Nervous System Diseases

Question 1

What are the ED indications for head CT after TBI?

Answer 1

1. Glasgow coma scale <15 (no spont opening of eyes, not oriented, can’t follow commands)
2. 1+ episodes of vomiting
3. Possible fracture
4. Drugs/alcohol involved
5. Neurologic changes/seizure

Question 2

Repeated concussions increase future risk of which 2 neurologic conditions?

Answer 2

1. Parkinson’s

2. Dementia

Question 3

What can the following drugs all cause?:

Amiodarone
Chloroquine
Heroin
Hydralazine
Isoniazid
Metronidazole
Nitrofurantoin
Phenytoin
Statins
Vincristine

Answer 3

Peripheral neuropathy

Question 4

What can the following heme/onc conditions cause?:

Lymphoma
MM
Monoclonal gammopathy
Paraneoplastic syndrome

Answer 4

Peripheral neuropathy

Question 5

What can Charcot-Marie-Tooth cause?

Answer 5

Peripheral neuropathy

Question 6

What can the following toxins all cause?:

Diptheria
Ethanol
Heavy metals
Organophosphates
Tetanus
Tics

Answer 6

Peripheral neuropathy

Question 7

What can the following conditions all cause?:

Chronic liver dz
DM
ESRD
Hypothyroidism
Amyloidosis
Guillain-Barre
Porphyria

Answer 7

Peripheral neuropathy

Question 8

What do positive Tinel’s and Phalen’s signs indicate?

Answer 8

Carpal tunnel

“Carpal tinel’

Question 9

What mononeuropathy causes burning, pain, and numbness on the sole of the foot and extends to toes and heel?

Answer 9

Tibial tarsal syndrome

Question 10

What are the most common compressed nerves in sciatica?

Answer 10

L4-S1

Question 11

How does ulnar nerve compression occur?

Answer 11

Repetitive elbow flexion or pressure on the ulnar nerve

Question 12

How many hours apart do seizures have to occur to be considered epilepsy?

Answer 12

24 hours

Question 13

Which type of seizure:

Loss of consciousness followed by muscle jerking, then complete amnesia?

Answer 13

Tonic-clonic (grand mal)

Question 14

Can a partial seizure become generalized to a full tonic-clonic?

Answer 14

Yes

Question 15

Which type of seizure:

Brief blank stare and then return to reality with no post-ictal state

Answer 15

Absence (petit mal)

Question 16

Which type of seizure:

Focal motor abnormality such as head or eye turning, or vocalizations

Answer 16

Focal motor

Question 17

Which type of seizure:

Vertigo, auditory, olfactory, paresthesias, or vision phenomena such as flashing lights

Answer 17

Focal sensory

Question 18

Which type of seizure:

Sweating, pupillary changes, or piloerection

Answer 18

Focal autonomic

Question 19

Which type of seizure:

Aimless walking, chewing, lip smacking

Answer 19

Focal seizure with impairment of consciousness (complex-partial)

Question 20

Which benzo is used for status epilepticus?

Answer 20

Lorazepam IV

Question 21

What are labs to monitor for patients on phenytoin, carbamazepine, phenobarbital, or primidone?

Answer 21

Bone density, B12/folate

Question 22

Febrile seizures may occur within 24 hours of ____ shot or 8-14 days after ____ shot?

Answer 22

DTap; MMR

Question 23

Workup is only necessary with febrile seizures if they are what type?

Answer 23

Complex