Pediatric Neurotrauma
Older Adults
Pregnancy & Neurotrauma
Anticoagulated patients
100
This anatomic feature in infants allows the brain to expand with swelling, potentially masking early signs of raised intracranial pressure after trauma.
What are open (patent) cranial sutures and fontanelles?
100
A 76 y/o M presents to ASEM after a recent fall. What vascular structure was likely damaged?
What are bridging veins?
100
A 27-year-old G2P1 (WGA=32) presents with 4 days of progressive HA and seizures. Eye fundus exam is shown below; otherwise, the neurological exam is non-localizing. You order this imaging modality to confirm your diagnosis.
What is Brain MRV w/o contrast?
100
Aspirin, Clopidogrel
What is desmopressin?
200
In a child under 1 year of age, the combination of subdural hematomas, retinal hemorrhages, and encephalopathy — often without a plausible mechanism — is the classic triad associated with this diagnosis.
What is abusive head trauma (shaken baby syndrome / nonaccidental injury)?
200
Use of organic solvents, pesticides, herbicides, certain viral encephalitis (West Nile, St. Louis encephalitis, Japanese encephalitis, western equine encephalitis, certain enteroviruses), and TBI are risk factors for this neurodegenerative disease often seen in older adults.
What is Parkinson's Disease?
200
Following a MVA, a pregnant patient presents to the ED with unbearable headache and neck pain. What section would be expected be most prone to the likely underlying etiology of her symptoms?
What is V3 (between C1 and C2 vertebra)?
200
Heparin
What is protamine sulfate?
300
Two days after falling from a bike, a 7-year-old boy is complaining of headache, photophobia, and nausea. On a follow-up appointment three months later, he no longer complains of these symptoms. We could classify the patient as having this disorder (be specific).
What is acute post-traumatic headache?
300
A 62-year-old retired MMA fighter is brought to the clinic by his family due to complaints of erratic behavior, depressed mood, and cognitive changes. Imaging is shown below. A pathology of the patient's brain would most likely reveal this finding.
What are neurofibrillary tau tangles?
300
A G3P2 F sustained severe head trauma during her first trimester. While hospitalized she was started on several medications. At birth, her newborn had the following features. The pediatric neurologist suspects this medication likely led to the patient's presentation.
What is phenytion (fetal hydantoin syndrome)?
300
Rivaroxaban, Apixaban
What is adexanet alfa and PCC?
400
DAILY DOUBLE!
Characterized by progressive neurologic deterioration often following infection or head trauma, this leukodystrophy often includes ataxia, spasticity, seizures, and optic atrophy.
What is leukoencephalopathy with vanishing white matter (VWM)?
400
Daily Double!
An elderly patient was a pedestrian involved in an accident. After the event, his daughter notes that he is less sympathetic and empathetic. This lobe is likely implicated in the patient's presentation.
What is the frontopolar cortex?
400
A post-partum female presents to the ED due to severe shoulder pain that was followed by weakness of the right arm. On PE, the patient has absent triceps and biceps reflexes. The patient is mostly suffering from this syndrome.
What is Parsonage-Turner syndrome/Neuralgic Amyotrophy/Brachial Plexus Neuritis?
400
Dabigatran
What is idaracizumab?