EM - Neuro

Question 1

s/s of bells palsy

Answer 1

-acute onset facial paralysis

Question 2

diagnosis of bells palsy

Answer 2

clinical

Question 3

treatment of bells palsy

Answer 3

prednisone and valcyclovir

Question 4

MCC of encephalitis

Answer 4

herpesviruses

Question 5

s/s of encephalitis

Answer 5

-fever
-n/v
-altered level of consciousness
-seizures
-psych sx
-focal neuro deficits

Question 6

diagnosis of encephalitis

Answer 6

-spinal tap with CSF analysis
-MRI

Question 7

treatment of encephalitis

Answer 7

-seizure control with lorazepam
-neuro checks
-antivirals

Question 8

vessel involved with epidural hematoma

Answer 8

middle meningeal

Question 9

s/s of epidural hematoma

Answer 9

-LOC followed by lucid interval
-quick decompensation

Question 10

treatment of epidural hematoma

Answer 10

-emergent evacuation

Question 11

etiology of subdural hematoma

Answer 11

-tearing of veins

Question 12

MC population to find subdurals in

Answer 12

elderly due to atrophied brains

Question 13

s/s of subdural hematoma

Answer 13

-HA
-seizures
-neuro sx

Question 14

diagnosis of subdural hematoma

Answer 14

CT

Question 15

treatment of subdural hematoma

Answer 15

craniotomy

Question 16

etiology of GBS

Answer 16

-campylobacter jejuni
-CMV

Question 17

s/s of GBS

Answer 17

-paresthesias
-pain
-proximal muscle weakness leading to paralysis
-tachycardia
-diminished DTRs

Question 18

diagnosis of GBS

Answer 18

-spinal tap
-electrodiagnostic studies

Question 19

treatment of GBS

Answer 19

-hospitalization until plateau period
-bedside PFT
-plasmapheresis or IVIG
-NSAIDs

Question 20

MC spread of bacterial meningitis

Answer 20

hematogenous

Question 21

MCC of bacterial meningitis in adults

Answer 21

Strep pneumoniae

Question 22

s/s of meningitis

Answer 22

-HA
-fever
-nuchal rigidity
-meningeal signs
-AMS
-n/v
-meningococcal rash in N. meningiditis

Question 23

diagnosis of meningitis

Answer 23

lumbar puncture

Question 24

if there are signs of elevated ICP…

Answer 24

do a CT first

Question 25

treatment of bacterial meningitis

Answer 25

-dexamethasone
-rocephin + vanc + acyclovir
-if under 1mo or over 50: ampicillin
-tick season: doxy
-otitis: flagyl

Question 26

chemoprophylaxis of bacterial meningitis

Answer 26

rifampin

Question 27

MCC of viral meningitis

Answer 27

enterovirus

Question 28

treatment of viral meningitis

Answer 28

-acyclovir is HSV
-supportive

Question 29

etiology of BPPV

Answer 29

canalithiasis

Question 30

s/s of BPPV

Answer 30

-acute recurrent brief episodes of BPPV
-after change in head position

Question 31

diagnosis of BPPV

Answer 31

Dix-Hallpike maneuver

Question 32

treatment of BPPV

Answer 32

reposition otoliths via epley

Question 33

reposition otoliths via epley

Answer 33

post viral

Question 34

s/s of labyrinthitis

Answer 34

-persistent and continuous vertigo
-horizontal nystagmus away from affected side

Question 35

diagnosis of lanyrinthitis

Answer 35

clinical

Question 36

treatment of labyrinthitis

Answer 36

-steroids
-meclizine

Question 37

etiology of meniere’s disease

Answer 37

excess fluid in the inner ear

Question 38

presentation of menieres disease

Answer 38

-episodic vertigo
-unilateral hearing impairment
-tinnitus
-Fullnesssss

Question 39

diagnosis of menieres disease

Answer 39

clinical

Question 40

treatment of menieres disease

Answer 40

-salt free diet
-meclizine
-diuretics