GIM
Seizure
Diagnostics
Which treatment?
Stroke
100

This is the most common cause of hyperprolactinemia

pregnancy/postpartum

100

This is used for seizure prevention in pre-eclampsia

Magnesium

100

This is the test you check for if you suspect myasthenia gravis but the Ach-receptor Ab is negative

muscle specific kinase antibodies

100

This is the drug you start with an asymptomatic 70% carotid artery occlusion

Statin

100

CHADS-VASc categories that are worth 2 points

Age >75
Stroke/TIA/Thromboembolism

200

These are the two common triggers for microscopic colitis

smoking and NSAIDs

200

These antiseizure meds are safe in pregnancy

Levetiracetam and lamotrigine

200

This is the test you should do in a patient with gradually worsening headache over days, papilledema, progressive reduction in level of consciousness and reason for hypercoagulability

MR Venography

200

First line treatment for Tourette's syndrome

clonidine

200

The blood pressure goal after administering alteplase

less than 180/105 mm Hg

MKSAP 72

300

Name the 4 types of multiple sclerosis

Clinically Isolated Syndrome (CIS)

Relapsing-Remitting MS (RRMS)

Secondary Progressive MS (SPMS)

Primary Progressive MS (PPMS)

300

These are the major differences between a generalized tonic clonic seziure and a convulsive syncopal episode

extent of involvement: GTCS has whole body jerks while convulsive syncopal event has twitching of the limbs

duration: GTCS > 1 minute, convulsive syncopal episode is < 1 minute

recovery: GTCS has major confusion and lethargy and possible combativeness. Convulsive seizure patients recover their memory almost immediately, maybe some mild situational memory loss

300

This is the cutoff duration of dementia symptoms for when you evaluate with advanced imaging (CT or MRI)

DAILY DOUBLE

3 years

mKSAP 28

300
Juvenile myoclonic epilepsy usually starts in adolescence requires life long treatment. Which is first line drug :
Lamotrigine or Valproic acid. This epilepsy syndrome presents with myoclonic and generalized seizures usually provoked by sleep deprivation,alcohal or exposure to flickering lights. MKSAP # 75
300

This is the goal LDL for patients who had a stroke

LDL <100

400

This is the treatment for cold agglutinin AIHA

rituximab

400

This is the next definitive test after a negative EEG in an intubated patient on pressors showing altered mental status, and some twitching to diagnose this condition

(name the test and condition)

continuous vEEG to r/o non-convulsive status epilepticus

400

This is the marker for paraneoplastic Stiff person syndrome that can accompany breast cancer

anti-GAD Ab

400

This drug can help improve gait speed and endurance in patients with multiple sclerosis with ambulatory dysfunction

dalfampridine

400

The indications for carotid endarterectomy

TIA or nondisabling ischemic stroke within the preceding 6 months and who have ipsilateral severe (70-99%) carotid artery stenosis

OR

recent TIA or ischemic stroke and ipsilateral moderate (50-69%) carotid artery stenosis as documented by catheter-based imaging or noninvasive imaging


2021 American Heart Association (AHA)/American Stroke Association (ASA) guidelines

500

These are  4 of the 6 criteria for outpatient management of neutropenic fever

Talcott's Rules

1. residence ≤1 hour or ≤30 miles (48 km) from the clinic or hospital
2. patient's primary care physician or oncologist agrees to outpatient management
3. ability to comply with logistic requirements, including frequent clinic visits
4. family member or caregiver at home 24 hours/day
5. access to a telephone and transportation 24 hours/day
6. no history of noncompliance with treatment protocols

500

First line therapy of epilepsy in older adults (especially if they've had allergic reactions to other seizure meds in the past)

Gabapentin


MKSAP 45

500

This is the marker for the Miller-Fisher variant of GBS

anti-GQ1b ganglioside antibodies

500

This is used to treat headaches from postural hypotension

Epidural blood patch

500

7 of the contraindications for IV thrombolysis in acute ischemic stroke

1)Current/prior ICH 2)head trauma or stroke within 3 months intracranial neoplasm 3)AVM or aneurysm 4)recent intracranial/intraspinal surgery 5)active internal bleeding 6)noncompressible arterial puncture 7)elevated BP 8)multilobar infarct 9)plt <100k 10)INR >1.7 11)on Xa inhibitor 12)PTT >40 13)glc <50