Podcast
Questions and Answers
Folic acid deficiency can manifest in which of the following ways?
Folic acid deficiency can manifest in which of the following ways?
- Inability to walk
- Epilepsy
- Learning difficulties
- All of the above (correct)
Huntington's disease is characterized by a reduction in which neurotransmitters within the corpus striatum?
Huntington's disease is characterized by a reduction in which neurotransmitters within the corpus striatum?
- GABA and Cholinergic Neurones (correct)
- Adrenaline and Noradrenaline
- Dopamine and Serotonin
- Histamine and Melatonin
Which of the following is NOT a risk factor explicitly mentioned for epilepsy?
Which of the following is NOT a risk factor explicitly mentioned for epilepsy?
- Brain tumors
- Cerebral palsy
- High cholesterol (correct)
- Brain haemorrhage
If an individual has the gene for Huntington's disease, what is the likely disease progression?
If an individual has the gene for Huntington's disease, what is the likely disease progression?
At a cellular level, a seizure can result from an imbalance between excitatory and inhibitory neurotransmitters. Which of the following scenarios would be most likely to induce a seizure?
At a cellular level, a seizure can result from an imbalance between excitatory and inhibitory neurotransmitters. Which of the following scenarios would be most likely to induce a seizure?
What is the primary treatment for a brain abscess?
What is the primary treatment for a brain abscess?
A patient presents with severe facial paralysis accompanied by vesicles in the pharynx and external auditory meatus on the same side. Which condition is most likely?
A patient presents with severe facial paralysis accompanied by vesicles in the pharynx and external auditory meatus on the same side. Which condition is most likely?
What is a key characteristic of a meningitis rash that differentiates it from other types of rashes?
What is a key characteristic of a meningitis rash that differentiates it from other types of rashes?
What is the MOST common cause of Cerebral Palsy?
What is the MOST common cause of Cerebral Palsy?
Why might bacterial meningitis occur following maxillofacial injuries, and which specific area of the face is most implicated in increasing this risk?
Why might bacterial meningitis occur following maxillofacial injuries, and which specific area of the face is most implicated in increasing this risk?
From which anatomical structure do most cranial nerves originate?
From which anatomical structure do most cranial nerves originate?
During cranial nerve examination, what does the acronym 'W.I.P.E' primarily represent?
During cranial nerve examination, what does the acronym 'W.I.P.E' primarily represent?
When assessing the olfactory nerve (CNI), what specific instruction should be given to the patient before presenting an odor?
When assessing the olfactory nerve (CNI), what specific instruction should be given to the patient before presenting an odor?
In a cranial nerve examination, which of the following is NOT typically assessed when evaluating the optic nerve (CNII)?
In a cranial nerve examination, which of the following is NOT typically assessed when evaluating the optic nerve (CNII)?
A patient reports anosmia following a traumatic brain injury. Assuming no other cranial nerve damage, which of the following cranial nerves is MOST likely affected?
A patient reports anosmia following a traumatic brain injury. Assuming no other cranial nerve damage, which of the following cranial nerves is MOST likely affected?
What is the primary distinction between a neurologist and a neurosurgeon?
What is the primary distinction between a neurologist and a neurosurgeon?
Which of the following neurological conditions is characterized by recurrent seizures?
Which of the following neurological conditions is characterized by recurrent seizures?
Why is understanding neurological disorders particularly important in the field of dentistry?
Why is understanding neurological disorders particularly important in the field of dentistry?
In diagnosing syncope and blackouts, what is considered the MOST crucial element for a clinician to obtain?
In diagnosing syncope and blackouts, what is considered the MOST crucial element for a clinician to obtain?
Vaso-vagal syncope is primarily caused by:
Vaso-vagal syncope is primarily caused by:
Carotid sinus syncope is characterized by fainting episodes potentially triggered by:
Carotid sinus syncope is characterized by fainting episodes potentially triggered by:
Which historical detail is MOST indicative of an epileptic seizure rather than other causes of loss of consciousness?
Which historical detail is MOST indicative of an epileptic seizure rather than other causes of loss of consciousness?
Why is it critical for dental professionals to inquire about the effectiveness and patient compliance with epilepsy medication?
Why is it critical for dental professionals to inquire about the effectiveness and patient compliance with epilepsy medication?
Which of the following is NOT typically considered a direct trigger for seizures?
Which of the following is NOT typically considered a direct trigger for seizures?
In describing a seizure, which aspect is LEAST relevant according to established classification methods?
In describing a seizure, which aspect is LEAST relevant according to established classification methods?
A patient experiencing muscle stiffness followed by a fall backwards is MOST likely experiencing which type of seizure?
A patient experiencing muscle stiffness followed by a fall backwards is MOST likely experiencing which type of seizure?
What key feature distinguishes a complex partial seizure from a simple partial seizure?
What key feature distinguishes a complex partial seizure from a simple partial seizure?
A child is observed to have brief periods of 'spacing out' or daydreaming, often without any convulsions. Which type of seizure is MOST likely occurring?
A child is observed to have brief periods of 'spacing out' or daydreaming, often without any convulsions. Which type of seizure is MOST likely occurring?
Which of the following seizure types is characterized by a sudden decrease in muscle tone, potentially leading to a forward fall?
Which of the following seizure types is characterized by a sudden decrease in muscle tone, potentially leading to a forward fall?
A patient presents with symptoms resembling a seizure, but exhibits behaviors inconsistent with typical epileptic activity. Which differential diagnosis should be given MOST consideration?
A patient presents with symptoms resembling a seizure, but exhibits behaviors inconsistent with typical epileptic activity. Which differential diagnosis should be given MOST consideration?
According to the diagnostic criteria outlined, under what condition is a patient formally considered to have epilepsy?
According to the diagnostic criteria outlined, under what condition is a patient formally considered to have epilepsy?
When taking a patient history related to seizures, which aspect is MOST crucial for a neurologist to ascertain?
When taking a patient history related to seizures, which aspect is MOST crucial for a neurologist to ascertain?
Why are renal function tests included in a full blood count for a patient presenting with seizures?
Why are renal function tests included in a full blood count for a patient presenting with seizures?
An electroencephalogram (EEG) is a valuable diagnostic tool for epilepsy, but what is its primary limitation?
An electroencephalogram (EEG) is a valuable diagnostic tool for epilepsy, but what is its primary limitation?
Cerebral pathology, such as brain tumors or stroke damage, is investigated using MRI or CT scans in patients with seizures. What is the MAIN purpose of these imaging studies in this context?
Cerebral pathology, such as brain tumors or stroke damage, is investigated using MRI or CT scans in patients with seizures. What is the MAIN purpose of these imaging studies in this context?
Phenytoin and carbamazepine, commonly used anti-epileptic drugs (AEDs), share which primary mechanism of action?
Phenytoin and carbamazepine, commonly used anti-epileptic drugs (AEDs), share which primary mechanism of action?
Which characteristic is shared by phenytoin, carbamazepine, and sodium valproate, making it a significant consideration during pregnancy?
Which characteristic is shared by phenytoin, carbamazepine, and sodium valproate, making it a significant consideration during pregnancy?
Gingival hyperplasia is a well-documented side effect associated with which specific anti-epileptic drug?
Gingival hyperplasia is a well-documented side effect associated with which specific anti-epileptic drug?
A patient taking phenytoin requires dental treatment. Which of the following medications, commonly used in dentistry, could potentially INTERFERE with phenytoin metabolism, potentially increasing phenytoin levels?
A patient taking phenytoin requires dental treatment. Which of the following medications, commonly used in dentistry, could potentially INTERFERE with phenytoin metabolism, potentially increasing phenytoin levels?
Status epilepticus is defined as a seizure lasting longer than:
Status epilepticus is defined as a seizure lasting longer than:
During the immediate management of a patient experiencing a tonic-clonic seizure, what action is CONTRAINDICATED?
During the immediate management of a patient experiencing a tonic-clonic seizure, what action is CONTRAINDICATED?
Which of the following scenarios highlights the importance of understanding neurological disorders in the context of dental practice?
Which of the following scenarios highlights the importance of understanding neurological disorders in the context of dental practice?
In distinguishing between syncope and other causes of loss of consciousness, what historical sign is MOST indicative of a seizure?
In distinguishing between syncope and other causes of loss of consciousness, what historical sign is MOST indicative of a seizure?
Why is it particularly important to determine if a patient's epilepsy medication is effective and if they adhere to their prescribed regimen?
Why is it particularly important to determine if a patient's epilepsy medication is effective and if they adhere to their prescribed regimen?
A patient experiences syncope while turning their head. Which underlying mechanism is MOST likely responsible for this specific type of syncope?
A patient experiences syncope while turning their head. Which underlying mechanism is MOST likely responsible for this specific type of syncope?
A patient consistently experiences syncope triggered by exposure to heat, fear, or prolonged fasting. Which physiological response is MOST directly implicated in this patient's syncope?
A patient consistently experiences syncope triggered by exposure to heat, fear, or prolonged fasting. Which physiological response is MOST directly implicated in this patient's syncope?
Besides epilepsy and learning difficulties, what other significant motor impairment is associated with folic acid deficiency?
Besides epilepsy and learning difficulties, what other significant motor impairment is associated with folic acid deficiency?
How is Huntington's disease primarily inherited?
How is Huntington's disease primarily inherited?
What is the most likely effect on dental treatment if a patient has a neurological disorder?
What is the most likely effect on dental treatment if a patient has a neurological disorder?
Which of the following molecular scenarios in the central nervous system is MOST likely to precipitate a seizure?
Which of the following molecular scenarios in the central nervous system is MOST likely to precipitate a seizure?
A researcher is investigating new therapeutic targets for Huntington's disease. Based on the known pathophysiology, which of the following approaches would be MOST promising?
A researcher is investigating new therapeutic targets for Huntington's disease. Based on the known pathophysiology, which of the following approaches would be MOST promising?
Ramsay Hunt Syndrome is characterized by facial paralysis and vesicles. Which specific anatomical structure is primarily affected by the herpes zoster virus in this condition?
Ramsay Hunt Syndrome is characterized by facial paralysis and vesicles. Which specific anatomical structure is primarily affected by the herpes zoster virus in this condition?
In the context of maxillofacial injuries, particularly those involving the midface, which type of nervous system infection is of heightened concern due to potential breaches in the protective barriers?
In the context of maxillofacial injuries, particularly those involving the midface, which type of nervous system infection is of heightened concern due to potential breaches in the protective barriers?
The 'cup test' is a clinical method used to assess a specific type of rash associated with meningitis. If a rash remains visibly red when pressure is applied with a clear cup, what does this indicate about the nature of the rash?
The 'cup test' is a clinical method used to assess a specific type of rash associated with meningitis. If a rash remains visibly red when pressure is applied with a clear cup, what does this indicate about the nature of the rash?
While oral sepsis, middle ear infections, and paranasal sinus infections are recognized as potential precursors to brain abscesses, which pre-existing condition significantly elevates the risk of brain abscess formation due to circulatory disturbances?
While oral sepsis, middle ear infections, and paranasal sinus infections are recognized as potential precursors to brain abscesses, which pre-existing condition significantly elevates the risk of brain abscess formation due to circulatory disturbances?
Cerebral Palsy is described as a disorder of motor function resulting from cerebral damage, most frequently associated with birth injury or hypoxia. Considering the pathophysiology, what is the most critical distinction in the nature of cerebral damage in Cerebral Palsy compared to progressive neurodegenerative diseases?
Cerebral Palsy is described as a disorder of motor function resulting from cerebral damage, most frequently associated with birth injury or hypoxia. Considering the pathophysiology, what is the most critical distinction in the nature of cerebral damage in Cerebral Palsy compared to progressive neurodegenerative diseases?
For a patient with well-controlled epilepsy, how should dental treatment be scheduled relative to their seizure patterns?
For a patient with well-controlled epilepsy, how should dental treatment be scheduled relative to their seizure patterns?
Which of the following could potentially INTERFERE with phenytoin metabolism, potentially increasing phenytoin levels in a patient?
Which of the following could potentially INTERFERE with phenytoin metabolism, potentially increasing phenytoin levels in a patient?
Why is it critical to avoid restraining a patient during a seizure?
Why is it critical to avoid restraining a patient during a seizure?
A patient experiencing frequent seizures despite medication requires a full blood count. A finding of elevated C-reactive protein (CRP) MOST strongly suggests the need to rule out what?
A patient experiencing frequent seizures despite medication requires a full blood count. A finding of elevated C-reactive protein (CRP) MOST strongly suggests the need to rule out what?
A known epileptic patient presents to your dental practice. During conversation, they mention they have started a new 'high fat, very low carbohydrate' diet to help control their seizures, but are unsure of the mechanism. Which of the following is the MOST accurate explanation you can provide?
A known epileptic patient presents to your dental practice. During conversation, they mention they have started a new 'high fat, very low carbohydrate' diet to help control their seizures, but are unsure of the mechanism. Which of the following is the MOST accurate explanation you can provide?
In managing a patient on XLA (likely referring to an anticoagulant medication), on what day of the week should INR (International Normalized Ratio) be checked to ensure it's within the desired range?
In managing a patient on XLA (likely referring to an anticoagulant medication), on what day of the week should INR (International Normalized Ratio) be checked to ensure it's within the desired range?
Which of the following sensory experiences is classically associated with the aura that precedes a generalized tonic-clonic seizure?
Which of the following sensory experiences is classically associated with the aura that precedes a generalized tonic-clonic seizure?
During the clonic phase of a generalized tonic-clonic seizure, which of the following oral manifestations is MOST likely to occur, requiring immediate intervention?
During the clonic phase of a generalized tonic-clonic seizure, which of the following oral manifestations is MOST likely to occur, requiring immediate intervention?
Differentiate between upper motor neuron (UMN) and lower motor neuron (LMN) facial nerve lesions based on forehead involvement:
Differentiate between upper motor neuron (UMN) and lower motor neuron (LMN) facial nerve lesions based on forehead involvement:
A patient presents with acute bulbar palsy following a recent infection. While awaiting specialist neurological assessment, which of the following possible acute causes of Bulbar Palsy would generally be considered untreatable?
A patient presents with acute bulbar palsy following a recent infection. While awaiting specialist neurological assessment, which of the following possible acute causes of Bulbar Palsy would generally be considered untreatable?
Which of the following factors is LEAST likely to trigger a seizure in individuals with epilepsy?
Which of the following factors is LEAST likely to trigger a seizure in individuals with epilepsy?
A patient experiences a seizure characterized by an initial twitching of the right hand that subsequently spreads to involve the entire right arm, followed by a loss of consciousness. Which type of seizure is MOST likely occurring?
A patient experiences a seizure characterized by an initial twitching of the right hand that subsequently spreads to involve the entire right arm, followed by a loss of consciousness. Which type of seizure is MOST likely occurring?
During a neurological evaluation, a patient reports experiencing brief episodes of an unusual metallic taste just before the onset of a seizure, remaining fully aware throughout. Which type of seizure is MOST consistent with these symptoms?
During a neurological evaluation, a patient reports experiencing brief episodes of an unusual metallic taste just before the onset of a seizure, remaining fully aware throughout. Which type of seizure is MOST consistent with these symptoms?
A patient is observed during a seizure to suddenly lose muscle tone, causing them to slump forward. Which specific type of generalized seizure is MOST likely occurring, and what is the underlying physiological mechanism?
A patient is observed during a seizure to suddenly lose muscle tone, causing them to slump forward. Which specific type of generalized seizure is MOST likely occurring, and what is the underlying physiological mechanism?
A patient presents with episodes of impaired awareness characterized by repetitive, purposeless movements such as lip-smacking and fumbling with their clothing. EEG results are normal, but the episodes are only aborted following administration of a dopamine antagonist. What is the MOST probable diagnosis?
A patient presents with episodes of impaired awareness characterized by repetitive, purposeless movements such as lip-smacking and fumbling with their clothing. EEG results are normal, but the episodes are only aborted following administration of a dopamine antagonist. What is the MOST probable diagnosis?
Why is it important to avoid placing anything in a patient's mouth during a seizure?
Why is it important to avoid placing anything in a patient's mouth during a seizure?
Which of the following is the MOST likely reason for including liver function tests in a full blood count for a patient presenting with seizures?
Which of the following is the MOST likely reason for including liver function tests in a full blood count for a patient presenting with seizures?
A patient with well-controlled epilepsy is scheduled for a dental extraction. Which of the following pre-operative measures is MOST crucial, considering potential drug interactions?
A patient with well-controlled epilepsy is scheduled for a dental extraction. Which of the following pre-operative measures is MOST crucial, considering potential drug interactions?
A dentist is treating a patient with carbamazepine-induced dry mouth. Beyond saliva substitutes, which additional intervention directly addresses the underlying mechanism of this side effect?
A dentist is treating a patient with carbamazepine-induced dry mouth. Beyond saliva substitutes, which additional intervention directly addresses the underlying mechanism of this side effect?
According to the provided text, from which anatomical structure do cranial nerves III to XII originate?
According to the provided text, from which anatomical structure do cranial nerves III to XII originate?
During a seizure, a dental practitioner notices the patient's skin turning blue (cyanosis). Assuming standard emergency protocols are being followed, which of the following BEST explains the pathophysiology behind the cyanosis in this context?
During a seizure, a dental practitioner notices the patient's skin turning blue (cyanosis). Assuming standard emergency protocols are being followed, which of the following BEST explains the pathophysiology behind the cyanosis in this context?
In the context of cranial nerve examination, what does the acronym 'W.I.P.E.' primarily represent at the beginning of the examination process?
In the context of cranial nerve examination, what does the acronym 'W.I.P.E.' primarily represent at the beginning of the examination process?
When assessing the olfactory nerve (CNI), which of the following is the correct procedure according to the provided text?
When assessing the olfactory nerve (CNI), which of the following is the correct procedure according to the provided text?
Based on the provided information about optic nerve (CNII) examination, which of the following assessments directly evaluates the function of CNII?
Based on the provided information about optic nerve (CNII) examination, which of the following assessments directly evaluates the function of CNII?
During the introductory phase of a cranial nerve examination, as described by 'W.I.P.E.' and the subsequent dialogue example, what is the MOST important aspect to establish with the patient before proceeding with physical tests?
During the introductory phase of a cranial nerve examination, as described by 'W.I.P.E.' and the subsequent dialogue example, what is the MOST important aspect to establish with the patient before proceeding with physical tests?
Flashcards
Ramsay-Hunt Syndrome
Ramsay-Hunt Syndrome
Facial paralysis with vesicles in the pharynx and external auditory meatus. Geniculate Ganglion of VII infected with HERPES ZOSTER. Facial Weakness.
Meningitis
Meningitis
Infection of the meninges, often presenting with severe headache, nausea/vomiting, drowsiness, stiff neck, photophobia and sometimes a purpuric rash.
Meningitis Rash
Meningitis Rash
Using a cup pushing against a meningitis rash, will still be red
Brain Abscess
Brain Abscess
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Cerebral Palsy
Cerebral Palsy
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Neurologist
Neurologist
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Syncope
Syncope
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Vaso-Vagal Syncope
Vaso-Vagal Syncope
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Carotid Sinus Syncope
Carotid Sinus Syncope
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Cough Syncope
Cough Syncope
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Epilepsy
Epilepsy
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Epilepsy Diagnosis
Epilepsy Diagnosis
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Epilepsy Medication Check
Epilepsy Medication Check
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Huntington's Disease
Huntington's Disease
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Neurotransmitter Changes in Huntington's
Neurotransmitter Changes in Huntington's
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Epileptic Seizure
Epileptic Seizure
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Cellular Causes of Seizures
Cellular Causes of Seizures
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Epilepsy Risk Factors
Epilepsy Risk Factors
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Cranial Nerve Origins
Cranial Nerve Origins
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W.I.P.E. for Cranial Nerve Exam
W.I.P.E. for Cranial Nerve Exam
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Olfactory Nerve (CNI) Test
Olfactory Nerve (CNI) Test
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Optic Nerve (CNII) Exam
Optic Nerve (CNII) Exam
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Pupil Size
Pupil Size
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Seizure Triggers
Seizure Triggers
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Focal/Partial Onset Seizure
Focal/Partial Onset Seizure
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Generalised Onset Seizure
Generalised Onset Seizure
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Unknown Onset Seizure
Unknown Onset Seizure
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Simple Partial Onset Seizure
Simple Partial Onset Seizure
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Complex Partial Onset Seizure
Complex Partial Onset Seizure
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Atonic Seizure
Atonic Seizure
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Tonic-Clonic Seizure
Tonic-Clonic Seizure
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EEG
EEG
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MRI/CT scan (for seizures)
MRI/CT scan (for seizures)
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Anti-Epileptic Drugs (AEDs)
Anti-Epileptic Drugs (AEDs)
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Ketogenic diet (for epilepsy)
Ketogenic diet (for epilepsy)
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Status Epilepticus
Status Epilepticus
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Seizure Management
Seizure Management
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Prolonged Seizure Treatment
Prolonged Seizure Treatment
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Dental and Epilepsy
Dental and Epilepsy
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Dental Considerations of Epilepsy
Dental Considerations of Epilepsy
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Drugs to avoid when treating epilepsy.
Drugs to avoid when treating epilepsy.
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Blackouts/Syncope
Blackouts/Syncope
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Neurological Disorders in Dentistry
Neurological Disorders in Dentistry
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Meningitis & Facial Trauma
Meningitis & Facial Trauma
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Viral Meningitis
Viral Meningitis
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Positive Kernig's Sign
Positive Kernig's Sign
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Cerebral Palsy Cause
Cerebral Palsy Cause
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Spina Bifida
Spina Bifida
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Seizure
Seizure
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EEG purpose in seizures
EEG purpose in seizures
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Sodium Valproate Action
Sodium Valproate Action
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Seizure First Aid
Seizure First Aid
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Gingival Hyperplasia
Gingival Hyperplasia
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What is a Seizure?
What is a Seizure?
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INR Checking Frequency
INR Checking Frequency
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Generalized Tonic-Clonic Seizure
Generalized Tonic-Clonic Seizure
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Absence Seizures (Petit Mal)
Absence Seizures (Petit Mal)
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Focal Seizures
Focal Seizures
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Facial Nerve LMN
Facial Nerve LMN
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Cranial Nerve Examination
Cranial Nerve Examination
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W.I.P.E. Acronym
W.I.P.E. Acronym
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Olfactory Nerve
Olfactory Nerve
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Optic Nerve
Optic Nerve
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Seizure History
Seizure History
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Common AED Actions
Common AED Actions
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Seizure Trigger Avoidance
Seizure Trigger Avoidance
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Epilepsy Complications
Epilepsy Complications
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Managing a Seizure
Managing a Seizure
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