tell patient to stand with arms and hands straight on each side and with feet together & instruct patient to close both eyes while standing in the same position is what type of test?
Romberg Test (+ excessive sways, falls down, keeps feet apart)
-
What is stereognosis?
Ability to identify and object with eyes closed
-
Graphesia?
Writing large letter on patients hand and then recognize it
-
Flex patient’s hips one at a time then attempt to straighten the leg while keeping the hip flexed at 90 degrees is what sign that test for meningeal irritation?
Kernigs Sign
-
Passively bend the patients neck toward the chest testing for meningeal irritation is what sign?
Brudzisnki’s Sign (positive if patient flexes the hip to relieve pressure)
-
Abortive agent for migraine?
5-HT-1 agonists sumatriptan (Imitrex)
-
Who should Imitrex be avoided in?
CV Disease (MI, angina, CVA, uncontrolled HTN)
-
What drug interaction may Imitrex interact with?
- SSRI/SNRI (higher risk of seratonin Syndrome)
- MAOI (do not start within 2 weeks of use)
-
What medication is considered to be used as prophylaxis for migraines?
- Propranolol (Inderal)
- TCA
- Anticonvulsants
-
Bell’s Palsy effects what CN?
CN 7
-
Trigeminal Neuralgia effects which CN?
CN 5
-
Treatment for Trigeminal neuralgia?
Anticonvulsants (Tegretol or Dilantin)
-
“Ice pick” pain behind one eye is associated with what type of headache?
Cluster
-
Swelling of the optic disc due to increased ICP is due to what? Patient will also have absent venous pulsations
Papilledema
-
More than _____ migraines a month should make the provider consider prophylaxis.
2
-
Jaw claudication with chewing in an older patient (~72) makes you think the patient has what?
Temporal Arteritis (Giant Cell Arteritis)
-
What exam should you do to test for Benign Paroxysmal Positional Vertigo?
Dix-Hallpike Maneuver (lay patient down and have them sit up fast - will reproduce symptoms)
-
What neurotransmitter it the underlying problem in Parkinson’s disease?
Dopamine (need to make more dopamine available - such as Levadopa)
-
3 cardinal features of Parkinson’s disease?
- Tremor at rest (pill rolling)
- Bradykinesia
- Rigidity
-
Female patient complains of bizarre neuro symptoms such as abnormal limb sensation, unilateral vision loss. What do you think the patient may have?
Multiple Sclerosis
-
Repeated head injury/trauma can cause what neuro disease?
Lou Gehrig’s Disease (ALS)
-
Neuro exam that should be done first on every patientjQuery112405332880192015249_1551673562023
Mini mental status exam
-
Prophylaxis Tx for muscle tension (band like) Headache?
TCAs (Amitryptaline)
|
|