Module 10 - Neuro + Mental Health Flashcards
A 6-year-old child is brought to the clinic with complaints of irritation on the backside above buttocks. On physical examination, the child is has a hairy patch in a dimple on the backside, and the vitals monitored are within normal limits. Upon further inquiry, the mother explains that she did not take folic acid tablets, which were prescribed to her during her prenatal visits. Which of the following allergies poses the greatest risk to such children with this suspected condition?
A. Iodine
B. Latex
C. Cleaning agents
D. Peanuts
B. Latex
A 42-year-old male patient with hypothyroidism presents with acute onset dizziness. He was eating lunch this afternoon and noted the abrupt onset of room-spinning dizziness with turning his head to the left. He states he had similar symptoms about four years ago, which improved with medication. He denies having recent fever, cough, congestion, headache, changes in vision, weakness, numbness, vomiting, diarrhea, falls, or trauma. His vital signs are normal, including a blood pressure of 124/76 mmHg. His exam is unremarkable apart from reproducible symptoms with turning of the head to the left while supine, which provokes his symptoms and causes uni-directional horizontal nystagmus. What is the best initial step in the management of this patient?
A. Betahistine
B. Epley maneuver
C. Cinnarizine
D. Caloric reflex testing
B. Epley maneuver
A 9-year-old boy is brought to the emergency department (ED) with abdominal discomfort, cyclic vomiting, and severe nausea. He has had these intermittent gastrointestinal symptoms since he was six years of age. They occur one to two times a month and require missing or leaving school. Symptoms are usually relieved by rest and napping. On further questioning, his parents report that their boy has had a full gastrointestinal workup, including colonoscopy, stool studies, and blood work, and no diagnosis has been reached. While in the ED, the patient reports a mild headache with associated photophobia. Which of the following is the best next step in management?
A. Recommend headache diary
B. MRI of the brain
C. Pituitary function tests
D. Abdominal MRI
A. Recommend headache diary
