Confusion/Vertigo/Sleep

Question 1

Wernicke Triad?

Answer 1

Nystagmus/Opthalmoplegia
Ataxia
Anteriograde amnesia

Question 2

Wernicke irreversible sympt?

Answer 2

Amnesia

Question 3

Specific CSF finding for Hepatic encephalopathy?

Answer 3

Elevated glutamine

Question 4

Nystagmus direction in cerebellar dysfunction? Vestibular?

Answer 4

Towards lesion = Cerebellar

Away = Vestibular

Question 5

Infectious agent in acute labrynthitis?

Answer 5

HSV1

Question 6

TX for acute labrythitis?

Answer 6

Steroids

Question 7

Meniere vs. vestibular neuronitis?

Answer 7

Meniere = hearing symptoms + Vertigo

Vestibular N = vertigo only

Question 8

Meniere tx?

Answer 8

HCTZ, triamterene

Question 9

Vertigo caused by pushing on tragus?

Answer 9

Perilymphatic fistula

Question 10

Next step if suspected central vertigo?

Answer 10

Imaging

Question 11

Vertigo with Hx of trauma (Scuba diving?)

Answer 11

Perilymphatic Fistula

Question 12

Vertigo brought on by exertion?

Answer 12

Perilymphatic Fistula

Question 13

Vertigo made worse with hyperventilation?

Answer 13

Psychogenic

Question 14

Meclizine, Dimenhydrinate, promethazine used for?

Answer 14

Vestibular suppression

Question 15

Indications for CT with head trauma? (6)

Answer 15

Persistent HA
Emesis
Age >60
Anterograde Amnesia
Damage above clavicle
Intoxication

Question 16

Subfalcine herniation occludes what?

Answer 16

ACA

Question 17

Uncal/Transtentoral herniation compresses what?

Answer 17

CN III
Cerebellum
PCA

Question 18

Foramen magnum herniation signs?

Answer 18

Episodes of Cerebellar dysfunction
Arching of back and neck
Pulse changes
LOC

Question 19

Three possible REM sleep problems with narcolepsy?

Answer 19

Cataplexy
Vivid hallucinations
Sleep paralysis

Question 20

RLS tx?

Answer 20

DA agonist, pramipexole, ropinerole

Question 21

Tx for old man who hits wife in his sleep?

Answer 21

Clonazepam