Neurology

Question 2

Infant with brief, frequent, “jackknifing” seizures especially in the morning

Answer 2

Infantile spasms

Question 3

What does sixth cranial nerve palsy indicate?

Answer 3

Elevated ICP (if normal imaging, think pseudo tumor cerebri)

Question 4

Infant with poor feeding and constipation

Answer 4

Think botulism

Question 5

Evidence of a CNS infection and focal neurological findings. What imaging study is needed?

Answer 5

Head CT with contrast (brain abscess)

Question 6

Erratic behavior progressing to altered mental status with CSF pleocytosis

Answer 6

Anti-NDMA encephalitis (in teen girls, think ovarian teratoma)

Question 7

Newborn with bounding pulses, widened pulse pressure, and pulsation fontanelle

Answer 7

Arteriovenous malformation

Question 8

Most accurate imaging study for stroke?

Answer 8

MRI with diffusion weighted imaging (DWI - if can be done ASAP)

Question 9

Patient with progressive weakness who had a diarrheal illness a month ago?

Answer 9

Guillain-Barré syndrome (triggered by Campylobacter jejuni infection)