Multiforme
Seize the day
Bumps, bruises, & brains
Born this way, baby
Picture this
100

The most common complication of bacterial meningitis in children

What is hearing loss?

100

This type of seizure is generalized, lasts less than 15 minutes, and occurs once in 24 hours with fever

What is a simple febrile seizure?

100

This type of fracture is associated with bilateral orbital ecchymoses (“racoon eyes”) and otorrhea.

What is a basilar skull fracture?

100

The most likely diagnosis in a young boy presents with frequent falls, toe walking, calf muscle pseudohypertrophy, and a positive Gowers sign.

What is Duchene’s muscular dystrophy?

100

This feature seen here would justify additional workup

What is a base not visible?

200

This headache feature is most concerning for increased intracranial pressure.

What is morning headache with vomiting?

200

This seizure feature should prompt neuroimaging rather than reassurance.

What is a focal neurologic deficit?

200

A 5 y/o falls from a treehouse and hits his head. He initially is unconscious but regains consciousness for several hours and seems to be doing better. After a few hours, he acutely worsens. He loses consciousness and develops focal neurologic signs. This is the most likely diagnosis.

What is an epidural hematoma?

200

This disorder is usually apparent after 6-18 months of seemingly normal development, with symptoms including intellectual disability, seizures, breathing issues, and characteristic hand wringing.

What is Rett syndrome?

200

This syndrome is associated with seizures, focal neurologic deficits, glaucoma, and intellectual disability

What is Sturge-Weber?

300

A newborn with paralysis of the flexors and extensors of the forearm and intrinsic muscles of the hand with sensory loss on the ulnar side of the hand, after a difficult labor

What is Klumpke palsy (lower plexus root injury)?

300

This childhood movement disorder is suppressible and worsens with stress.

What are tics?

300

This can't miss diagnosis should be suspected in an infant with lethargy and concerns for non-accidental trauma.

What is a subdural hematoma?

300

This is the single most common condition associated with strokes in children.

What is sickle cell disease?

300

This physical exam finding suggests what disorder?

What is hydrocephalus (sunset eyes)?

400

The most common cause of CNS vasculitis leading to CVA.

What is bacterial meningitis?

400

This is the most likely diagnosis in an infant who presents with episodes of sudden, simultaneous flexion of the head and trunk, often occurring in a transition from sleep to wakefulness.

What are infantile spasms?

400

This, the most common location for skull fractures in children.

What is the parietal area?

400

This rare disorder presents with severe learning disabilities, jerky movements, hyperactivity, sleep problems, microcephaly, and often a “happy” disposition

What is Angelman syndrome?

400

This disorder may include seizures, (especially infantile spasms), developmental delays, and intellectual disability

What is tuberous sclerosis?

500

This cranial deformity is associated with myelomeningocele

What is Chiari II?

500

This condition presents with brief staring spells, occurs many times daily, and has a classic EEG pattern of 3-Hz spike-and-wave discharges.

What is absence epilepsy?

500

Pediatric GCS scale should be used in children below this age.

What is two?

500

This congenital infection often involves progressive hearing loss, vision problems, developmental delay and seizures. Periventricular calcifications may be seen on imaging

What is CMV?

500

These findings are seen in this congenital disorder.

What is NF1?