Neurotic Neurologisms
Agraphic Author (Every questions should be a picture)
Show me the muscle
Poor Historian
Not Pop culture
Final Jeopardy
100
Cranial nerve injury associated with acute mydriasis
CN III
100
Diagnosis?
Bells Palsy
100
The score denoting Strength Against Gravity
3/5
100
Visual hallucinations occur most commonly in this form of dementia
Dementia with Lewy Bodies
100
Symptom of normal pressure hydrocephalus most responsive to CSF shunting
Gait (Wobbly)
200
Q: Common term for lateral femoral cutaneous nerve entrapment syndrome
Meralgia paresthetica
200
A 33-year-old woman is evaluated for double vision. Examination shows dysconjugate eye movements and nystagmus. Brain MRI is performed.
Most likely diagnosis?
Multiple Sclerosis- Classic MRI of brain demonstrating multiple ovoid shaped, hyperintense foci demonstrating MS plaques. Typically near periventricular areas, corpus callosum, centrum semiovale, and to lesser extent deep white matter and basal ganglia.
200
Most common location of initial muscle weakness in Lambert-Eaton Myasthenic Syndrome
Proximal lower extremities (accept lower extremities)
200
Eponym for disorder in which a patient believes that a friend or family member has been replaced by an identical imposter
Capgras Delusion
200
Definition of Epilepsy?
Two or more unprovoked seizures in over a 24 hour span or one unprovoked seizure with the significant risk of ongoing unprovoked seizure
300
Q: Likely diagnosis for acute-onset headache, neck pain, and new-onset Horner syndrome
Carotid Artery Dissection
300
Diagnosis and associated symptoms with this disease process?
Neurofibromatosis type 1 (Von Recklinghausen Disease), associated with dermatofibromas as seen in the image due to benign nerve sheath tumors, hypertension, epilepsy, soft tissue sarcomas, and cognitive deficits.
300
Cerebrospinal fluid electrophoresis finding characteristic of multiple sclerosis
Oligoclonal bands
300
Most common cause of death in patients with Parkinson disease
Pneumonia (accept aspiration PNA)
300
What are the most common types of cancers that result in brain metastases? (hint 4)
Lung, breast, melanoma, and kidney
400
Common term for long-term complication of Bell Palsy resulting in spontaneous tearing associated with eating
Crocodile Tears Syndrome (accept Bogorad's Syndrome; gustatolacrimal reflex; paroxysmal lacrimation)
400
A 40-year-old woman with recently diagnosed advanced HIV infection is evaluated for altered mental status and hemianopia. Brain MRI is performed.
Most likely diagnosis?
- Lymphoma
- Toxoplasmosis
- Progressive multifocal leukoencephalopathy
- Tertiary syphilis
Progressive multifocal leukoencephalopathy
The most likely diagnosis is progressive multifocal leukoencephalopathy (PML), which is caused by reactivation of the polyomavirus JC (JCV). PML-associated demyelination is confined to the subcortical white matter and the cortex. On MRI, PML presents as a discrete unilateral or bilateral foci of demyelination-appearing hyperintense lesions without mass effect. Diagnosis requires polymerase chain reaction testing for the presence of JCV and occasionally brain biopsy. In contrast, cerebral toxoplasmosis and primary central nervous system lymphoma cause discrete mass lesions whereas neurosyphilis is associated with non-specific changes on MRI.
400
Eponym for progressive spreading of jerking activity along a limb in focal motor status epilepticus
Jacksonian March
400
Diagnosis associated with anti–N-methyl-d-aspartate receptor antibodies
Autoimmune encephalitis
400
When is it appropriate to give antiplatelet or anticoagulation to a patient after they've received tPA?
Held for the first 24 hours
500
Q: Non-epileptic neurological disorder characterized by uncontrollable episodes of crying or laughing that are incongruent with mood
Pseudobulbar Affect (also accept emotional incontinence)
500
A 61-year-old woman is evaluated for sudden paralysis of the right side. A CT scan without contrast taken 7 hours after symptom onset (left panel) and 24 hours after symptom onset (right panel) are shown. Diagnosis/cause?
Ischemic Stroke
Initial CT head is unremarkable, however, in about 24-48 hours, the tissue becomes edematous resulting in a hypodense lesion on CT findings. Can be significant like this case causing mass effect and midline shift with obliteration of the basilar cisterns.
500
Q: Inherited muscle ion channel defect characterized by episodes of painless muscle weakness
A: Periodic paralysis (accept hypokalemic periodoic paralysis or hyperkalemic periodic paralysis)
500
Cause of parkinsonian-hyperpyrexia syndrome
Sudden withdrawal of dopaminergic medications
500
Name 5 of Ariana Grande's exes?
Graham Phillips
Jordan Viscomi
Jai Brooks
Nathan Sykes
Big Sean
Ricky Alvarez
Mac Miller
Pete Davidson
Mikey Foster
Dalton Gomez
Ethan Slator
500
What are the differences of myasthenia gravis and lambert eaton syndrome in regards to their pathophysiology, symptoms, associated cancers, and reflexes?
