Squished Papaya
Brain Zaps
Localize deez...
Listen to your Heart
It's Heating Up
100
This type of herniation can cause ipsilateral fixed and dilated pupil, contralateral hemiparesis, and obtundation
What is uncal herniation?
100
The loading dose of LEV for convulsive 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
Explain this statement for localization:
"Run away from a fire, fall into a hole"
Free answer
200
Identify the hemisphere that is usually detected for ischemic stroke
What is the L hemisphere? (Bonus points to explain why)
200
Name the three most common bacterial pathogens in community acquired meningitis
What are S. pneumoniae, N. meningitidis, H. influenzae?
300
Name the surgery required to relieve cerebellar mass effect
What is a suboccipital craniectomy? (Bonus points for explaining the problems with an EVD)
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 regimen for suspected bacterial meningitis
What is ceftriaxone 2g q12hr + vancomycin 15-20mg/kg q8hr (+/- ampicillin 2g q4hr)?
400
The phenomenon causing contralateral hemiparesis with herniation
What is false localization sign? (Kernohan's Notch phenomenon)
400
Name two medications that strongly interact:
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 in relation to ICP
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
Explain the SIBICC tiered approach to ICP management
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 most common viral cause of acute flaccid paralysis
What is West Nile virus?