Week 7

Question 1

Cavernous Sinus Thrombosis is not the same as

Answer 1

cerebral venous thrombosis

Question 2

Cavernous Sinus Thrombosis often presents with _____________________

Answer 2

-fever (70%)
-headache (50%-100%)
-vomiting
-photophobia
-orbital pain
-ophthalmoplegia
-visual disturbance (10%-20%)
-chemosis
-cranial nerve palsies (86%).

Question 3

Suspect cerebral venous thrombosis with _____________

Answer 3

-Young patients with atypical headache +/- symptoms of stroke

-Stroke patients with seizures, headaches, altered mental status, or symptoms that are not consistent with a typical arterial distribution

Question 4

3% NS Hyperosmolar therapy dose

Answer 4

intravenous at a dose of 250-500 mL over 30 minutes

Question 5

Cavernous Sinus Thrombosis imaging

Answer 5

MR or CT venograms of the brain are the most sensitive studies and have high specificity.

Question 6

__________ is recommended in cases of cavernous sinus thrombosis and may be performed if there is suspicion of meningitis. There may be an elevated opening pressure and concurrent meningitis

Answer 6

Lumbar puncture

Question 7

Orbital Cellulitis patients usually present with non-specific symptoms of _____ and ______ and typically have a normal neurologic exam.

Answer 7

fever and headache

Question 8

Orbital Cellulitis patients usually present with non-specific symptoms of _____ and ______ and typically have a normal neurologic exam.

Answer 8

fever and headache

Question 9

___________ is the cornerstone of cerebral venous thrombosis management

Answer 9

Anticoagulation

Question 10

After 20 min of resuscitation, end-tidal CO2 values of ________ are strongly associated with unsuccessful resuscitation.

Answer 10

CO2 values of ≤10 mm

Question 11

Perform perimortem C-section if return of spontaneous circulation is not achieved within ___________ time

Answer 11

4 min

Question 12

Kawasaki disease is a _________ meeting specific diagnostic criteria

Answer 12

medium-sized vessel vasculitis

Question 13

Absolute contraindications to adenosine

Answer 13

Absolute contraindications include irregular or polymorphic rhythms and ventricular pre-excitation.

Question 14

GCS verbal response

Answer 14

Orientated 5
Confused 4
Inappropriate Words 3
Sounds 2
None 1

Question 15

GCS motor

Answer 15

Obeys 6
Localize to pain 5
Withdrawal from pain 4
Flexion to pain 3
Extension to pain 2
None 1

Question 16

GCS eye opening

Answer 16

Spontaneous 4
To sound 3
To pain 2
None 1