Neuromuscular Disease and TBI

Question 1

What is the most common cause of weakness in the ICU

Answer 1

Critical illness neuropathy

Question 2

Muscular weakness disease with fasciculations of the tongue

Answer 2

ALS

Question 3

What additional injury occurs in 50% of TBI cases

Answer 3

C spine injuries

Question 4

Should you give prophylactic seizure medication for patients with moderate to severe TBI?

Answer 4

Yes

Question 5

How long should you give prophylactic seizure medication to a patient with TBI

Answer 5

7 days

Question 6

What is the differentiating factor between mild vs moderate/severe disease in TBI

Answer 6

Mild disease has no visible injury on imaging

Question 7

When do you decompress/drain a subdural hematoma

Answer 7

When the bleed is > 10 mm or there is > 5 mm midline shift

Question 8

With subdural hematoma, should you do a craniotomy or burr hole to drain?

Answer 8

Craniotomy

Question 9

Fluids used in TBI

Answer 9

isotonic fluids without glucose

Question 10

Why no albumin for fluid resuscitation in TBI

Answer 10

worsening mortality (safe study)

Question 11

NM weakness associated with opthalmoplegia and descending paralysis and autonomic symtpoms

Answer 11

Botulism

Question 12

NM weakness with opthalmoplegia and ascending paralysis after a tick bite

Answer 12

tick paralysis

Question 13

NM weakness with asymmetric weakness (legs > arms) in an unimmunized patient

Answer 13

Polio

Question 14

NM weakness with encephalopathy and pharyngeal spasms

Answer 14

Rabies

Question 15

Treatment of guillain barre

Answer 15

IVIG or plasma exchange, no steroids

Question 16

Treatment of botulism

Answer 16

trivalent anti-toxin and supportive