Where things are...
It's in the genes
Sleepy and have a headache...
I'm shaky!
New year, new problems
100

This peripheral nerve provides sensory innervation to the lateral surface of the upper arm approximately over the deltoid muscle

What is the axillary nerve?

100

A duplication within the PMP22 gene on chromosome 17 causes this disorder 

What is Charcot Marie Tooth disease (type IA)?

Note: Deletion in PMP22 causes HNPP

100

This is the most common treatment for obstructive sleep apnea 

What is adenotonsillectomy? 


Notes: Eliminates respiratory abnormalities in sleep in 79% of patients; improves sleep quality, school performance and symptoms of ADHD

100

Jerky movements during sleep in a young infant that stop when awoken are characteristic of this disorder 

What is benign neonatal sleep myoclonus? 

100

Name the West Syndrome triad 

What are infantile spasms, developmental arrest and hypsarrhythmia? 

200

This structure is responsible for conveying sensations of pain and temperature stimuli to the brain 

What is the spinothalamic tract?

200

Cardiac rhabdomyomas are associated with this genetic condition 

What is Tuberous sclerosis?


Notes: AD; mutations in TSC1 or TSC2 genes; characterized by seizures, ID, calcifications, tumors in different organs, cutaneous lesions 

200

Name 2 migraine equivalent syndromes (early migraine variants in children)

What is-

-Cyclic vomiting syndrome/abdominal migraine/benign paroxysmal vertigo/benign paroxysmal torticollis 

Fun fact: Infantile colic!

200

Morning jerks which can be precipitated by sleep deprivation, are characteristic of this disorder 

What is juvenile myoclonic epilepsy? 

200

Name the condition associated with sudden, painless monocular vision loss, associated with optic disc swelling and eventual optic atrophy 

What is anterior ischemic optic neuropathy?

Note: Due to idiopathic infarct of the anterior part of the optic nerve, likely atherosclerotic in etiology but not associated w/CV risk factors; 40% of patients will have AION of the other eye within 2-4 years 

300

This protein is used in the passage of glucose through the BBB

What is glucose transporter isotype 1 (GLUT-1) protein?

300

This gene is implicated in Friedreich ataxia 

What is Frataxin? 

Notes: FA caused by GAA repeats in the gene FTX. Characterized by ataxia, decreased DTRs, posterior column dysfunction, dysarthria, nystagmus, 

300

This headache disorder is characterized by unilateral hemiparesis lasting hours and migraine with aura 

What is familial hemiplegic migraine?


Notes: Channelopathy, autosomal dominant; defect in CACNA1A gene (chromosome 19) encoding a P/Q type calcium channel; mutations can also cause episodic ataxia 2, spinocerebellar ataxia type 6, childhood absence epilepsy 

300

Sudden onset repetitive, twisting movements of arms and legs triggered by sudden rapid voluntary movement, sometimes with a preceding sensation,  is characteristic of this disorder 

What is paroxysmal kinesigenic dyskinesia? 


Notes: Primary- sporadic or inherited; secondary- MS, CP, CVD, trauma, metabolic abnormalities; symptomatic management - phenytoin, carbamazepine, valproate, primidone, diazepam, phenobarbital

300

This disorder characterized by frequent, short attacks of muscle weakness provoked by rest following exercise, cold exposure, stress and oral potassium intake, is associated with this membrane channel

What is the sodium channel?

Note: Periodic hyperkalemic paralysis is a disorder of muscle membrane excitability from mutation in the gene coding for the sodium inactivation gate -- inactivation of sodium channels prevents action potentials leading to muscle weakness or paralysis. 

400

This structure is responsible for maintenance of the circadian rhythm

What is the suprachiasmatic nucleus?

400

This mitochondrial disorder is associated with developmental delay/psychomotor regression, ataxia, dystonia, ophthalmoplegia, seizures, lactic acidosis and bilateral, symmetric necrotizing lesions in the brain

What is Leigh disease? 

What is acute necrotizing encephalomyelopathy?


Notes: AR or X linked; presents in infancy or early childhood and carries a poor prognosis

400

REM sleep behavioral disorder can be associated with this neurodegenerative disorder 

What is-

Parkinson's disease/ multisystem atrophy/ Lewy Body Dementia? 

Notes: Alpha-synucleopathies; loss of REM atonia on PSG, complex motor activity, acting out dreams - punching, kicking, running 

400

Multiple seizure types, developmental delay, and slow spike-wave discharges on EEG characterize this disorder 

What is Lennox Gastaut syndrome?

400

This medication is FDA approved for treatment of irritability in children with autism 

What is risperidone? (used most commonly*)

What is aripiprazole? 

500

Name 2 structures the intervertebral foramina serve as openings for

What are the...

Anterior spinal nerve roots

Posterior spinal nerve roots 

Dorsal root ganglions

Spinal arteries and veins 

500

Name 3 genetic mutations that are associated with early-onset Alzheimer's disease 

What are presenilin 1 (chromosome 14), presenilin 2 (chromosome 1) and amyloid precursor protein (APP; chromosome 21)? 


Notes: greatest risk factor for late onset AD: age and APOE4 allele (APOE2 allele associated with lower risk)

500

Recurrent, brief attacks of sharp, stabbing unilateral pain around the eye, eye redness and tearing are characteristic of this headache disorder 

What is SUNCT (short lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing)?


Notes: Trigeminal autonomic cephalgias; refractory; lamotrigine, gabapentin, topiramate

500

Fencer's posture (arm abduction, external rotation, flexion at elbow) localizes to this area of the brain in this epilepsy disorder

What is the supplementary motor area (frontal lobe)?

Note: seen contralateral to side of epileptiform activity

500

Seizures and acquired language dysfunction is typical for this disorder 

What is Landau-Kleffner syndrome (acquired epileptic aphasia)? 


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