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48 Cards in this Set

  • Front
  • Back

Walking on the inner edges of feet and tightly curled hair

Giant axons neuropathy

Genetics and physiology of GAN (giant axons neuropathy)

AR and intermediate filaments

Retinitis pigmentosa, cardiomyopathy, skin changes, anosmia, ataxia, cerebellum signs, large fiber sensorimotor neuropathy

Refsum’s disease

Refsum’s disease genetics and physiology

AD peroxisomal disorder, accumulation of phytanic acid

Kennedy’s disease

X-linked spinobulbar muscular atrophy - CAG repeat, androgen R protein gene

Myotonic dystrophy inheritance

AD

Genetic abnormality of proximal myotonic myopathy (DM2)

Tetranucleotide repeat (CCTG) expansion in zinc finger 9 gene

DM2 - proximal myotonic myopathy

Cataracts, muscle pain, proximal weakness, insulin resistance infertility

Weakness with hyper mobility

Ullrich’s congenital MD (collagen type VI)

Pseudo INO

MG - 30 sec sustained upgaze leads to medial rectus wknss, then lateral rectus wknss - nystagmus

Difference between AIDP/CIDP

CIDP:wknss is proximal &distal, stocking glove sensory change

Malignant hyperthermia due to mutation of __ R in skeletal m.

Ryanodine - Ca++ release channel on SR - excess Ca++ rekeasr

Fabrys dz

Neuropathic pain, angiokeratomas, febrile episodes, renal failure

Anti-GM1 Ab assoc w/ ___. Tx ?

Multi focal motor neuropathy


IVIG

Inability to control facial muscles, increased jaw jerk and gag reflex

Pseudobulbar palsy

Early onset hypotonia and wknss, gomori trichrome: red punctuate inclusions in skeletal m cytoplasm

Nemaline myopathy

Enzyme deficiency in McArdles dz

Myophosphorylase

Limb girdle wknss, cardiac conduction defect, early cardiac death in M, IQ normal

Emery-Dreyfus muscular dystrophy

Limb girdle wknss, cardiac conduction defect, early cardiac death in M, IQ normal

Emery-Dreyfus muscular dystrophy

Genetics of Emery-Dreyfus MD

Xlinked- lack of emerin


AD form - Lamanin

Limb girdle wknss, cardiac conduction defect, early cardiac death in M, IQ normal

Emery-Dreyfus muscular dystrophy

Genetics of Emery-Dreyfus MD

Xlinked- lack of emerin


AD form - Lamanin

What if the F wave?

Late response generated by supramaximal nerve stimulation

Hyperkalemic vs hypokalemic periodic paralysis

Hyperkalemic - infancy

Hyperkalemic vs hypokalemic periodic paralysis

Hyperkalemic - infancy

Most sensitive AChR antibody assay

AChR binding ab

Anti-striated muscle ab

+ in MG w/ thymoma

Mutation of transthyretin (TTR) gene - AD

Familial Amyloid Polyneuropathy 1&2

FAP 1 v. 2

1 - earlier onset (3/4 decade)


2- later onset (4/5 decade)

FAP W no autonomic features, with progressive polyneuropathy

2

FAP w/ autonomic features

1

FAP w/ cardiomyopathy, due to apoprotein A1 mutation

3

FAP w/ connective tissue and cornea problems. Mutation?

4 - gelsolin

Pyridostigmine MoA

Achetylcholinesterase inhibitor - increase availability of ACh to improve neuromuscular transmission

Pyridostigmine MoA

Achetylcholinesterase inhibitor - increase availability of ACh to improve neuromuscular transmission

Pyridostigmine SE

twitching, hyperesthesia, diarrhea, abdominal pain, increased cholinergic activity (diaphoresis, incontinence, salivation)

Hypersomnia, frontal hair loss, facial temporal wasting, problems with executive function

Myotonic dystrophy

Associated with a high risk of autism

Tuberous sclerosis

Side effect of lithium

Acne

Treatment for mania in pregnancy

Haldol

Associated with an early age of onset in AD

PSEN1

When do you see polyphasic potentials

Months after injury just prior to return of normal facial function - represents reinnervation

Myokymia

Involuntary spontaneous quivering of a few muscle fibers or bundles within a muscle, insufficient to move the joint

Myokymia

Involuntary spontaneous quivering of a few muscle fibers or bundles within a muscle, insufficient to move the joint

Common cause of myokymia

Radiation therapy, demyelinating dz

Fibrillation potentials

Spontaneous depolarizations seen in any condition in which there can be a loss of normal inhibition - regular repeating pattern - each fibrillation is a depolarization of a single muscle fiber

Fasciculation potentials

Spontaneous potentials that represent activation of motor unit potentials at axon or neuron - slow, irregular

End plate spikes

Short, irregularly repeating