Neurology

Question 1

Insidious onset, vertical nystagmus, NO auditory symptoms, can have motor sensory deficits

Answer 1

Central Cause

Question 2

Dihydroergotamine

Answer 2

Seratonine receptor Agonist Contra: Prego, CAD, TIA, Sepsis

Question 3

Band like pain, bilateral w/o photo/phonophobia Stress, sleep deprivation, hunger, etc may precipitate Tx: NSAIDS, trial of antimigrane, ketorolac IM

Answer 3

Tension HA

Question 4

Sudden onset vertigo, n/v, tinnitus, hearing loss, horizontal nystagmus

Answer 4

Peripheral (labyrinthitis, BPPV, menier’s, vestibular neuritis)

Question 5

Appears 1-2 days after injury. Dysequilirbium. Constant, dull ache NSAIDS

Answer 5

Post-Concussive/traumatic HA

Question 6

Sumatriptan

Answer 6

Seratonin Receptor Agonist Fast acting and effective Do not use for more than 2weeks

Question 7

Unilateral, pulsating, throbbing Often d/t identifiable triggers Often with n/v, photo/phonobia Usually last 4-72hrs

Answer 7

Migraine

Question 8

Severe Unilateral HA lasting 30-90 minutes occurring several times per day, over weeks to months Commonly middle aged men Ipsilateral laclrimation, conjunctival injection, nasal congestion, miosis, ptosis Tx: 100% O2,

Answer 8

Cluster HA

Question 9

Progressive worsening HA of new onset in mid/late life N/V, CN deficits, seizures, focal weakness

Answer 9

Mass Lesion

Question 10

Unilateral, temporal HA, Jaw claudication Increased SED and CRP Tx: Prednisone

Answer 10

Giant Cell (temporal) arteritis