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01a Peripheral Nervous System Dysfunction
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Published
05/13/2024
{{c2::Distal}} to a site of CNS or PNS axon injury there is {{c1::anterograde (Wallerian)}} degeneration
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{{c2::Proximal}} to a site of CNS or PNS axon injury there is {{c1::retrograde}} degeneration
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In response to axon damage, the neuron cell body undergoes {{c1::Axonal reaction}}, which is the swelling of the cell body and dispersion of Nissl sub…
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Axons that are myelinated by {{c1::Schwann cells}} have the potential to regenerate following injury
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Which nervous system cell is typically damaged by Guillain-Barré syndrome? {{c1::Schwann cells}}
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Changes associated with chromatolysis reflect increased {{c1::protein}} synthesis in effort to repair the damaged axon
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Chromatolysis is characterized by displacement of the {{c1::nucleus}} to the periphery
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Chromatolysis is characterized by dispersion of {{c1::Nissl substance}} throughout the cytoplasm
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Chromatolysis is concurrent with {{c1::Wallerian}} degeneration
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Acute inflammatory demyelinating polyradiculopathy is the most common subtype of {{c1::Guillain-Barré}} syndrome
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Guillain-Barré syndrome is a(n) {{c1::autoimmune}} condition that destroys {{c2::Schwann}} cells
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{{c2::Guillain-Barré}} syndrome results in symmetric {{c1::ascending::ascending or descending}} muscle weakness/paralysis
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Guillain-Barré syndrome is associated with {{c1::increased}} CSF protein and {{c2::normal}} cell count, which may cause papilledema
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In addition to respiratory support, Guillain-Barré syndrome may be treated with {{c1::plasmapheresis}} and IV {{c2::immunoglobulins}}
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Are steroids useful in the management of Guillain-Barré syndrome? {{c1::No}}
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What structural foot abnormalities are associated with Charcot-Marie-Tooth disease? {{c1::Pes cavus}} and {{c2::hammer toes}}
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Charcot-Marie-Tooth disease may present with lower extremity weakness (e.g. {{c1::foot drop}}) and sensory deficits
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Charcot-Marie-Tooth disease is a group of nerve disorders caused by defective production of proteins involved in the structure and function of {{c1::p…
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Guillain-Barré syndrome results in {{c1::inflammation}} and segmental {{c2::demyelination}} of peripheral nerves and motor fibers
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Taxanes can cause a peripheral sensory neuropathy as well as induce {{c2::hypersensitivity}} reactions
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Carpal tunnel syndrome is due to entrapment of the {{c2::median}} nerve between the {{c1::transverse carpal}} ligament and the {{c1::carpal}} bones
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Nerve compression in carpal tunnel syndrome presents as {{c1::paresthesia}}, {{c2::pain}}, and {{c3::numbness}} in the distribution of the {{c4::media…
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Isoniazid promotes the excretion of {{c1::pyridoxine (Vitamin B6)}}, therefore resulting in deficiency and peripheral neuropathy
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Platinum analogs are known to cause {{c1::peripheral neuropathy}} in a stocking-glove distribution
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Which of the platinum analogs is most commonly associated with peripheral neuropathy?{{c1::Cisplatin}}
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Diabetic neuropathy strictly affects {{c1::lower::upper or lower}} motor neurons
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CSF analysis in {{c1::Guillain-Barré}} syndrome will reveal {{c2::albuminocytologic}} dissociation
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Patients with diabetic neuropathy present with a slowly progressive decrease in vibratory sensation, {{c1::proprioception}}, and {{c2::temperature}} s…
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Patients with early diabetic neuropathy typically have decreased {{c1::ankle}} reflexes
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Patients with late diabetic neuropathy have widespread loss of reflexes with motor {{c1::weakness}}
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As opposed to acute disseminated encephalomyelitis, Guillain-Barré syndrome develops over the course of {{c1::days}} to {{c1::weeks}} once sympto…
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Guillain-Barré = {{c1::ascending::ascending or descending}} paralysis/weakness and {{c1::hypo}}reflexia
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Paresthesia and pain but sparing of the the sensation over the thenar eminence is suggestive of {{c1::Carpal Tunnel}} syndrome
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A peripheral neuropathy affects {{c1::peripheral nerves::structure}}
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Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) presents with symptoms similar to {{c1::Guillain-Barré syndrome::disease}}, thou…
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What neurological side effect is associated with vincristine use?{{c1::Peripheral neuropathy}}
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What neurological side effect is associated with isoniazid use?{{c1::Peripheral neuropathy}}
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Diagnosis of Guillain–Barré syndrome is made by clinical findings, CSF analysis, and {{c1::nerve conduction}} studies
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When PNS neuron is injured,1) {{c1::distal}} axon degenerates2) {{c1::macrophages}} clean up debris3) {{c1::Schwann cells}} guide axon as it regrows
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In the PNS, each Schwann cell myelinates {{c1::one}} axon(s), and each axon is myelinated by {{c1::many}} Schwann cell(s)
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{{c2::Guillain-Barre Syndrome}} is an autoimmune destruction of {{c1::PNS::CNS/PNS}} myelin and {{c1::Schwann cells::cell type}}
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What type of neuropathy describes lesions of multiple individual peripheral nerves, usually in an asymmetric pattern?{{c1::Mononeuropathy multiplex}}
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Does electromyography differentiate between axonal and demyelinating neuropathy?{{c1::No}}
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Does nerve conduction velocity differentiate between axonal and demyelinating neuropathy?{{c1::Yes}}
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{{c1::Axonal}} neuropathy presents with normal conduction velocity and reduced amplitude
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{{c1::Demyelinating}} neuropathy presents with reduced conduction velocity and normal amplitude
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The most common causes of axonal neuropathy are {{c1::toxic}} or {{c1::metabolic}}
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Charcot Marie Tooth is a(n) {{c1::demyelinating::axonal or demyelinating}} neuropathy
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The most common causes of demyelinating neuropathy are {{c1::Guillain-Barre syndrome}} or {{c1::Charcot-Marie-Tooth}}
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Guillain-Barre Syndrome has two forms, AIDP, which is a(n) {{c1::demyelinating}} neuropathy, and AMAN, which is a(n) {{c1::axonal}} neuropat…
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Guillain-Barre Syndrome mostly affects the {{c1::motor}} nerves, but it can also present with {{c1::sensory}} deficits
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