Busy. Please wait.
Log in with Clever
or

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever
or

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.
Your email address is only used to allow you to reset your password. See 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.

Neurology

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Question
Answer
Monro-Kellie Doctrine:   Total intracranial volume is fixed  
🗑
Epidural hematoma   temporal/temporoparietal; btw skull & dura; usu younger pts (not elder or <2 yo); 80% meningeal art inj; parenchyma compressed to midline; lens shape on CT  
🗑
Trauma-induced alteration in mental status that may or may not involve a loss of consciousness =   Concussion  
🗑
Concussion Grade I   No LOC, transient confusion  
🗑
Concussion Grade II   No LOC, transient confusion; sx last longer (>15 min)  
🗑
Concussion Grade III   LOC of any duration  
🗑
Layers of SCALP:   skin, connective tx, aponeurosis, loose areolar tx, pericranium  
🗑
EDH s/s   lucid interval in 30%; late: ipsilateral fixed/dilated pupil, contra hemiparesis  
🗑
CPP =   MAP - ICP (cerebral perfusion P = mean art P - intracranial P)  
🗑
SDH =   venous blood btw dura & arachnoid; bridging v.; often 2/2 accel/decel, in EtOH/elderly  
🗑
SDH acute vs chronic   acute usu s/s in 24 hr; chronic >2 wks  
🗑
On CT: concave density adjacent to skull, crosses suture lines =   SDH  
🗑
On CT: biconvex density adj to skull, does not cross suture lines =   EDH  
🗑
Cushing triad   HTN, bradycardia, resp irregularity; 2/2 markedly elevated ICP  
🗑
brain ischemia results from CPP less than:   40 mm Hg  
🗑
GCS ≥ 13 =   mild brain injury  
🗑
GCS 9-12 =   moderate brain injury  
🗑
GCS ≤ 8 =   severe brain injury  
🗑
GCS eye 1 =   no response  
🗑
GCS eye 2 =   to painful stimuli  
🗑
GCS eye 3 =   to verbal command  
🗑
GCS eye 4 =   spontaneously  
🗑
GCS verbal response 1 =   no response  
🗑
GCS verbal response 2 =   incomprehensible sounds  
🗑
GCS verbal response 3 =   inappropriate words  
🗑
GCS verbal response 4 =   confused conversation  
🗑
GCS verbal response 5 =   oriented  
🗑
GCS motor 1 =   no response  
🗑
GCS motor 2 =   decerebrate posturing (arms & legs held straight out, toes pointed downward, & head & neck arched backwards)  
🗑
GCS motor 3 =   decorticate posturing (rigidity, flexion of arms, clenched fists, & extended legs (held out straight); arms are bent inward toward body w/wrists & fingers bent & held on chest)  
🗑
GCS motor 4 =   flexion withdrawal  
🗑
GCS motor 5 =   localizes pain  
🗑
GCS motor 6 =   obeys commands  
🗑
Most sig cause of mortality in pts with TBI   Diffuse axonal injury (DAI)  
🗑
meningitis PE   fever, HA, photophobia, seizure; petechiae/purpura (60-80% of Neisseria pts), poss AMS, +Kernig & Brudzinski  
🗑
Hunt-Hess scale grades severity of:   SAH (I = mild HA, stiff neck; V = coma)  
🗑
SAH RFs   HTN, smoking, cocaine, FH, prior SAH, PKD, CTD, coarctation  
🗑
SAH tx   control HTN (labetalol / nitroprusside); nimodipine for vasospasm; surg (resect / embolization)  
🗑
s/p Fall w/ bilateral LE weakness, urinary and rectal incontinence, decreased rectal tone   Cauda equina syndrome = neurosurgical consult  
🗑
Pediatric with fever or Hx URI with encephalopathy, emesis, hyperactive reflexes, hepatomegaly, elevated liver enzymes   Reye’s syndrome from URI/post-flu or aspirin use  
🗑
Orbital blowout fx   comminuted floor fx: herniated orbital contents; inf rectus mx entrap or vert diplopia d/t edema; blood in max sinus when orbital trauma  
🗑
Loss of consciousness requires:   Both cerebral hemispheres damaged OR brainstem lesion  
🗑
Brown-Sequard lesion: findings   Ipsilateral loss of position, motor, vibration. Contralateral loss of pain & temperature  
🗑


   

Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
 
To hide a column, click on the column name.
 
To hide the entire table, click on the "Hide All" button.
 
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
 
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.

 
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
Created by: Abarnard
Popular Medical sets