Card Set Information

2010-04-21 18:10:55
USMLE Step Neurology

Step 2 Neuro
Show Answers:

  1. Bilateral loss of pain and temperature
    Preservation of proprioception and discriminatory sensation
    Where is the lesion
    Central spinal cord lesion
  2. Loss of all modalities on R at one level
    Loss of pain and temp on L below level
    Loss of proprioception and muscle weakness on R to same level
    Half lesion on R at level of loss of sensation
  3. How do pain and temperature nerves travel
    Enter the spinal column synapse and then cross the cord immediately to travel up the Spinothalamic tract
  4. How do proprioception nerves travel?
    Enter the spinal cord and travel up the dorsal column to the lower medulla
  5. Treatment for infantile spasms
  6. Rx for Sub-Arachnoid Hemorrhage
    • Treat HTN
    • Reverse anti-coag
    • Anti-convulsants
    • Clipping or embolization of bleed
  7. What is Todds paralysis
    Focal neurologic deficit for days after Tonic-Clonic seizure
  8. First line Rx for simple partial seizures
    • Phenytoin
    • Valproate
    • Carbamazepine
  9. First line Rx for Complex partial Seizures
    Phenytoin, Valproate or Carbamazepine
  10. First line Rx for Absence seizures
    Ethosuximide or Valproate
  11. First line Rx for T-C Seizures
    Phenytoin, Valproate or Carbamazepine
  12. Rx for secondary seizure
    diazepam or phenytoin
  13. First line Rx for Status Epilepticus
    Diazepam, Lorazepam, or Phenytoin
  14. Side effects of Phenytoin
    • Gingival hyperplasia
    • Androgenic
    • Stevens-Johnson syn
    • blurred vision
    • Confusion
  15. Side Effects of Carbamazepine
    • N/V
    • Hyponatremia
    • Stevens-Johnson Syn
    • Vertigo
    • Blurred Vision
    • Leukopenia
  16. Side Effects of Valproate
    • Hepatotoxicity
    • N/V
    • Tremor
    • Weight Gain
    • Alopecia
  17. Rx for Parkinsons Disease?
    • Levodopa: best but SE
    • Carbidopa: Augments Levodopa
    • Bromocriptine: Use when levodopa begins to fail
    • Selegiline: Early, can delay use of levodopa
    • Amantadine: Anti-rigidity and bradykinesia
    • Benztropine: Adjuvant therapy
  18. Rx for M.S.?
    Glatiramer Acetate
  19. Rx for panic disorder?
    • Clonazepam
    • Alprazolam
    • Clomipramine
  20. Rx for Restless Leg Syn
    • Dopaminergic Agonists:
    • Pramipexole
    • Ropinerole
    • Levodopa
  21. Elderly pt with personality changes, compulsive behavior, impaired memory, and infant reflexes. Dx?
    Frontotemporal Dementia
  22. Alterations in consciousness, Disorganized speech, Visual Hallucinations, Frequent falls and extrapyramidal sx, dementia signs. Dx?
    Lewy Body Dementia
  23. Rx used in subarachnoid hemorrhage? Why?
    • Nimodipine
    • Prevents vasospasm
  24. CT findings in alzheimers and frontotemporal dementia?
    • 1. Alzheimers: Diffuse cortical and subcortical atrophy
    • 2. FTD: atrophy of frontal and temporal cortices