Stroke
Stroke 2.0
Seizure/Epilepsy
Headaches
All Hail the Chief
100

What is the most sensitive imaging modality to diagnose acute infarction?

MRI Brain 

100

Test of Choice if suspicion of PFO

Bubble Study / Agitated Saline

100

What two diagnostic tests are recommended for all patients who have a first seizure? 

Brain MRI and EEG

100

What is the most common cause of thunderclap headache? 

Subarachnoid Hemorrhage

100

Who is our chief medical officer? 

Paul Manternach 



200

How long do you continue DAPT in TIA?

21 days

200

Time frame in which to give tPA

Within 4.5 hours

200

Are newer antiepileptic medications more efficacious at controlling seizures than older medications? If not, then why choose them? 

No they are not, and they are chosen due to lower side effect profile.

200

How often must migraines occur before medications should be considered?

At least 4 times a month, most certainly should be initiated after 10 times a month.

200

How do you spell Dr. Alden's first name?

Ignatius

300

Internal Carotid Stenosis cutoff for revascularization

>70%

300

What is the BP threshold for TPA treatment?

<185/110

300

What is the definition of Status Epilepticus?

A generalized tonic-clonic seizure lasting more than 5 minutes, or two within 5 minutes without return to baseline in between

300

What is the feared complication when continuing estrogen-containing oral contraceptives in women with migraine aura of all subtypes?

Stroke

300

What days can Dr. Verma eat chicken?

Thursday and Saturday

400

Minimum amount of time to hold antiplatelets after hemorrhagic conversion?

1 week

400

What is the diagnosis? 


Subdural Hematoma

400

What is the first line medication for patients with only absence seizures in children and adolescents? 

Ethosuximide

400
How does one treat cluster headache? 

Oxygen inhalation and subcutaneous sumatriptan

400

What was the original name of the Kansas City Chiefs'?

Dallas Texans

500

What is necessary for the definitive diagnosis of aneurysms and other causes of subarachnoid hemorrhage 

Catheter-based angiography

500

Specifically, what type of stroke should be considered in older adults with persistent, acute-onset vertigo?

Vertebrobasilar Stroke 

500

After a single unprovoked seizure as well as negative imaging/EEG, what is the 2 year reoccurrence risk of seizures? 

20-30%

500

With regards to thunderclap headaches, after the initial head CT is ordered and found negative, what is the next test that should be performed? 

Lumbar Puncture

500

Nikolai Fomin was the chief engineer of which nuclear powerplant? 

Chernobyl