Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Neuro Tx 1


Brain tumor: Std of care: Grade I Surgery +/- RT
Brain tumor: Std of care: Grade II Surgery; Observe; If progression: CTx
Brain tumor: Std of care: Grade III Surgery; RT with temozolomide; 12 cycles of temozolomide
Brain tumor: Std of care: Grade IV Surgery; RT with temozolomide; 52 weeks rotational CTx
epidural spinal mets: tx irradiation
Ulnar neuropathy: Tx modify activity; extensor splint at night; NSAIDs; surgery (nerve transposition or ligament release); No C’steroids
Meralgia paresthetica: Tx often self-ltg; hydrocortisone injxn; nerve transposition
Fem neuropathy: Tx Tx etiology; splints/braces; PT
Sciatic n. palsy: Tx Tx etiology; behave change; anti-inflam; PT; surg
CN VII palsy: Tx prednisone; artificial tears/eye patch; No Surg
Dejerine-Sottas Dz: Tx Supportive; plasmapheresis; dietary restriction
AIDP (GBS): Tx Anti-inflam; plasmapheresis; IVIg; mech ventilation; OT/PT
MG tx cholinesterase inhib: pyridostigmine; thymectomy; c'steroids, immunosuppressants, IVIg
LEMS tx plasmapheresis & immunosuppressive tx
Essential tremor Tx Firstline: Beta-blocker; Primidone; benzos for anxiety related
Ataxic (intention) tremor: Tx: Meds usu ineffective; Weights; surgical lesions of ventrolateral thalamus in severe cases
Parkinson Dz: Levodopa (L-dopa) efficacy 80% of pts improve; Sinemet treats akinesia & is less effective in treating tremor.
L-DOPA MOA precursor of DA (which cannot cross BBB; L-DOPA can)
Dopamine agonists MOA Act like DA at DA receptor; may allow for reduction in dose of Sinemet required & may decrease on-off probs
Huntington Tx Ctrl dyskinesia: chlorpromazine; behav disturbances: DA receptor blockers: neuroleptics (haloperidol, clozapine); DA reserve depleters (reserpine no longer used)
Wilson: Tx Should begin before neuro Sx onset; early tx prevents neuro sequela devt; eat low Cu foods; sulfurated potash with meals (prevent Cu absorption); chelator (d-penicillamine) to remove absorbed Cu
Wilson dz: Tx: foods to avoid liver; chocolate; mushrooms; shellfish; nuts
Menstrual migraine tx triptans given acutely; NSAIDs; OCP
Migraine: use preventive med (as well as abortive) if: >8 HA / month
Tension type HA: antidepressants TCA (amitriptyline, nortriptyline); Duloxetine
Cluster HA: Abortive Tx O2 100% at 6-8 L/min x 15 min; DHE-45 IV; Sumatriptan or Zomig; Intranasal lidocaine; Poss Lupron IM
Cluster HA: Prophylactic Tx: Verapamil; Lithium; valp, cryptohepatadine; prednisone taper; relief in 1-2 days
Triptans: MOA: constrict intracranial blood vessels, inhibit vasoactive neuropeptide release, & interrupt pain signal transmission centrally
Mgmt of 85% of symptomatic carotid stenoses carotid endoarterectomy
components on Triple H therapy for SAH hypervolemia, heme dilution, hypertension
when can a burr-hole be done to treat subdural hemorrhage 2 weeks after injury
Treatment for myelomeningocele planned c section, emergent closure of defect within 24 hours
Begin levodopa tx when: pt experiences functional impairment
DA agonists: MOA Act directly on dopamine receptors in the corpus striatum
COMT inhib MOA Increase amount of levodopa available to cross BBB (allows prolonged On periods; often add on when levodopa efficacy begins to diminish)
Selegiline MOA Acts centrally to prevent DA destruction (MAO-B: metab of DA); fx diminish over time
Anticholinergics: indication in Parkinsons Reserved for resting tremor early in the dz in younger pts. Benztropine (Cogentin): MOA suppress central cholinergic, prolong dopamine activity
Antiviral may be used for Parkinson dz (+/- levodopa): Amantadine (Symmetrel). MOA: increase dopamine / block reuptake
Amantadine MOA augment DA presynaptic release; block reuptake; block glutamate transmission; renal metab (dose adj)
ALS Tx Riluzole; cough assist device, chest PT, BiPAP; PEG feeding tube;
Duchenne/Becker Tx Prednisone (age 5) for Duchenne; Supportive (orthotics, resp, cardiac, PT/OT); cardiac TP in Becker
Wilson: tx reduce copper intake; chelate; transplant
Duchenne/Becker Tx supportive, corticosteroids, PT, ortho, cardiopulmonology
Alzheimer disease tx Mild-moderate dz: cholinesterase inhibitors (donepezile, galantamine, rivastigmine). Advanced dz: Memantine (NMDA receptor agonist).
increased ICP 2/2 head injury: induced hyperventilation, IV mannitol, IV furosemide
Levodopa MOA Levodopa is a precursor that crosses blood-brain barrier and is converted to dopamine
Entacapone (Comtan) MOA Inhibits catechol-O-methyltransferase => increases levodopa concentrations
Selegiline (Carbex, Eldepryl) MOA increases dopamine activity
Carbidopa MOA inhibits decarboxylation of peripheral levodopa; does not cross BBB
Dopaminergic meds for PD Ropinirole (Requip), pramipexole (Mirapex)
Created by: Abarnard