Head bugs
Tap Tap Tap it In
Trouble in movement
Different strokes
Bonked noggin
100
This is the most common bacteria causing meningitis in younger adults
What is Streptococcus Pneumoniae
100
When ordering lab work on cerebral spinal fluid (CSF) that you acquired performing a lumbar tap, this test will help you identify the probable bacterial cause (if at all) within an hour of performing the tap.
What is a CSF gram stain
100
This condition shows bradykinesia, rigidity, resting tremor, and masked facies with no change in consciousness
What is Parkinson's disease
100
This medication is indicated in a patient who present with a TIA causing left facial and arm weakness & numbness that resolved after 20 minutes
What is aspirin
100
This type of deceiving laceration can be so vascular a patient can bleed to death
What is scalp laceration
200
This bacteria causes meningitis often in people in close living quarters like dorms. It has been recently required that all children in New York state receive two doses of the vaccine for this bacteria before 12th grade
What is Neisseria meningitidis
200
Papilledema, focal neurologic signs, immunocompromised patients, known mass lesion are reasons to get this test prior to a lumbar puncture
What is CT of the head prior to LP. In patients who do not present with these signs, have normal mental status, and have no focal neurologic deficits, a head CT is not always required prior to LP. However, in most patients who have a clinical presentation consistent with acute bacterial meningitis or encephalitis, there will be enough diagnostic uncertainty that CT is advisable prior to LP
200
This is the location in the brain where dopamine is depleted in Parkinson's disease
What is the substantia nigra
200
A man with history of mechanical mitral valve replacement presents with stroke. This is the most likely cause of the stroke
What is emboli from the valve.
200
This specialist is needed in the treatment of an epidural hematoma
What is a neurosurgeon
300
This is the difference between meningitis and encephalitis
What is meningitis is the infection or inflammation of the covering of the brain and spinal cord (meninges) and encephalitis is infection or inflammation of the brain itself
300
Lymphocytic pleocytosis, normal glucose, mildly elevated protein and negative gram stain are CSF findings in this infection
What is aseptic or viral meningitis? Similar CSF findings can occur in abcess or partially treated bacterial meningitis
300
This condition is non-progressive encephalopathic brain damage that is present at birth
What is cerebral palsy
300
This arterial territory thrombosis will cause contralateral face and arm numbness and weakness
What is the middle cerebral artery
300
These are all signs of a basilar skull fracture
What are hemotympanum, battle sign, csf rhinorrhea, csf otorrhea, racoon eyes
400
These are the three most common bacteria to cause meningitis in the neonate
What are 1) Group B Strep, 2) E. Coli and 3) Listeria monocytogenes
400
Besides bacterial meningitis, two other causes of low csf glucose
What are carcinomatous meningitis, cryptococcal, and neurosarcoidosis
400
These two groups of symptoms/signs occur in Huntington's disease
What are chorea (jerky involuntary movements affecting especially the shoulders, hips, and face) and mood disturbances and/or dementia
400
This arterial territory thrombosis typically causes contralateral leg numbness and weakness with possible contralateral face/arm weakness/numbness
What is anterior cerebral artery
400
This is the most common CT abnormality in patients with moderate to severe traumatic brain injury
What is traumatic subarachnoid hemorrhage
500
This antibiotic is the right choice to cover Listeria monocytogenes bacterial meningitis in the elderly
What is Ampicillin
500
This drug can be given in an emergent setting where an opening pressure when performing an LP is found to be >400 cm H2O (markedly elevated)
What is mannitol. It may be prudent to recheck the pressure to ensure it has decline prior to removing the needle.
500
These are the most common causes of restless legs syndrome
What are 1) Parkinson disease, 2) pregnancy, 3) iron deficiency anemia, 4) peripheral neuropathy (especially uremic or diabetic), or 5) periodic leg movements of sleep.
500
This arterial territory thrombosis will cause symptoms of vertigo, nausea & vomiting, ataxia, headache, nystagmus and cranial nerve findings with variable motor or sensory findings
What is vertebrobasilar arteries
500
This type of traumatic brain injury often occurs because of sudden acceleration-deceleration of brain parenchyma with subsequent tearing of the bridging dural veins.
What is a subdural hematoma
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