Question 1

Whats the most likely diagnosis of a patient with preserved conciousness, that has a progression of seizure symptoms from the face to the extremities

Accepted Answer

Jacksonian

Question 2

A patient w/ a history of generalized seizures presents with hyperventilation. What seizure disorder can this provoke?

Accepted Answer

Absence Seizure

Question 3

A patient with symptoms of hemiparesis, monocular blindness, vertigo and confusion + headache should undergo what diagnostic evaluation?

Accepted Answer

EEG + Imaging

Question 4

A patient presents to the ED after a bystander observed them lose conciousness and posture. They are currently hypotonic and c/o a headache. Whats the most likely diagnosis?

Accepted Answer

Tonic-Clonic

Question 5

A 6 y/o presents to you after thier teacher noticed they seem to stare off into space momentarily and thier eyelids flutter. What diagnosis is likely?

Accepted Answer

Childhood Absence Epilepsy

Question 6

A concerned mother brings in her 4 month old daughter after she notices that her child seems to jerk and relax for a few seconds. What part of the hx would confirm diagnosis of infantile spasm?

Accepted Answer

Repeated spasms in clusters

Question 7

A difficult patient in the ED who is upset about a long wait time suddenly begins thrashing and biting the tip of thier tongue with thier eyes closed. What is the concern for this patient?

Accepted Answer

None, they are malingering

Question 8

A patient with seizures characterized by rhythmic contractions is said to have what type of seizure disorder?

Accepted Answer

Clonic

Question 9

Which of the following seizure disorders causes a loss of postural tone?

Accepted Answer

Tonic-clonic, Atonic Seizure

Question 10

Which scenario would warrant a lab workup after seizure?

Accepted Answer

A child with a CN VIII deficit afterward

Question 11

Which of the following is not considered a primary headache?

Accepted Answer

Chronic Progressive

Question 12

What diagnosis should be suspected in a child presenting with headache that causes vomiting, wakes them from sleep, is worse when supine, and has papiledema on fundoscopy?

Accepted Answer

Chronic Progressive

Question 13

How many headaches are indicative of the temporal pattern characterized by frequent, constant headache?

Accepted Answer

>15/month

Question 14

A 16 y/o comes in to see you because they are c/o headache that is not relieved by tylenol. What is the next step in therapy if this treatment is not effective?

Accepted Answer

Triptans

Question 15

When would you prescribe a daily regimen for preventing migraine headache in children?

Accepted Answer

If they have 3 HA/week

Question 16

Which of the following is not an aquired risk factor for cerebral palsy?

Accepted Answer

Prematurity

Question 17

Whats the most likely diagnosis of a 12 year old patient presenting with abnormal movement patterns, increased tone, and Babinski hyperreflexia?

Accepted Answer

Spastic Cerebral Palsy

Question 18

A patient in the ED with seizures is given lorazepam with no changes in activity, what is the first priority of treating this patient?

Accepted Answer

Protecting the Airway

Question 19

What intervention should be done for a child presenting with simple febrile seizure lasting 5 minutes that is developmentally normal?

Accepted Answer

Labs for underlying cause

Question 20

What cranial nerve tests visual acuity in neonates?

Accepted Answer

II

Question 21

Whats the most likely diagnosis for a patient with AMS, lip smacking and shuffling who seems to stare into the distance - lasting less than 1 minute:

Accepted Answer

Complex partial seizure

Pediatric Neuro

2) A patient w/ a history of generalized seizures presents with hyperventilation. What seizure disorder can this provoke?

3) A patient with symptoms of hemiparesis, monocular blindness, vertigo and confusion + headache should undergo what diagnostic evaluation?

4) A patient presents to the ED after a bystander observed them lose conciousness and posture. They are currently hypotonic and c/o a headache. Whats the most likely diagnosis?

5) A 6 y/o presents to you after thier teacher noticed they seem to stare off into space momentarily and thier eyelids flutter. What diagnosis is likely?

6) A concerned mother brings in her 4 month old daughter after she notices that her child seems to jerk and relax for a few seconds. What part of the hx would confirm diagnosis of infantile spasm?

7) A difficult patient in the ED who is upset about a long wait time suddenly begins thrashing and biting the tip of thier tongue with thier eyes closed. What is the concern for this patient?

8) A patient with seizures characterized by rhythmic contractions is said to have what type of seizure disorder?

9) Which of the following seizure disorders causes a loss of postural tone?

10) Which scenario would warrant a lab workup after seizure?

11) Which of the following is not considered a primary headache?

12) What diagnosis should be suspected in a child presenting with headache that causes vomiting, wakes them from sleep, is worse when supine, and has papiledema on fundoscopy?

13) How many headaches are indicative of the temporal pattern characterized by frequent, constant headache?

14) A 16 y/o comes in to see you because they are c/o headache that is not relieved by tylenol. What is the next step in therapy if this treatment is not effective?

15) When would you prescribe a daily regimen for preventing migraine headache in children?

16) Which of the following is not an aquired risk factor for cerebral palsy?

17) Whats the most likely diagnosis of a 12 year old patient presenting with abnormal movement patterns, increased tone, and Babinski hyperreflexia?

18) A patient in the ED with seizures is given lorazepam with no changes in activity, what is the first priority of treating this patient?

19) What intervention should be done for a child presenting with simple febrile seizure lasting 5 minutes that is developmentally normal?

20) What cranial nerve tests visual acuity in neonates?

21) Whats the most likely diagnosis for a patient with AMS, lip smacking and shuffling who seems to stare into the distance - lasting less than 1 minute: