Peds Neuro

Question 1

Bells Palsy

Answer 1

Facial Nerve Palsy

Question 2

Hydrocephalus

Answer 2

Poor Feeding
Irritability
Vomiting

Bulging Fontanelle
Prominent Scalp Veins
Wide sutures
Rapidly increasing head circumference

Question 3

hydrocephalus dx

Answer 3

CT

Question 4

hydrocephalus tx

Answer 4

ventricular shunt into abdomen

Question 5

craniosynostosis

Answer 5

premature closure of suture

Question 6

Pseudotumor Cerebri

Answer 6

idiopathic intracranial hypertension

Question 7

ascending muscle weakness
decreased reflexes
distal parasthesia

Answer 7

Guillain-Barre

Question 8

Guillan-Barre s/p what infection

Answer 8

Campylobacter

Question 9

Guillan-Barre danger

Answer 9

beware respiratory failure. use spirometrys

Question 10

abdominal mass that crosses the midline

associated with systemic (sympathetic nervous system) symptoms

Answer 10

Neuroblastoma (3rd MCC pediatric cancer)

Question 11

post-ictal paralysis

Answer 11

Todd’s paralysis

Question 12

interventricular hemorrhage in who

Answer 12

low birth weight (premies)

Question 13

bitemporal hemanopsia

calcified lesion above sella

Answer 13

Craniopharyngioma

Question 14

Craniopharyngioma embryology

Answer 14

remnant of Rathke’s pouch

Question 15

complex partial vs. absence

Answer 15

hyperventilation does not create complex partial seizures but it will induce absence seizures

Question 16

typical absence vs. atypical absence

Answer 16

typical =
hyperventilation = 3 Hz spike

atypical
hyperventilation = 2.5 Hz spike
lasts longer

Question 17

Juvenile myoclonic epilepsy

Answer 17

myoclonic jerks presenting in the morning after too little sleep

Question 18

Lennox-Gastaut

Answer 18

multiple types of seizures with slow spike-and-wave activity

Question 19

complex partial eeg

Answer 19

normal

Question 20

botulism vs. Guillan Barre

Answer 20

GB= ascending paralysis

Bot = descending paralysis

Question 21

myasthenia gravis vs. botulism

Answer 21

MG has no autonomic sx.

Question 22

symmetrical muscle weakness and hyporeflexia

Answer 22

Werdnig-Hoffmann

Question 23

floppy baby

Answer 23

Werdnig-Hoffman or Botulism

Question 24

Werdnig-Hoffman

Answer 24

degeneration of anterior horn cells and cranial motor nuclei

Question 25

meduloblastoma arises where

Answer 25

vermis

Question 26

Cushings Triad

Answer 26

from increased ICP HTN Bradycardia Respiratory Irregularities

Question 27

Blood in sylvian fissure means what on CT

Answer 27

subarachnoid hemorrhage

Question 28

Lateral Cortical Spinal Tract runs through what?

Answer 28

Internal Capsule

Question 29

horizontal gaze palsy vs. vertical gaze palsy

Answer 29

horizontal = lesion in brain stem (pons) vertical = lesion in midbrain from stroke or tumor

Question 30

Guianne Barre dx

Answer 30

Lumbar Punct

Question 31

Adam-Stokes

Answer 31

arrythmia followed by syncope occasionally featuring seizures