POM

Question 1

Check the neuro exam list for the first POM lecture

Answer 1

Also check the summary sheet when it comes out

Question 2

Some features of low risk headaches

Answer 2

Happens many times before/no neurologic deficits

Question 3

Some features of dangerous headaches

Answer 3

First bad headache/sudden onset/change in neurologic

Question 4

Examples of chronic episodic 2nd headache

Answer 4

Chiari headache/sinus headache (look for pus)/cervical headache (usually occur on the same side)

Question 5

What is the diagnostic criterions for migraine?

Answer 5

At least 5 attacks/each last from 4-72 hours (untreated duration)/unilateral/aggravated by routine activities

Question 6

What do you feel during migraine?

Answer 6

Nausea

Question 7

What is the diagnostic criterions for chronic tension headache?

Answer 7

At least 10 attacks/last 1-2 hours/bilateral/pressure pain/not aggravated by routine activities

Question 8

What is the diagnostic criterions for chronic cluster headache?

Answer 8

At least 5 attacks/spikes and then go down/really severe headache

Question 9

Examples of 2nd continuous headache

Answer 9

Transformed migraine (NSAID overuse)

Question 10

What focused neurological exams should you perform for headache that might be caused by brain tumor or hemorrhage?

Answer 10

Fundus/visual field/ocular movement/facial strength

Question 11

Examples of acute headache?

Answer 11

Subarachnoid hemorrhage/meningitis/venus sinus thrombosis/arterial dissection

Question 12

What test is done for acute headache?

Answer 12

CT and then LP

Question 13

When inspect joint pain, use LIMDA. What is LIMDA?

Answer 13

location/inflammation/monoarticular or not/duration/associated symptoms

Question 14

For acute inflammatory knee, you do ___ to do synovial fluid analysis to rule out septic arthritis

Answer 14

arthrocentesis

Question 15

___ and ___ viscosity of synovial fluid indicates inflammation?

Answer 15

Turbidity and low viscosity

Question 16

Why is urgent to rule out septic arthritis for knee?

Answer 16

Septic arthritis can destroy knees in a few days

Question 17

What is anserine bursitis?

Answer 17

Inflammation of anserine bursa below the knee

Question 18

If you see inflammatory polyarticular arthritis, think?

Answer 18

RA

Question 19

If you see infected polyarticular arthritis, think?

Answer 19

Hep C and B/parvovirus

Question 20

Rheumtoid factors are ___ but not ___?

Answer 20

sensitive but not specific

Question 21

Cyclic citrullanated protein anitbody are not ___ but ___?

Answer 21

Not sensitive but specific

Question 22

Post infection polyarticular arthritis is?

Answer 22

Reactive arthritis

Question 23

You see bone spur in?

Answer 23

Osteoarthritis

Question 24

What is the time for acute/subacute/chronic low back pain?

Answer 24

less than 6 weeks/6-12 weeks/longer than 12 weeks

Question 25

Dysfunction at cauda equina causes?

Answer 25

Bowel and bladder problems

Question 26

Bed rest should not be go over __ days with low back pain?

Answer 26

2

Question 27

Seizure is abnormal ___ and ____ discharge of the neuronal network

Answer 27

Excessive and synchronous

Question 28

Difference between partial and generalized seizures?

Answer 28

Partial—>start from one point/can lead to generalized/generalized—>start from multiple points

Question 29

Difference between simple and complex partial seizures?

Answer 29

Simple—>no impair of consciousness/complex—>impair of consciousness

Question 30

What is secondary generalized seizures?

Answer 30

Partial seizure that progresses to generalized seizure

Question 31

What is the sub classification of generalized seizures

Answer 31

Convulsive and non convulsive

Question 32

What is semiological classification of seizures?

Answer 32

Focus on what symptoms you are seeing of the pts in front of you—>sensorial (auras)/dialeptic (impair of consciousness)/motor/autonomic (palpitation or hot flashes)/special (loss of tone)

Question 33

Does generalized seizures have impair of consciousness?

Answer 33

Aye

Question 34

What is psychogenic nonepileptic seizures like?

Answer 34

back arching/pelvic thrusting/side to side head movement with eyes closed/no or very brief post ictal period

Question 35

Screening programs look better than they really are because?

Answer 35

Self selection bias (ppl who get screening program is usually healthier)/lead time bias (ppl who participates screening program survive longer only because their disease was detected earlier)/length time bias (ppl whose disease was detected through the screening program usually has longer DPCP (detectable pre clinical phase) therefore their disease tend to be benign or progress slowly)