Neuro Jeopardy

Ouch! My head

100

A morbidly obese female presents for headaches and blurred vision, what is the most likely cause?

Idiopathic intracranial hypertension, pseudotumor cerebri

200

65 year old F present for R eye vision loss and localized headache, what is the appropriate treatment?

Prednisone

300

Patient has an empty delta sign on head imaging. What is the diagnosis? 

Central venous thrombosis

400

Patient presents presents with shock like pain in V2 distribution, what is the first line treatment?

Carbamazepine

500

A patient presents with acute headache and R eye pain. She is found to have elevated intraocular pressures. Name three medications used to treat this disease process. 

Timolol, pilocarpine, acetazolamide, mannitol, steroids, brimonidine, elevate head of the bed

Code 10 Alert

100

What is the time frame in which tPA can be considered for an acute stroke? 

3-4.5 hours

200

Patient presents for AMS and is found to have a subarachnoid hemorrhage. What is systolic blood pressure goal?

SBP< 140 mmgHg

300

What medication is given to prevent vasospasm after intracranial hemorrhage?

Nimodipine

400

What is the term for a transient ischemic attack that presentswith transient vision loss?

Amaurosis fugax

500

A patient on Eliquis for atrial fibrillation has an intracranial hemorrhage. What is the name of the reversal medication for Eliquis?

Andexanet alfa (Andexxa)

Ativan Please

100

Patient that is TB positive presents for refractory seizure, what is the treatment?

Vitamin B6, pyridoxine

200

A pregnant female presents for seizures with elevated blood pressure readings. What is the treatment of choice for her seizure?

IV Magnesium

300

A patient with a sodium level of 110 has a seizure in the emergency department, what is the treatment?

3% Hypertonic saline, 150 cc at a time

400

A simple febrile seizure occurs in children from 6 months to 5 years of age that is generalized tonic clonic, lasts < ___ minutes, is accompanied by a fever of at least 100.4F, and occurs only once in a 24 hour period of time." Fill in the blank

15 minutes

500

What is the loading dose for valproic acid when used for status epilepticus? 

Valproic acid IV 20-40 mg/kg  

Name that Fever

100

You are evaluating a patient with fever and headache. You passively flex the patient's neck and his lower extremities involuntarily flex at the hip and knee joints. What is the name of this physical exam finding? 

Brudzinski Sign

200

What is a normal opening pressure when performing an LP in evaluation for meningitis? 

10-20 cm H20

300

HIV positive patient presents with a focal seizure and has ring lesions on CT scan of the head, what is the most likely cause?

Toxoplasmosis

400

Alcoholics are at risk for what additional organism when considering meningitis?

Listeria

500

A patient presents with fever, confusion and CT scan showing temporal lobe hemorrhages. What treatment is indicated for his patient?

Acyclovir in addition to usual meningitis antibiotics

2 through 12

100

A patient presents with right sided facial droop that started this morning. What physical exam finding can help distinguish between upper and lower motor neuron disease?

Forehead examination

200

A patient has a herpetic lesion on the tip of their nose. What is this physical exam finding called?

Hutchinson's Sign

300

A patient's eye examination is described as down and out, which nerve is affected? 

CN III palsy

400

Name the first cranial nerve to be affected by cavernous sinus thrombosis?

CN VI

500

Which cranial nerve provides sensation to the anterior 2/3 of the tongue?

CN VII