Pediatric Neuro Jeopardy

Cerebral Dysfunction

100

The term used for a convulsive generalized seizure

Tonic-Clonic (used to be "grand mal")

200

First-line medication used for status-epilepticus 

lorazepam, diazepam, midazolam (ie. a benzodiazepine) 

300

Fixed and dilated pupil >5 minutes

brain herniation

400

Preschoolers are most likely to experience a drowning here

pool

500

A child may be weaned off of an AED if they are seizure-free for this long

2 years

Neuromuscular

100

Name a persistent primitive reflex that could be seen in CP

+Babinski, tonic-neck, Moro

200

Medical term for neural tube defect most commonly referred to as "spina bifida"

myelomeningocele 

300

Clinical features of dystonic CP

Abnormal posture, slow, twisting movements

400

Timeframe for surgical closure of myelomeningocele 

24-72 hours

500

Name THREE long-term complications for the child with spina bifida

physical disabilities, joint contractures, scoliosis, skin breakdown, chronic UTIs, constipation

Increased ICP

100

Bradycardia, irregular respirations, widened pulse pressure

Cushing's reflex

200

Long-term treatment for increased ICP

VP shunt

300

Name one physical exam feature suggestive of hydrocephalus in an infant

high pitched cry, enlarged head circumference, bulging fontanelle, distended scalp veins, frontal bossing, +Macewan sign

400

Excessive urine output and hypernatremia

Diabetes insipidus (DI)

500

Name TWO nursing interventions for increased ICP

low-stim environment, midline positioning, minimize suctioning, cluster care, pain management, thermoregulation

TBI

100

Most common sports-related TBI in children

Concussion

200

Expected clinical symptoms seen with an epidural hemorrhage

Brief LOC followed by return to baseline, followed by progressive lethargy and coma

300

GCS indicating severe TBI

<8

400

Name TWO symptoms seen in post-concussion syndrome

HA, fatigue, photophobia, dizziness, nausea, irritability, cognitive/memory deficits

500

Score given on verbal response category on Pediatric GCS for <2 year old that responds with smiling/cooing

5

Infection

100

Main difference between viral and bacterial meningitis 

bacterial growth occurs in cultures for bacterial meningitis; no growth will occur in cultures for viral

200

Most common pathogen that causes viral meningitis

enterovirus

300

Lab test that can help confirm diagnosis of Reye's syndrome

ammonia

400

Treatment for encephalitis 

acyclovir 

500

Purpuric rash seen in child with encephalopathy 

meningococcemia