Neuro

Question 1

Migraine

Answer 1

Unilat
Pulsating
Photophobia
Aura
4-72h
Tx: Triptans

Question 2

Cluster HA

Answer 2

HA + Lacrimation + Rhinorrhea
More common in men
Tx: 100% O2

Question 3

Tension HA

Answer 3

Bilat

“Band-like”

Question 4

Encephalitis

Answer 4

Confused/altered mental status
Fever
often d/t HSV
Dx: CT, then LP

Question 5

Meningitis

Answer 5

Brudzinski
Kernig
Fever
Dx: CT and LP
Tx: Dexmethasone, ceftriaxone, vanco

Question 6

Essential Tremor

Answer 6

Not at rest!
Improves c EtOH
Tx: propanolol

Question 7

Huntington Disease

Answer 7

Chorea
Psych change/dementia
Dx: Genetic testing
Tx: Tetrabenazine, quetiapine

Question 8

Parkinson’s

Answer 8

DEC DA
Pill-rolling, cogwheel rigidity, shuffling gait
Tx: Antichol, Sinemet (levodopa+carbidopa)

Question 9

SAH

Answer 9

Berry aneurysn
Ant Circle of Willis
Thunderclap HA, meningeal Sx, LOC
Tx: STOP SMOKING
Dx: CT and LP

Question 10

CVA

Answer 10

Ischemic > Hemorrhage
Facial paresis, arm drift/weakness, abnormal speech
Dx: CT, angio
Tx: TPA if <4.5hr

Question 11

TIA

Answer 11

S/S of CVA s infarct!

Question 12

Concussion

Answer 12

Confusion/amnesia

Post-concussion syndrome

Question 13

GBS

Answer 13

Ascending weakness/paralysis
Absent deep tendon reflex
d/t Campylobacter infection
Tx: IVIg or plasma exchange

Question 14

Dementia

Answer 14

Gradual, progressive
Check TSH and VitB12
Tx: AChEi or Memantine

Question 15

MS

Answer 15

Affects white matter
>2 distinct episodes
More commonly in females
Sensory Sx: Optic neuritis, oligoclonal bands
Tx: glucocorticoids

Question 16

MG

Answer 16

Muscle weakness, worse at night
\+Achr ABs
Ptosis, diplopia
Dx: EMG
Tx: Thymectomy < 60 or if +thymoma

Question 17

Seizure

Answer 17

Postictal confusion
Tongue biting
Urination
Mouth foaming

Question 18

Absence Seizure

Answer 18

Petit mal, generalized
Most common in peds
Staring/lip smacking
Tx: Ethosuximide

Question 19

Status Epilepticus

Answer 19

> 5 min

Tx: BZD, (Fos)phenytoin, Phenobarb