Neuro

Question 1

Vise-like in nature
Exacerbated by emotional stress, fatigue, noise, or glare.
Hypertonicity of neck muscles

Answer 1

Tension Headache (TTH)

Question 2

Severe unilateral pain that starts around the temple or eye
Ipsilateral nasal congestion or rhinorrhea, lacrimation, redness of the eye, or Horner’s syndrome (ptosis, miosis anhidrosis)

Answer 2

Cluster Headache

Question 3

Nausea, vomiting, photophobia, visual hallucinations (stars, sparks, flashes of light)
Light and sound sensitivity

Answer 3

Migraine Headaches

Question 4

History of traumatic event
Contant dull ache
Impaired memory, poor concentration, emotional instability, irritability.

Answer 4

Post-Traumatic Headaches

Question 5

Chronic daily headaches
Headaches unresponsive to medication with history heavy analgesics use.

Answer 5

Medication Overuse Headache (MOH)

Question 6

retained awareness or impared awareness

Simple
Depends on which area of the brain is involved;

Complex
Appears to be awake but not in contact with others in the environment
No memory of what occurred
Facial grimacing, gesturing, lip smacking, chewing, repeating words or phrases

Answer 6

Partial Seizures

Question 7

Tonic phase characterized by sudden muscle stiffening
Clonic phase characterized by rhythmic jerking

Answer 7

Generalized Seizures

Question 8

Last longer than 2 minutes
Eyes are closed
No postictal phase

Answer 8

Psychogenic non-epileptic Seizure

Question 9

Intracerebral hemorrhage Gradual onset as blood builds

Subarachnoid hemorrhage
Maximal impact right away, intense “worse headache of my life”

Answer 9

Hemorrhagic Stroke

Question 10

Sudden onset
Altered mental status with ipsliateral facial droop
FASTER
Face - drooping
Arms - one limb weaker
Stability- steadiness on feet
Talking - slurred
Eyes - visual changes
React - MEDEVAC

Answer 10

Ischemic Stroke

Question 11

Uncomfortable
“Creeping crawling” sensation”
Pins and needles” feeling

Answer 11

Restless Leg Syndrome

Question 12

Cushing’s Triad:
Bradycardia
Hypertension
Respiratory irregularity
Signs of basilar skull fracture:
Battle signs”Raccoon eyes”
Hemotypanum
CSF rhinorrhea/otorrhea
CN deficit

Answer 12

Cranial Trauma

Question 13

Immediate loss of conciousness
Lucid interval
Increasing headache with deteriorating neurologic function

Answer 13

Epidural Hemmorhage

Question 14

History of trauma
Acute:1-2 days after onsetChronic:
15 days or more after onset

Answer 14

Subdural Hemmorhage

Question 15

Sudden severe HA.
“The worst headache of my life”
“Thunderclap Headache”

Answer 15

Subarachnoid Hemorrhage(SAH)

Question 16

NEXUS Criteria (for C-spine)
N: focal neurological deficit
S: midline spinal tenderness
A: altered mental status
I: intoxicated
D: distracting injuries

Answer 16

Spinal Cord Injury

Question 17

Pain with back flexion or prolonged sitting
Pain radiating down the leg due to compression of neural structures
Lower extremity weakness or numbness

Answer 17

Radiculopathy

Question 18

Pain, numbness, tingling in the lower back, and radiating down 1 or both legs
Leg weakness or foot drop
Problems with bowel or bladder control
Problems with erection

Answer 18

Cauda Equina Syndrome

Question 19

Pain, burning, and tingling in the median nerve
Most bothersome during sleep
Late signs:
Weakness or atrophy in the thenar muscle

Answer 19

Carpal Tunnel Syndrome

Question 20

Classic triad:
Fever
Nuchal rigidity
Change in mental status
Positive brudzinski and kernig sign

Answer 20

Meningitis

Question 21

Abrupt onset of unilateral facial paralysis
Paralysis of the forhead
Face feels stiff and pulled to one side
Ipsilateral restriction of eye closure
Difficulty with eating and fine facial movements
Disturbances in taste

Answer 21

Bell’s Palsy

Question 22

Common complaints are lower back pain, joint pain, severe headache, neck pain, facial pain
Defined as an acutely painful condition that persists beyond the usually expected 6-12 week time course for healing

Answer 22

Chronic Pain Syndrome

Question 23

Difficulty initiating or maintaining sleep
Fatigue or malaise
Poor attention / concentration
Mood disturbance
Daytime somnolence
Reduced motivation of energy

Answer 23

Insomnia