You move me
I can’t fight this feeling
Oh, my head!
Shake, Rattle, and Roll
Plumbing Problems
100
This resolved with over-the-counter medication
What is a dystonic reaction?
100
The diagnosis of this disease includes the observation of frontalis involvement and the ability of both eyes to abduct normally
What is Bell's palsy?
100
This type of headache is
More common in females
Can increase in pregnancy
Precipitated by some angina medications
What is a migraine headache?
100
These are the criteria of a simple febrile seizure
- Age 6 mo – 6 years
- Fever (i.e. temp > 100.4 F or 37.9C)
- Generalized tonic-clonic
- Single episode
- Lasting less than 15 minutes
100
These are five historical risk factors for subarachnoid hemorrhage
Hypertension Smoking
Excessive EtOH Polycystic kidney disease
Family history of SAH Coarctation of the aorta
Marfan’s syndrome Ehlers-Danlos type IV
α1-Antitrypsin deficiency
200
The symptom displayed in this video
What is Chorea or Choreoathetoid movements?
Seen in PANDAS, Huntington's Dz, Wilson's Dz, phenothiazines, lithium, carbamazepine, amphetamines, phenytoin, anticholinergics
200
After eating this, the patient developed stomach upset and cold allodynia
What is ciguatera poisoning?
200
DAILY DOUBLE!
Name the landmarks used in US-guided LP
200
A migrant worker with a history of recent weight loss presenting with refractory seizure might be treated successfully with this medication
Pyridoxine or vitamin B6
200
This is the goal SBP in the management of this patient
What is <220 with a goal of 150 mmHg?
300
When you see these:
resting tremor
cogwheel rigidity
bradykinesia
impaired posture and equilibrium
What is Parkinson's Disease?
300
vaccine or viral illness before
loss of leg reflexes and weakness
new difficulty walking
What is Guillian-Barre Syndrome?
300
Newborns within 28 days after birth have one of these organisms as the most likely cause of meningitis
What is:
Group B Strep?
E. Coli?
Herpes Simplex Virus?
300
A 38-week gravid patient presents with upper extremity edema, hypertension and a resolved generalized tonic-clonic seizure. This much Magnesium over this period of time is recommended to initiate therapy.
Magnesium sulfate 6 mg IV over 15-20 minutes
OR
Magnesium sulfate 5 gm IM in each buttock with lidocaine
300
This drug is given to prevent vasospasm after subarachnoid hemorrhage
What is nimodipine?
400
This inhibits glycine
Looks like tetanus
Opisthotonus and risus sardonicus
Your great-grandma killed rodents with it
What is Strychnine?
400
Feeding an infant this substance may result in ptosis, poor feeding, and muscular hypotonia
Honey
400
An opening pressure of greater than this suggest benign intracranial hypertension
What is 20 cm of water?
400
Give three initial steps to the immediate care of the seizing patient
If the airway is not secured, roll the patient to lateral decubitus
Stat FSBG for hypoglycemia
Call for benzodiazepines
IV, oxygen, monitor
Start the timer
400
Right lower extremity sensory loss and weakness with expressive aphasia or akinetic mutism is associated with an occlusion of this vessel
What is the left anterior cerebral artery?
500
A positive Romberg means this type of ataxia
Sensory
500
This disease in young people commonly presents with optic neuritis manifesting as unilateral central vision loss and an afferent pupillary defect.
What is Multiple Sclerosis?
500
This is the test of choice for a severe headache patient with recent pregnancy, family history of Protein C deficiency, nomal non-contrast CT and normal CSF an opening pressure on LP of 24 cm of water.
What is magnetic resonance venogram or MRV?
500
Your patient is seizing for over 5 minutes, has a normal FSBG and no IV access. What are three treatment options with drug, dose and route?
- Midazolam 5-10 mg INH with 5 mg each nostril
- Midazolam 10 mg IM
- Midazolam 10 mg buccal (injectable solution)
- Diazepam 0.2 mg/kg up to 20 mg INH, half each nostril
- Diazepam 20 mg rectal gel
500
Occlusion of this artery results in "locked in" syndrome
What is the basilar artery?