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Step2: Neuro3
Neuro 3
| Question | Answer |
|---|---|
| Poor comprehension and Word-salad is ___________ aphasia. | Wernicke's |
| Good comprehension but poor fluency is __________ aphasia | Broca's |
| Fluent speech w/ frequent attempts to correct words, long pauses is _____________ aphasia. | Conduction |
| Poor comprehension and poor speech is ____________ aphasia | Global |
| What metabolic defect is a common cause of seizures in adults and infants? | Na+ defecit (hyponatremia). Low Glc can also cause seizures. |
| Which 4 meds cause seizures (the meds themselves, not withdrawal from them)? | buproprion (antidepressant), buspiron (anxiolytic), enflurane, theophylline (overdose) |
| Which 4 meds cause seizures when withdrawn? | Benzos, alcohol, barbs, anticonvulsants |
| Which vitamin deficiency causes seizures? | B6 deficiency (low GABA levels) |
| ____________ seizures have focal sensory or motor deficit with NO affect on consciousness. | Simple partial |
| ____________ seizures have hallucinations (usually olfactory) and automatisms. Consciousness if impaired. Postictal confusion possible. | Complex partial |
| What part of the brain do complex partial seizures affect? | Temporal lobe |
| What are the 5 types of generalized convulsive seizures? | tonic, clonic, tonic-clonic, myoclonic, atonic |
| Todd's paralysis is ____hrs of u/l paralysis following ______________ seizures. | 15hrs; convulsive seizures |
| Absence seizure has ___ cycle/second pattern known as ________________. | 3 cycle/second; "spike & wave" pattern |
| How many minutes of seizues without remittance is considered status epilepticus? | 20min without return to normal consciousness |
| What is the purpose of CBC in status epilepticus? | to check for infection as a cause |
| Toxicology can rule out a _________ etiology for status epilepticus. | Drugs |
| 4 steps to Status Epilepticus management | 1. ABCs 2. IV Benzos (loraz/diaz) to treat current seizing, Phenytoin to prevent further seizures 3. Phenobarb/pentobarb for refractive seizures 4. Rx underlying cause |
| Pregnant Women with seizures should be given ________ as Rx for likely eclampsia. | Mg Sulfate |
| Grand mal (tonic clonic) seizures are Rx'd with ___________, ____________, _______________, _____________, and _____________ | Phenytoin, Carbamezapine, Valproate, Lamotrigine, Topiramate |
| Partial seizures have 3 DOCs. They are: | Lamotragine, Carbamezapine, Phenytoin |
| What are the #1 and #2 drug for Absence seizure? | 1: ethosuxamide 2: valproate |
| DOC for Myoclonic seizure? | Valproate |
| Which seizure med causes gingival hyperplasia? | Phenytoin |
| Which seizure med is DOC for Trigeminal neuralgia? | Carbamezapine |
| What drugs cause Stevens Johnson syndrome? | Anticonvulsants, ABx (sulfas, penicillins, allopurinol) |
| What are the P450 inducers (BCG PQRS)? | Barbs, Carbamez, Griseofulvin, Phenytoin, Quinidine, Rifampin, St. Johns Wort, (ethanol) |
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