Question 1

All of the following risk factors increase your chance of contracting meningits except:

Accepted Answer

Herniated Disc

Question 2

A male patient with severe unilateral HA, lacrimation and rhinorrhea that is unable to remain still in the exam room should recieve what treatment to alleviate his HA?

Accepted Answer

High-flow O2

Question 3

A 65 y/o patient presenting with facial pain, SOB, and generalized weakness is presenting with what potential neurological condition

Accepted Answer

Stroke

Question 4

A 40 y/o patient with severe quadriplegia, and locked-in syndrome experienced what type of ischemia?

Accepted Answer

Basilar Artery Occulsion

Question 5

When should you order a CT for a patient who presents with a maximal intensity HA, nausea, vomiting and photophobia?

Accepted Answer

4 hrs After Onset

Question 6

A patient with suspected stroke is brought to the ED. After activation of the stroke team and completing your ABCs what is the next step in management?

Accepted Answer

Non-Contrast Head CT <20min

Question 7

What is the most critical focus for patients recieving thrombolytics for stroke?

Accepted Answer

Managing Hypertension

Question 8

You are monitoring a patient with ischemic stroke. 12 hours after starting thrombolytics, how often should you monitor thier blood pressure? ,

Accepted Answer

Every 60 min

Question 9

A patient presenting with a sudden onset of dizziness, describing the room as "spinning" that increases with position changes and horizontal nystagmus likely suffers from:

Accepted Answer

Peripheral dizziness

Question 10

What is the correct intervention for a patient with an uncomplicated seizure with no awareness that's less than 5 minutes?

Accepted Answer

Suction the airway

Question 11

A 65 y/o with a temp of 101, bp 90/30, hr 110 and rr 25 presents with fluctuating symptoms of AMS, gait abnormality, and visual hallucinations. What is the most likely cause of thier AMS?

Accepted Answer

Delirium

Question 12

How soon after a patient is suspected of having a stroke should you interpret thier non-contrast brain CT?

Accepted Answer

Within 45 min

Question 13

A patient presented to the ED and began having a seizure. When they awoke they were confused, and had gait abnormalities. They're last temperature was 102F. What will likely be seen in thier LP?

Accepted Answer

Normal opening pressure

Question 14

If a stroke patient is not a candidate for thrombolytics, and is experiencing hypertension, what is the target reduction in 24hrs?

Accepted Answer

15%

Question 15

Which of the following pathogens is the most common cause of meningitis?

Accepted Answer

Strep Pneumoniae

Question 16

A 22 y/o football player is c/o unilateral HA, neck pain, dizziness and nausea after a game. His muscle strength against resistance is 1+ and he is ataxic. What is the likely cause?

Accepted Answer

Vertebral Artery Dissection

Question 17

A patient presenting with left arm hemiparesis, aphasia, and sensory loss more than likely has a stroke affecting which part of the brain

Accepted Answer

Middle Cerebral Artery

Question 18

Which of the following causes of stroke does not result from a thrombus, embolus or lowflow state?

Accepted Answer

Amyloidosis  - Slide 44

Question 19

What is the gold standard for diagnosing a patient with a unilateral HA, jaw claudication and visual disturbance?

Accepted Answer

Temporal Biospy

Question 20

A patient presents with HA, petichial rash, and fever. On PE they had a positive Budzinski and Kernig sign. What is the first step in managing this patient?

Accepted Answer

Draw labs + cultures

Neurology Emergencies - EM Final

2) A male patient with severe unilateral HA, lacrimation and rhinorrhea that is unable to remain still in the exam room should recieve what treatment to alleviate his HA?

3) A 65 y/o patient presenting with facial pain, SOB, and generalized weakness is presenting with what potential neurological condition

4) A 40 y/o patient with severe quadriplegia, and locked-in syndrome experienced what type of ischemia?

5) When should you order a CT for a patient who presents with a maximal intensity HA, nausea, vomiting and photophobia?

6) A patient with suspected stroke is brought to the ED. After activation of the stroke team and completing your ABCs what is the next step in management?

7) What is the most critical focus for patients recieving thrombolytics for stroke?

8) You are monitoring a patient with ischemic stroke. 12 hours after starting thrombolytics, how often should you monitor thier blood pressure? ,

9) A patient presenting with a sudden onset of dizziness, describing the room as "spinning" that increases with position changes and horizontal nystagmus likely suffers from:

10) What is the correct intervention for a patient with an uncomplicated seizure with no awareness that's less than 5 minutes?

11) A 65 y/o with a temp of 101, bp 90/30, hr 110 and rr 25 presents with fluctuating symptoms of AMS, gait abnormality, and visual hallucinations. What is the most likely cause of thier AMS?

12) How soon after a patient is suspected of having a stroke should you interpret thier non-contrast brain CT?

13) A patient presented to the ED and began having a seizure. When they awoke they were confused, and had gait abnormalities. They're last temperature was 102F. What will likely be seen in thier LP?

14) If a stroke patient is not a candidate for thrombolytics, and is experiencing hypertension, what is the target reduction in 24hrs?

15) Which of the following pathogens is the most common cause of meningitis?

16) A 22 y/o football player is c/o unilateral HA, neck pain, dizziness and nausea after a game. His muscle strength against resistance is 1+ and he is ataxic. What is the likely cause?

17) A patient presenting with left arm hemiparesis, aphasia, and sensory loss more than likely has a stroke affecting which part of the brain

18) Which of the following causes of stroke does not result from a thrombus, embolus or lowflow state?

19) What is the gold standard for diagnosing a patient with a unilateral HA, jaw claudication and visual disturbance?

20) A patient presents with HA, petichial rash, and fever. On PE they had a positive Budzinski and Kernig sign. What is the first step in managing this patient?