Dunphy Primary Care: Neuro Questions
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Types of Seizures
Ans: Simple partial seizure
Complex partial seizure
Generalized seizure
Absence seizure
Tonic-clonic or grand mal seizure
Myoclonic jerks
Seizures: Diagnostics
Ans: Blood work: CBC with differential, BS, electrolytes, LFTs, serum calcium, UA, drug screen
Other: EEG, CT scan, MRI, possible LP
Seizure: Education
Ans: Frequency of medication monitoring
Safety issues
Swimming precautions
Cooking precautions
Driving restrictions
Advantages of service dog
Multiple Sclerosis: Types
Ans: Relapsing-remitting type
Primary progressive type
Secondary progressive type
Progressive-relapsing type
MS: Good Prognostic Indicators
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Ans: Minimal disability after 5 years of onset
Complete and rapid remission of initial symptoms
Onset at age 35 or younger
Only one symptom during first year
Brief duration of most recent exacerbation
Long first remission
MS Poor Prognostic Indicators
Ans: Late onset
Chronic progressive course
Motor symptoms
Polysymptomatic onset
Vertigo
MS: S/S
Ans: Visual symptoms, possible trigeminal neuralgia
Limb weakness
Easy fatigability
Dysarthria
Incoordination of limbs and trunk
Bladder symptoms
Paresthesia
Attention deficits
MS: Management
Ans: No cure
Delay Progression
Manage chronic symptoms
Treat acute exacerbations
MS: Medications
Ans: Corticosteroids for acute exacerbations
Interferon and natalizumab for relapsing-remitting type
Antispasmodics or implantable drug infusion pump
Meds to manage spasticity and tremors
Pain management—acute and chronic pain
PD: 6 Cardinal Features