game day 2

Question 1

50 yo temp/scalp tenderness
14 yo downs
27 yo RA
5 yo throat infx
-which is incorect

Answer 1

50yo temp/scalp tenderness, others are precursors to UCI

Question 2

diffuse HA in elderly pt that suffered mild trauma several wk ago could be indicative of

Answer 2

subdural hematoma

Question 3

ptosis, miosis, excessive lacrimation are common sx of what HA type

Answer 3

cluster

Question 4

aka bow hunters syndrome, beauty parlor syndrome…dec BF in post lobe of brain

Answer 4

VBI

Question 5

HA type due to changes in brain and surrounding vasc, 3:1 females

Answer 5

migraine

Question 6

% down syndrome have UCI

Answer 6

7-30%

Question 7

pt with sinusitis, referred pn to shoulder/trap, what sinus is involved

Answer 7

posterior ethmoid

sphenoid?

Question 8

pos l’hermitte sign, and what it may indicate

Answer 8

electric shock, MS

Question 9

distance bt most ant point of dens of axis and back of arch of atlas

Answer 9

ADI

Question 10

50 yo pt bilat knee pain, swelling, bilat finger deform

Answer 10

RA bilat systemic [OA would be unilat]

Question 11

F:M ratio TMJD

Answer 11

9:1

Question 12

cognitive changes are a strong indicator that what may cause a pt HA

Answer 12

tumor/SOL

Question 13

4 cardinal sx of UCI

Answer 13

face/lip paresthesia, nystagmus, overt LOB, bilat limb wkness..all with head movement

Question 14

term for when tip of dens is a free apical segment

Answer 14

os terminale

Question 15

instantaneous HA with extreme pn, kurnig or brudzinskis signs may be pres, med emergency, what cond?

Answer 15

subarachnoid hem

Question 16

on xray, upward displacement of UC structure condition

Answer 16

basilar invag [softening bone] or impression [normal bone]

Question 17

brief paroxysm of intense facial pain while touching

Answer 17

trigem neuralgia

Question 18

pt with sinusitis and referred pn to UCS, what sinus

Answer 18

ant ethmoid sinus

Question 19

ADI indicators of UCI

Answer 19

5/adult, 3/child

Question 20

term for flattening of base of skull, not a dz

Answer 20

platybasia

Question 21

how to perform kurnig and brudzinskis, two conditions that would cos pos tests

Answer 21

• kurnig=supine, bend head, straighten knees
• brud=bend at knee
• pos: subarach hem, meningitis

Question 22

mech thru which TA can cause vision disturb

Answer 22

constrict retianl/ophthalmic artery, granulomatous inflam

Question 23

sinus and activity that relieves pain

Answer 23

frontal/standing &

maxillary/laying down

Question 24

condition in which parts of brain move downward

Answer 24

arnold chiari malform

Question 25

pt wakes up with stiff neck, no injury

Answer 25

ask about pillow

Question 26

pt with BI commonly exhibit neuro signs, post skull pn when head is ___

Answer 26

flexed

Question 27

trigem neuralgia AKA

Answer 27

tic doloreoux

Question 28

evolving VAD reps HA and neck pain, 5ds 3ns

Answer 28

• Nystagmus, Nausea, Numbness /

- Dysphag, Dysarth, Drop attack, Diplopia, Dizziness

Question 29

when dens is completely sep from C2

Answer 29

os odontoidium

Question 30

kurnig, brudz, sn or sp?

Answer 30

95% sp 5% sn, SpIn meningeal irritation