Neurology

Question 1

Intervention in TBI that has been shown to improve outcomes more than any other

Answer 1

Preventing hypotension

Question 2

Lorazepam dose of status epilepticus

Answer 2

0.1 mg/kg

Question 3

Findings in cushings reflex

Answer 3

Bradycardia
Widened pulse pressure
irregular breathing

Question 4

Spinal cord syndrome where there is total loss of vibration, proprioception, pain and temperature, and motor loss bilaterally below the level of the lesion

Answer 4

Transverse cord syndrome

Question 5

Spinal cord syndrome where there is loss of motor and proprioception below the ipsilateral side of the lesion and loss of pain and temperature below the contralateral side

Answer 5

Hemicord lesion aka Brown-Sequard

Question 6

Spinal cord syndrome where there is upper extremity motor and sensory loss in a cape like distribution

Answer 6

Central cord lesion

Question 7

Spinal cord syndrome where there is loss of vibration and position below the level of the lesion bilaterally

Answer 7

Posterior cord syndrome

Question 8

Spinal cord syndrome where there is loss of motor function and pain/temperature below the level of the lesion bilaterally

Answer 8

Anterior cord syndrome

Question 9

Condition where there is autoimmune demyelination of the white mater following an infection

Answer 9

Acute Disseminated Encephalomyelitis (ADEM)

Question 10

First line treatment for ADEM

Answer 10

solumedrol

Question 11

Second line treatment for ADEM

Answer 11

Plasmapheresis

Question 12

Most sensitive test for spinal abscess

Answer 12

MRI

Question 13

Condition post stroke where there is a large ischemic area and risk of herniation

Answer 13

Malignant middle cerebral artery syndrome

Question 14

Only treatment for malignant middle cerebral artery syndrome that has been shown to reduce mortality

Answer 14

Hemicraniectomy

Question 15

Test to check for cerebral vasospasm

Answer 15

transcranial doppler

Question 16

Test to look for large vessel occlusion in stroke

Answer 16

CT or MR angio with perfusion or diffusion imaging

Question 17

ICP value above which there are worse outcomes

Answer 17

> 20

Question 18

CPP associated with worse outcomes

Answer 18

> 70

Question 19

In elevated CPP what are the 2 treatment options

Answer 19

Lower MAP or raise ICP so long as the ICP does not cross > 20

Question 20

Variant of GBS that has early cranial nerve dysfunction and respiratory failure

Answer 20

Miller fisher

Question 21

Treatment for GBS

Answer 21

IVIG and/or plasmapheresis

Question 22

Treatment for dysautonomic shock in GBS

Answer 22

Midodrine and fludrocortisone

Question 23

Antiepileptic given for 7 days in TBI to prevent seizures

Answer 23

Phenytoin

Question 24

Name of the protein responsible for parkinsons and lewy body dementia

Answer 24

Alpha-synuclein

Question 25

Treatment that improves mortality in intraventricular hemorrhage

Answer 25

Intrathecal TPA until 85% of the blood has been reduced

Question 26

Is there a difference between open and closed external ventricular drain in terms of mortality benefit?

Answer 26

No

Question 27

What direction do eyes move in acute stroke

Answer 27

Toward the lesion and away from the hemiparesis

Question 28

What direction do eyes move in seizures

Answer 28

Away from the lesion and toward the hemiparesis

Question 29

2 causes of lymphocyte predominant CSF in meningitis

Answer 29

Listeria and TB

Question 30

Can dialysis remove bone marrow particles in fat embolism?

Answer 30

No (no treatment works)

Question 31

Memory loss and new intracerebral hemorrhage from microhemorrhages suggests what diagnosis

Answer 31

Cerebral amyloid angiopathy

Question 32

Can anything prevent future strokes in cerebral amyloid angiopathy?

Answer 32

No

Question 33

Platelet transfusion threshold in patient’s with intercerebral hemorrhage despite being on antiplatelet therapy

Answer 33

< 50k

Question 34

What are the two mechanisms of vasoconstriction in patient’s who are at risk of herniation

Answer 34

Therapeutic hyperventilation and systemic cooling

Question 35

To what level do you cool a patient to prevent herniation?

Answer 35

33C

Question 36

To what level do you aim for CO2 in therapeutic hyperventilation to prevent brain herniation?

Answer 36

20

Question 37

What autoimmune paraneoplastic syndrome is commonly associated with ovarian or testicular teratomas

Answer 37

anti-NMDA receptor encephalitis syndrome

Question 38

What is the targeted temperature in TTM?

Answer 38

< 38C