Tiny Tim's Trivia

Is it MSK or are you dying?

100

RLQ pain + fever + rebound tenderness is classic for this condition

appendicitis

200

abdominal pain + pallor, tachycardia, and hypotension indicates this emergent condition

internal bleeding

300

bruits over renal arteries or midline may indicate this condition

renovascular pathology or AAA

400

this is the clinical triad for AAA on auscultation/exam

bruit + pulsatile abdominal mass + back pain

500

this is the most common skin cancer, often pearly, raised, bleeding, or scar-like

basal cell carcinoma

the floor is lava

100

this is the primary sensory system used for quick postural corrections on firm, stable surfaces

somatosensory system 

200

these two values are the cutoff scores for a 10-meter walk test indicating fall risk and ADL dependence 

less than 1 m/s = fall risk ; less than 0.6 m/s = ADL dependent

300

this is a test evaluating dynamic balance using functional walking tasks

FGA (functional gait assessment)

400

these systems are most relied on in low-light or visually restrictive environments

somatosensory/vestibular

500

this reflex stabilizes the gaze during head movement

VOR (vestibulo-ocular reflex)

Dr. Chang's mystery grab bag

100

in this quadrant, cholecystitis produces pain

RUQ

200

palsy of this nerve can be indicated by the eye being pulled medially with inability to abduct 

CN VI (abducens) 

300

this high-pitched inspiratory breath sound indicates upper airway obstruction

stridor 

400

a patient has diminished patellar reflex but strong achilles reflex. this root level may be impaired

L3-4

500

vertical nystagmus indicates this type of lesion

central lesion

giving head (+ neck)

100

hoarseness lasting longer than 2-3 weeks suggests dysfunction of this CN

CN X (recurrent laryngeal branch) 

200

tonue deviation toward one side on protrusion indicates a lesion on this side

same side

300

bone conduction > air conduction on Rinne test suggests this pathology

conductive hearing loss

400

loss of both temporal visual fields (bitemporal hemianopsia) suggests pathology at this structure

optic chiasm

500

sudden, painless monocular vision loss requires immediate referral for this suspected pathology

retinal artery occlusion

Dina's Neurological Torture

100

this DTR grade has no visible movement but change in tone

1+

200

uvula and soft palate evaluation during "ahh" testing assess these nerves

CN IX and X (glossopharyngeal and vagus)

300

spasticity, hyperreflexia, and pathological reflexes indicate this type of lesion

UMN

400

eyebrow raise, eye closing, smile, and pucker test which nerve

CN VII facial

500

atrophy is a sign of lesion here

LMN