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NEURO ....C46
NEUROLOGICAL DISORDERS
| Question | Answer |
|---|---|
| COMMON CAUSES OF ALZHEIMER'S DISEASE INCLUDE: | UNKNOWN = AMYLOID PLAQUES & NEUROFIBRILLARY TANGLES ARE SEEN IN AUTOPSY |
| BRAIN DAMAGE R/T CEREBROVASCULAR & CARDIO-VASCULAR PROBLEMS (USUALLY STROKE), CEREBRAL BLOOD VESSEL DAMAGE R/T GENTEICS, ENDOCARDITIS, MYELOID ANGIOPATHY, VASCULITIS,& PROFOUND HYPOTENSION ALL CONTRIBUTE TO WHICH TYPE OF DEMENTIA ? | VASCULAR DEMENTIA , THE 2ND MOST COMMON CAUSE OF DEMENTIA |
| WHAT CAUSES LEWY BODY DEMENTIA | UNKNOWN, BUT FAMIAL CASES HAVE BEEN REPORTED |
| FRONTOTEMPORAL DEMENTIA IS LINKED WITH WHAT POSSIBLE CAUSE ? | ABNORMAL TAU PROTEINS BUILT UP IN NEUROFIBRILLARY TANGLES = FRONTAL & TEMPORAL LOBES |
| WHAT ARE THE S/S OF STAGE I ALZHEIMER'S DISEASE ? ........P1619 | APPEARS HEALTHY & ALERT; RESTLESS, FORGETFUL OR UNCOORDINATED; DISORIENTED TO TIME & DATE; PROBLEMS W/SIMPLE CALCULATIONS |
| THE S/S OF STAGE II ALZHEIMER'S DISEASE ? | WANDERIING, PERIODS OF LUCIDITY, SUNDOWNING, LANGUAGE DEFICITS, APRAXIA |
| WHAT IS PARAPHASIA | USING THE WRONG WORD |
| WHAT IS ECHOLALIA | REPITITION OF WORDS OR PHRASES |
| SCANNING SPEECH? | SEARCHING FOR WORDS |
| APHASIA? | ABSCENCE OF SPEECH |
| APRAXIA? | INABILITY TO PERFORM PURPOSEFUL MVMTS & USE OBJECTS CORRECTLY |
| WHAT SENSORIMOTOR DEFICITS ARE SEEN IN STAGE 2 ALZHEIMER'S? .........P1620 | APRAXIA,ASTEREOGNOSIS (INABILITY TO IDENTIFY OBJECTS BY TOUCH), AGRAPHIA |
| WHAT ARE THE S/S OIF STAGE 3 ALZHEIMER'S DISEASE? | INCONTINENCE, FALLS, DELUSIONS, PARANOIA, ANOREXIA, |
| HOW IS ALZHEIMERS DIAGNOSED | RULE OUT ANY OTHER POSSIBILITIES |
| WHAT DO YOU RULE OUT WHEN SEEING A POTENTIAL ALZHEIMER'S PATIENT? | OD, INFX, HYPOTHYROID, DEHYDRATION, HEART DISEASE, STROKE, COPD, |
| A DIAGNOSIS OF ALZHEIMER'S REQUIRES WHAT 3 ELEMENTS? | DOCUMENTED PRESENCE OF DEMENTIA W/ONSET B/W 40 & 90 YRS OLD, NO LOSS OF CONSCIOUSNESS & ABSCENCE OF SYSTEMIC OR BRAIN DISORDER THAT COULD CAUSE MENTAL CHGS |
| WHAT ARE SOME Rx USED TO TREAT AD ? | COGNEX(TACRINE), ARICEPT (DONEPEZIL), EXELON (RIVASTIGMINE),(PARASYMPATHOMIMETICS) |
| WHICH Rx IS INDICATED FOR MODERATE TO SEVERE AD & VASCULAR DEMENTIA ? | NAMENDA (MEMANTINE) |
| Rx USED FOR SEVERE agitation in ad are ? | thioridazine (melaril), or haloperidol (haldol) |
| what are the 4 classifications of MS ? | relaspsing - remitting; primary progressive; secondary progressive; & progressive relapsing |
| how is MS diagnosed ? .......p1627 | MRI w/findings of lesions is most definitive test; also CSF analysis for elevated IGg, ct scan = enlrgd ventricles , atrophy & white matter lesions; areas of chgs in glucose metabolism from PET scan, |
| in which systems would you expect to see delayed conduction from evoked response testing ? | visual, auditory or somatosensory |
| why are ACTH & glucocorticoid Tx used in MS ? | to decrease inflammation & suppress the immune system |
Created by:
migibson44
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