Neuro Emergencies

Question 1

Most common type of stroke

Answer 1

Ischemic

Question 2

Upper Extremity Deficit > Lower Extremity Deficit

Answer 2

Middle Cerebral Artery Occlusion

*There’s more deficits than just this card

Question 3

Unilateral Lower Extremity Monoplegia or weakness

Answer 3

Anterior Cerebral Artery Stroke (ACA)

Question 4

Most common brain area for Hemorrhagic stroke

Answer 4

Lenticulate

Question 5

Most important risk factors for Intercerebral hemorrhage

Answer 5

Advanced age and HTN

Question 6

2 reasons to do Neuro CT/MRI WITH contrast

Answer 6

Tumor or Infx

Question 7

3 things CT is good for

Answer 7

bone, blood, calcification

Question 8

Most common cause of Subarachnoid hemorrhage

Answer 8

Trauma NOT ruptured berry aneurysm

Question 9

Star of death

Answer 9

Ruptured aneurysm filling circle of Willis. 50% die first hour.

*Ongoing 50%s, all bad odds

Question 10

Worst HA of my life

Answer 10

Subarachnoid Hemorrhage

Question 11

Most common cause of cc “Worst HA of my life”

Answer 11

Trauma

Question 12

Worst HA, CT is negative for subarachnoid, what to do next?

Answer 12

LP and check for Xanthrochromia

Question 13

If you suspect Bell’s Palsy, ask the patient to do this . . .

Answer 13

Wrinkle the forehead

*upper and lower facial nerve palsy

Question 14

GCS: Best Motor

Answer 14

6

Question 15

GCS: Best Verbal

Answer 15

V and 5

Question 16

GCS: Eye opening

Answer 16

Four eyes (4)

Question 17

Why do subdural hematomas look like crescents?

Answer 17

Bridging Veins

Question 18

Exam Question: Which blood vessel is injured with epidural hematoma

Answer 18

Middle Meningeal Artery

Question 19

Epidural Hematomas look like

Answer 19

Suture lines

• Lens shaped

Question 20

Most common bacterial meningitis

Answer 20

Strep Pneumo

Question 21

Most common viral meningitis

Answer 21

EnteroVirus

Question 22

Most common fungal meningitis

Answer 22

Cryptococcus

Question 23

Mnemonic: Kerning bends the . . .

Answer 23

“K” nee

Question 24

Mnemonic: Brudzinski bends the . . .

Answer 24

“B” ack (of neck)

Question 25

In neurology, MS can present as

Answer 25

Everything

Question 26

What causes double vision?

Answer 26

disconjugation of any CN 2, 3, 4, 6

Question 27

A stroke in this blood vessel can cause right leg upper-motor neuron weakness and Aphasia

Answer 27

Left Anterior Cerebral Artery (ACA)

Question 28

A stroke in this blood vessel can cause left leg upper-motor neuron weakness and Hemineglect

Answer 28

Right Anterior Cerebral Artery (ACA)

Question 29

Is Bell’s Palsy upper or lower motor neuron lesion?

Answer 29

Lower

Question 30

Caused by tearing of Bridging Veins. Risks = elderly and alcoholics. Crescent-shaped hematoma on CT

Answer 30

Subdural Hematoma

Question 31

If you suspect infectious neurological emergeny (ex: meningitis) and pt has petechial or purpuric rash, what should you expect when testing deep tendon reflexes?

Answer 31

Increased DTRs