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
This disease can involve loss of taste and even slight loss of sensation, and can be distinguished from most strokes by showing weakness of the frontalis muscle.
What is Bell's palsy?
**Bonus Question **
100
A common type of headache
which is more common in females,
can be diagnosed in the ED with this mnemonic.
100
These are the 5 criteria of a simple febrile seizure
- Age 6 mo – 5 years
- Fever (i.e. temp > 100.4 F or 37.9C)
- Generalized tonic-clonic
- Single episode in 24 hrs
- 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
Name this symptom
What is Chorea or Choreoathetoid movements?
Seen in PANDAS, Huntington's Dz, Wilson's Dz, phenothiazines, lithium, carbamazepine, amphetamines, phenytoin, anticholinergics, etc
200
This disease manifested with stomach upset and cold allodynia after eating the fish below,
What is ciguatera poisoning?
200
DAILY DOUBLE!
Get me this view for LP guidance on the Mannequin, and identify:
- Spinous process
- Laminae of vertebra
200
A migrant worker with a history of cough and weight loss presenting with refractory seizure might be treated successfully with this medication
Pyridoxine or vitamin B6
***Bonus Question ***
Which medication is the cause of these seizures?
200
This is the goal SBP in the management of the patient below.
What is < 150 mmHg?
300
This disease presents with:
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
Meningitis in the first 28 days of life is most likely due to one of these 3 organisms.
What are:
Group B Strep (50%)
E. Coli (20%)
Listeria Monocytogenes (5-10%)
(HSV 1-2%)
300
Treatment for a 38-week gravid patient with upper extremity edema, hypertension and a resolved generalized tonic-clonic seizure.
(Include dose and route)
Magnesium sulfate 6 gm IV over 15-20 minutes
(can be given IM if needed)
300
In a patient with normal blood pressure, this oral medication can 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 > ___ suggests idiopathic intracranial hypertension.
What is 25 cm of water?
(20-25 is intermediate range)
400
Give three initial steps to the immediate care of the seizing patient.
secure airway OR, roll to lateral decubitus
Stat FSBG for hypoglycemia
Benzodiazepines
(IV, oxygen, monitor)
(Start the timer)
400
When this vessel is occluded, you may see right lower extremity sensory loss and weakness with expressive aphasia or akinetic mutism.
What is the left anterior cerebral artery?
500
In a patient who falls over while standing (Romberg sign) this is how to differentiate between sensory and cerebellar ataxia.
What is have them close their eyes.
500
A young patient comes with painful monocular vision loss, pain with eye movements, and some distortion of color vision, with a relative afferent pupillary defect.
S/he most likely has THIS neurologic disease.
What is Multiple Sclerosis?*** Bonus Question ***
Describe findings of a RAPD/how performed.
500
Best next test for a 3 weeks post-partum F with severe headache, family history of Protein C deficiency, normal non-contrast CT and normal LP/CSF opening pressure.
What is magnetic resonance venogram or MRV?
500
Your patient is seizing for over 5 minutes, has a normal glucose and no IV access. The EZ-IO is broken. 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
***Bonus: pros/cons of diazepam vs lorazepam? ***
500
Occlusion of this artery results in "locked in" syndrome
What is the basilar artery?