Peer 9 - nervous system disorders

Question 1

when is a person who had a TIA at highest risk for stroke?

Answer 1

first 2 days

Question 2

most common organism causing spinal epidural abscesses?

Answer 2

staph aureus

Question 3

Severe sudden onset headache during exertion classic for what?

Answer 3

SAH

Question 4

gold standard for diagnosis of SAH?

Answer 4

LP with lab evaluation for xanthochromia and RBC count

Question 5

most appropriate inital step when evaluating suspected SAH?

Answer 5

non con CT

Question 6

tx of cluster headaches?

Answer 6

high flow oxygen first line

Question 7

tx of acute dystonic reaction to haldol?

Answer 7

benztropine or diphenhydramine

Question 8

most common cause of bacterial meningitis in adults?

Answer 8

strep pneumo

Question 9

presentation of NPH?

Answer 9

memory loss, ataxia, and urinary incontinence

Question 10

diagnosis of carotid/vertebral artery dissections?

Answer 10

CT angio or MR angio

Question 11

presentation of carotid/vertebral artery dissections?

Answer 11

headache and neck paIn then neuro sx

Question 12

what vitamin deficiency causes wernicke’s encephalopathy?

Answer 12

thiamine

Question 13

presentation of wernickes?

Answer 13

ataxia, oculomotor abnormalities and confusion

Question 14

features of carpal tunnel syndrome?

Answer 14

paresthesias of the first three digits of the hand and the dorsal aspect of the fourth

Question 15

which bacteria causes diarrhea and then GBS?

Answer 15

c jejuni

Question 16

myasthenia gravis cause?

Answer 16

autoantibodies against nicotinic ach receptor

Question 17

symptoms of myasthenia gravis

Answer 17

proximal muscle weakness, ptosis and double vision

Question 18

tx of bell’s palsy?

Answer 18

steroids

Question 19

first line treatmemt for lowering BP before tPA?

Answer 19

labetalol or nicardipine

Question 20

what is the goal BP for tPA?

Answer 20

<185/110

Question 21

most common presenting sx of spinal epidural abscess?

Answer 21

back pain

Question 22

triad for spinal epidural abscess?

Answer 22

back pain, neuro sx, fever