Neuro

Question 1

vertebrobasilar strokes present with (3 D’s)

Answer 1

Dizziness (vertigo)
Diploplia
Dysphasia

Question 2

signs of lacunar stroke

DAMS

Answer 2

Dysarthria
(slurred speech with weak, clumsy hand)

Ataxic hemiparesis
(ataxia with leg weakness)

pure Motor hemiplegia
(motor hemiplegia without sensory changes)

pure Sensory stroke
(sensory deficits of face, arms, legs without motor deficits)

Question 3

Optimization for

ischemic stroke

Answer 3

Supplemental O2
BP: MAP >= 60, SBP >= 90
Serum glucose: 130

Question 4

Causes of MALIGNANT headaches

PAC3T

Answer 4

Pseudotumor cerebri
Acute angle closure glaucoma
Cervical artery dissection
Cerebral venous thrombosis
Carbon monoxide poisoning
Temporal arteritis
Subarachnoid hemorrhage

Question 5

Ménière’s triad

DVT

Answer 5

Deafness
Vertigo
Tinnitus

Question 6

Kernig sign

What is it?
Diagnosis?

Answer 6

Pain or resistance with passive extension of knee with hip flexed 90 degrees.

Question 7

Brudzinski sign

What is it?
Diagnosis?

Answer 7

Passive flexion of neck causes flexion of the hips.

Question 8

Causes of Encephalitis

HEAR

Answer 8

Herpes
Epstein Barr Virus
Arboviruses
Rabies

Question 9

factors that lower seizure threshold

I AM H4IP

Answer 9

Infection
Alcohol withdrawal, drugs
Medication (changes in dosing or compliance)
Head injury, Hypoxia
Hypoglycemia
Hypertension
Hyponatremia (and other electrolyte abnormalities (Ca++, Mg)
Intracranial lesions
Pregnancy (eclampsia)

Question 10

causes of secondary seizures

MITTEN

Answer 10

Metabolic
Infection
Trauma
Toxins
Eclampsia
Neurologic lesions