Neuro

Question 1

DDX Non-epileptic seizures

Answer 1

idiopathic
febrile
previous illness/injury
sxs of acute condition

Question 2

Epileptic seizures

Answer 2

altered consciousness + motor activity or sensory alterations

Managed by NEUROLOGIST

Question 3

Petit mal versus grand mal

Answer 3

Both generalized, petit is non-convulsive

Question 4

Epilepsy diagnosis

Answer 4

EEG (history=secondary)

dx will affect tx

Question 5

Benign Sleep myoclonus

Answer 5

does not respond to anti-convulsant drugs

Question 6

PE for HA

Answer 6

vitals, fundocopic
signs of meningeal irritation
jaw, face, mouth, ears
neuro exam

*referral for persistent HAs

Question 7

when is “learning disability” a problem

Answer 7

failing behind in school

loss of previously acquired skills

Question 8

Referral for learning disability…

Answer 8

Hx seizures, neurodeg disorder
Depression or other psych dx
physical dysmorphology or possible genetic disorder
hearing/visual impairment
no isolated cause

Question 9

Night terrors

Answer 9

resolve as children age

Question 10

Cerebral palsy

Answer 10

Non-progressive motor impairment from damage to developing brain

sensory, cognitive impairment
neuro, MSK, resp, GI, GU, dental concerns

Question 11

Stuttering referral

Answer 11

lasts > few months
occurs in every sentence
child reacts to stutter, shows struggle/frustration
FHx stuttering

Question 12

Muscular dystrophy

Answer 12

slow progressing
loss of muscle–necrosis–CT replaces muscle
affects smooth muscle and cardiac

Question 13

Duchenne Muscular dystrophy

Answer 13

proximal weakness–waddling gait, toe walking, lordosis exaggerated, falls, difficulty walking

poor prognosis

Question 14

Clumsiness DDX

Answer 14

visual problems 
intoxication
muscular dystrophy
hypothyroidism
infection 
trauma

Question 15

Spinal Muscular Atrophy

Answer 15

sxs: hypotonia, poor head control, generalized weakness with early onset cases