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MN 566 Midterm Review 50 questions (randomized) we won't have the same questions-2 hrs to complete exam 100 pts.Polypharmacy-a major contributor in older adults. Dx-dementia may have a hard time finding words. CKD can cause delirium.One trigger for migraine (red wine-merlot)Dizziness & vertigo and if we're going to increase swelling in the labyrinth were gonna focus on decreasing edema in the ear-DiamoxHallmarks of absence seizure signs is a blank stare The classic description of MS (test answer ex. 25 y/o female)O2 therapy is good for cluster migraineCVA stroke thrombolytic therapy should be given within 3 hrs of symptom onset.MMSE a test that may help indicate Alzheimer disease-impaired learning, cognitive disturbances, language disturbances, perception & function disturbances.Cogwheeling & freezing phenomena are the hallmark of Parkinson'sMonthly IV tx for MS-Alemtuzumab, Natalizumab, Ocrevus is given every 6 mos, mitoxantrone. They have to fail their interferon injections to take these meds.Ex: 14 y/o with seizure and is he able to drive? (some states say they have to be seizure-free for 2 yrs to drive). Each state has its laws.90% of headaches don’t have a pathological cause.When you're talking about a functional activity questionnaire (ex: ask the pt. “whatnews event is going on that you know about”)Carotid endarterectomies only do these for symptomatic patients & with >50% stenosis.
Light sensitivity & photophobia are a typical symptom that goes along with migraines.Parkinson plus disorder-postural instabilityHuntington's chorea and/or disease movement is rhythmic movement-Chorea - Involuntary jerking or rhythmic movements.Bells palsy most pt’s recover within 3-6 mos. (eyelid won't close)Gillian barre most likely to be dx is a 72 y/o womanIn herpes zoster, you will see a vesicular lesion on one side of the body. (shingles)If viral encephalitis is suspected they need IV acyclovir.Strep PNA -cefotaximeMeningitis has many kinds (aseptic meningitis) typically from a virus, inflammation from meds.Sleep-wake cycle disturbance that could be considered part of delirium.Myasthenia Gravis (test ex. 31 y/o Hispanic women).Cluster headache may be based on epidemiology (test ex. 45 y/o male awaken at night).h/o PVD occlusive disease to be concerned about a (carotid bruit).The poor outcome with stroke pt call PCP instead of 911 (FAST)5thcranial nerve -chewingBefore you give someone TPA must do ahead CTEpidural hematoma-tear in the middle meningeal arterySubdural hematoma is when you get knocked in the head with a frying pan LOL1stmeds for Alzheimer's were cholinesterase inhibitors important to start at the time of dx.Down syndrome has a higher risk factor for dx of AlzheimersMultiple Sclerosis with a flare with neuro (tingling) they will need extra steroids with a burst.
Optic neuritis will need 1gm a day x 3 daysThe type of multiple sclerosis that has flares that gets better and back to flares is called relapsing and remitting.