PE/Diagnostic Studies
Movement Disorders
Peripheral Neuropathies
Dementia/MS
Vascular /LOC
100
A loss of voice that accompanies disease affecting larynx or its nerve supply
What is Aphonia
100
Resting tremor Slowness of movement (bradykinesia) Rigidity Postural instability Asymmetrical presentation
What is Parkinson's Disease
100
Enclosed in myelin Register vibration, light touch, and position sense Damage to large sensory fibers impairs touch
What are large sensory nerve fibers
100
An acute confusional state. Presentation of fluctuating level of arousal, drowsiness, agitation, improves after elimination of trigger
What is Delirium
100
Sudden peripheral vasodilatation without compensatory cardiac output
What is Vasovagal Syncope (Vasodepressor)
200
1. Skin infection at the entry site 2. Presence of unequal pressures between the supratentorial and infratentorial compartments of the brain seen on (CT) such as: Midline shift Posterior fossa mass
What are contraindications to a Lumbar Puncture
200
Defined as a slowness or lack of movement difficulty initiating movement Difficulty maintaining the velocity Difficulty maintaining amplitude
What is Bradykinesia
200
Entrapment neuropathy of median nerve
What is Carpal tunnel syndrome
200
Short-term memory loss, repeats questions or stories, diminished ability to recall the details of recent conversations or events
What is Alzheimer's Disease
200
A patient opens eyes and looks at you but responds slowly and is somewhat confuse, alertness and interest are decreased, need to shake gently to keep patient talking
What is Obtundation
300
Patient with aphasia that has poor understanding of spoken and written language and can not repeat works or sentences
What is Wernicke's Aphasia
300
Treatment of choice when propranololis ineffective for treatment of Essential Tremors Daily Double
What is Primidone25 mg q.h.s. max 750 mg q.d.
300
Viral infection such as a viral meningitis or a common cold can trigger inflammation and swelling of this structure causes pressure within the fallopian canal and can lead to ischemia causing what disorder Daily Double
What is Cranial Nerve VII and Bell's Palsy
300
Cholinesterase Inhibitors such as Donepezil is first line treatment for
What is Alzheimers Disease
300
The gold standard for evaluation of cerebral vasculature which can be both diagnostic and theraputic
What is Cerebral Arteriogram
400
This physical exam assessment may reveal distal muscular weakness that could suggest corticospinal tract damage
What is Gait
400
Chorea is the characteristic feature
What is Huntington's Disease
400
Begins most commonly with acroparesthesia. Followed 7-10 days later by systemic ascending weakness Dysautonomia, most commonly manifest as sinus tachycardia
What is Guillian Barre Syndrome
400
Progressive development of ambulatory disability and cognitive disability in a time frame approximately 19 years from initial relapse
What is Secondary Progressive Multiple Sclerosis
400
Symptoms of contralateral hemiplegia, hemisensory loss, homonymous hemianopia
What is Middle Cerebral Occulsion
500
A lesion above the anterior horn cell of the spinal cord or motor nuclei of the cranial nerves
What is upper motor neuron lesion
500
Sensory phenomena-described as tension building which is alleviated after involuntary movements (tics) occur
What is Tourette's Syndrome
500
Tensilon test evaluates the response of muscles to the drug Tensilon (edrophonium chloride) in order to aid in the diagnosis of
What is Myasthenia Gravis
500
This can identify impaired transmission along optic nerve pathways, even in patient's unaware of visual symptoms, and used in the evaluation of
What is Visual Evoked Potential (VEP), Multiple Sclerosis
500
If a stroke occurred and resulted in right hemiparesis and right hemisensory loss, left gaze preference, right visual field cut out (hemianopsia), and aphasia Which hemisphere is effected
What is Left hemisphere
M
e
n
u