Neurology ROSH review and
cranial nerves exam with 100%
correct answers
HAs that are assoc with ipsilateral autonomic symptoms such as eyelid
edema, nasal congestion lacrimation and rhinorrhea?
what is the abortive treatment?
Cluster headache!
abortive treatment : o2 oxygen
what are each of the following findings on CSF associated with?
high IgG
high protein w normal WBC count
1. high IgG- Multiple sclerosis
2. high protein w normal WBC count- GBS
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what are each of the following findings on CSF associated with?
,1. high protein, decreased glucose, high PMNs
2. high protein, normal glucose, high WBC (lymphocytes)
1. high protein, decreased glucose, high PMNs-- bacterial meningitis
2. high protein, normal glucose, high WBC (lymphocytes)-- viral (aseptic
meningitis)
what are each of the following findings on CSF associated with?
1. increased CSF opening pressure otw normal
2. blood in csf, xantochromia
1. idiopathic intracranial HTN
2. subarachnoid hemorrhage
black box warning for NSAIDs?
what is their MOA?
- GI bleed
- MOA: block COX enzyme, reducing the number of prostaglandins-- when
the number of PGs is reduced, the stomach is no longer protected from its
own acid therefore gastric ulcers are formed and hence the chances of GI
bleed
what is a linear skull fracture?
exten thorugh the thickness of calvarium
linear fracture of skull w an overlynih scalp lac is considered open.
pts w opne skull fractures should receive abx prophylaxis w vancomycin
and ceftriaxone
what is the mc cause of AMS in an adolescent or pediatri cpopulation?
toxic ingestion
what are the AEIOU tips?
, what is the classic presentation of GBS?
what about CSF findings?
symmetric proximal muscle weakness along with deep or absent tendon
reflexes-- campylobacter or GI infxn
facial weakness may be present
GBS can have elevated protein w a normal WBC count in CSF
what is the treatment for GBS?
IVIG and plasmapheresis
what is a subdural empyema?
collection of pus in subdural space
can come from sinusitis, osteomyelitis, middle ear dz, meningitis
a __________ is contraindicated in a pt w focal neurologic findings prior to
head imaging (test/procedure)
lumbar puncture
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