Neuro

Question 1

Head trauma, disoriented - lucent - coma

Answer 1

Epidural hematoma

Question 2

Concave

Answer 2

Subdural hematoma

Question 3

Babinski

Answer 3

Big toes goes back, other toes fan out. Suggestive of upper motor neuron lesion including CVA, spinal cord injury, etc.

Question 4

LP with decreased glucose, increased protein

Answer 4

Bacterial meningitis

Question 5

Meningitis and rash

Answer 5

Meningococcal

Question 6

Pt unable to make the “stop sign” signal

Answer 6

Radial nerve injury

Question 7

Unilateral facial weakness with inability to close eye

Answer 7

Bell’s palsy (self-limiting)

Question 8

Cauda Equina syndrome - triad of sx

Answer 8

Loss of bowel and bladder function, saddle anesthesia, lower extremity weakness

Question 9

Adolescent female with HA. +/- FHx. Severe HA, N/V, photophobia, +/- auras

Answer 9

migraine HA

Question 10

Male, recurrent relapsing HA, worsened with EtOH, lacrimation, salivation, rhinorrhea

Answer 10

Cluster HA

Question 11

Sudden onset thunderclap HA, “worse HA of my life”

Answer 11

subarachnoid hemorrhage

Question 12

> 50 yo female w/ HA. Temporal artery tenderness or blindness

Answer 12

Temporal arteritis (giant cell arteritis). Elevated ESR, get temporal artery biopsy

Question 13

Neurological impulses that impact large areas on both sides of the brain

Answer 13

Generalized seizures

Tonic-clonic
absence

Question 14

Sz, clouding of consciousness, postictal phase, only affect a portion of the brain

Answer 14

Complex partial seizure

Question 15

Recurrent episodes of vision change, diplopia, weakness and tingling in extremities that resolve

Answer 15

MS

Question 16

s/p fall w/ bilateral LE weakness, urinary and rectal incontinence, decreased rectal tone

Answer 16

Cauda Equina syndrome - neurosurgical consult

Question 17

Ascending paralysis

Answer 17

GBS

Question 18

Weakness and fatigue in upper limbs, blurry vision, diplopia, respiratory distress

Answer 18

Myasthenia gravis

Question 19

Pediatric with episodes of blank stares

Answer 19

Absence (petit-mal) seizures

Question 20

3 mHz spikes of EEG

Answer 20

Absence (petit-mal) seizures

Question 21

Sz, affects only one part of the brain, no alteration in consciousness

Answer 21

simple partial seizures
types: motor, sensory, Jacksonian

Question 22

Parkinson symptoms

Answer 22

Resting tremor, bradykinesia, rigidity - cogwheeling

Question 23

Dermatome levels
-nipple line
-umbilicus
-great toe
-little toe
-middle finger

Answer 23

T4
T10
L5
S1
C7

Question 24

HA with jaw claudication

Answer 24

Temporal arteritis
Temporal artery biopsy
Tx with steroids
Blindness complication

Question 25

"band-like" HA

Answer 25

Tension HA Occipito-frontal areas - with tenderness of the neck

Question 26

Symptoms start in one part of the body, then spread to another through recruitment of additional muscles along the same side of the body in a progressive, step-wise fashion

Answer 26

Jacksonian seizure

Question 27

Tonic

Answer 27

Body stiffens

Question 28

Clonic

Answer 28

Muscles will start to contract and relax rapidly, causing convulsions These may range from exaggerated twitches of the arms and legs to violent shaking or vibrating of stiffened extremities. Tonic clonic - experience postictal period of confusion, sleepiness and amnesia of the event

Question 29

Absence seizure

Answer 29

Pt appears to "zone out" no postictal confusion. Can occur multiple times a day