Headache/Tumor
TBI/Coma
Seizure/MS
Infections
Stroke
100

What is the most common type of migraine?

Migraine without aura

100

What is the lowest GCS score a patient can have?

3

100

What is first line therapy for status epilepticus?

Lorazepam - Benzodiazepine 

100

What is the most common pathogen implicated in bacterial meningitis in patients> 20 years?

strep pneumoniae 

100

What is the most common cardioembolic etiology of stroke?

Atrial fibrillation

200

What is the most common primary benign brain tumor and what is the most common primary malignant brain tumor?

benign - meningioma

malignant - glioblastoma

200

What GCS score indicates a severe head injury?

< 9

200

What is first line therapy for absence seizures?

Ethosuximide 

200

What is the classic triad in a patient with meningitis?

Fever, headache, nuchal rigidity

200

Tpa must be administered within what timeframe for patients who present with ischemic stroke?

4.5 hours

300

What is first line therapy for cluster headaches? What is first line preventative therapy?

1st line for acute attack - 100% Oxygen

1st line for preventative - Verapamil

300

What is the definition of a stuporous patient?

Patient is unresponsive except when subjected to repeated vigorous stimuli

300

What is first line therapy for an acute MS attack?

High dose corticosteroids 

300

What will be the CSF profile in a patient with viral meningitis?

Elevated white blood cell count, normal/slightly elevated protein, normal glucose

300

What diagnostic test is most sensitive for detection and diagnosis of early stroke?

MRI

400

List 4 headache red flag symptoms

Age > 50, worst HA of life, sudden onset, systemic symptoms, neuro deficit, change in previous headache pattern

400

What are signs and symptoms of a basilar skull fracture?

Raccoon eyes, battle sign, CSF rhinorrhea, hemotympanum

400

What are 3 medications that are used as disease modifying therapy in the treatment of multiple sclerosis?

Interferon B, glatiramer, natalizumab, ocrelizumab, dimethyl fumarate

(monoclonal antibodies, oral therapy, infusion therapy)

400

Serology studies are the primary diagnostic test for what virus?

Arbovirus - West nile virus 

400

Where is the most common location for a saccular (berry) aneurysm? 

Anterior communicating artery 

500

Acoustic neuroma is often associated with what other inherited medication condition?

Neurofibromatosis type 2

500

What test is performed in a comatose patient if the oculocephalic reflex is absent?

Oculovestibular reflex (caloric stimulation)

500

What are 3 well established risk factors for Multiple Sclerosis? 

- prior EBV infection, low UVB light exposure, low vitamin D level, smoking

500

What is first line, empiric therapy for a patient with bacterial meningitis?

3rd/4th gen cephalosporin (ceftriaxone, cefotaxime, cefepime) + vancomycin + dexamethasone 

500

The mechanism of lacunar infarction can be described as what?

small vessel thrombus