Squished Papaya
Brain Zaps
Localize deez...
Brain-Heart Connections
It's Heating Up
100
This type of herniation can cause unilateral non-reactive pupil, hemiparesis, and obtundation
What is uncal herniation?
100
The loading dose of LEV for status epilepticus
What is 60mg/kg? (Bonus for max dose)
100
This syndrome causes persistent R hemiparesis, aphasia, and neglect
What is L MCA syndrome?
100
Name this common etiology of ischemic stroke
What is Afib/cardioembolic?
100
Name the four common signs and symptoms of meningitis
What are fever, headache, stiff neck, and change in mental status?
200
State the typical dose of mannitol for acute herniation
What is 1g/kg?
200
Name three common contraindications to VPA
What is age-bearing person with uterus, liver failure, thrombocytopenia
200
This can cause transient R hemiparesis, aphasia, and neglect
What is a focal seizure in the L temporal lobe?
200
Identify the hemisphere that is usually affected by a cardioembolic stroke
What is the L hemisphere? (Bonus points to explain why)
200
Name the three most common bacterial pathogens in CNS infections
What are S. pneumoniae, N. meningitidis, H. influenzae?
300
Name the Hunt-Hess and modified Fisher grades of this patient:
Severe headache but oriented, no focal deficits
CTH: blood in cisterns 1.3mm, no evidence of IVH
What is HH2/mFG3?
300
Name the phenomenon associated with decreased movement after a seizure
What is Todd's paralysis?
300
Name the vascular territory affected with ataxia, dysmetria, and possibly obtundation
What is posterior circulation?
300
Name this type of stress-induced cardiomyopathy that frequently occurs with SAH, ICH, or ischemic stroke
What is takotsubo?
300
Name the standard antimicrobial regiment for suspected meningitis
What is ceftriaxone 2g q12hr + vancomycin 15-20mg/kg q8hr (+/- ampicillin 2g q4hr)?
400
Name the surgery required to relieve cerebellar mass effect
What is a suboccipital craniectomy? (Bonus points for explaining the problems with an EVD)
400
Name two medications that cannot be used together:
1. Keppra
2. Fosphenytoin
3. Fycompa
4. Valproic acid
What are fosphenytoin and valproic acid? (Bonus points if you can explain why)
400
Name the syndrome where a patient is only able to move their eyes, hear, blink, and is cognitively intact
What is Locked-In Syndrome? (Bonus points to name the area affected)
400
Describe the loss of autoregulation in brain death
Free answer
400
Name the most common virus that causes rapid encephalitis, seizures, and executive dysfunction
What is HSV? (Bonus points for particular lobe)
500
The phenomenon causing contralateral hemiparesis with herniation
What is false localization sign? (Kernohan's Notch phenomenon)
500
Put these in order from least concerning EEG findings to most concerning:
BIRDS, GRDA, unilateral sharps, LRDA
What is GRDA, LRDA, unilateral sharps, BIRDS?
500
Name the location of a stroke patient that has anterograde transient global amnesia (TGA)
What is the medial temporal lobe/hippocampus?
500
Name this ECG finding
What are cerebral T-waves?
500
Name the suspected cause of this CSF abnormality:
Protein: 100
Glucose: 70 (serum 100)
WBC: 200
Lymphocytic predominance
CSF LA: 1.8
What is viral meningitis?