Challenge Bowl - Neuro

Front 1

What is the term for clinical manifestation of abnormal, excessive, hypersynchronous discharge from an aggregate of CNS neurons?

Back 1

Seizure

Front 2

What syndrome is seen in pediatric patients 1-8 yoa involving multiple seizure types, impaired cognition & a generally poor prognosis due to underlying CNS disease?

Back 2

Lennox-Gaustaut Syndrome

Front 3

Sleep spindles occur in which stage of sleep?

Back 3

2

Front 4

What is the term for seizure activity in a focal area that spreads to adjacent areas?

Back 4

Jacksonian March

Front 5

What is the term for paresis of involved area after seizure?

Back 5

Todd's Paralysis

Front 6

What type of seizure is associated sudden, brief lapse of consciousness without loss of postural control?
Appearing as "staring off into space."

Back 6

Absence seizures

Front 7

What is the term for the phase after seizure activity that may be associated with unresponsiveness, muscular faccidity, excessive salivation, & bladder or bowel incontinence?

Back 7

Postictal phase

Front 8

What is the term for sudden brief muscle contraction that may be due to pathology or may be seen as a normal physiologic process of falling asleep?

Back 8

Myoclonus

Front 9

What is the term for abrupt movements of the head, trunk or limbs occurring in clusters of 10-20 movements per episode, in patients less than 1 year of age

Back 9

Infantile Spasms

Front 10

What antiepileptic medication is associated with aplastic anemia & hepatic failure?

Back 10

Felbamate

Front 11

What is the treatment of choice in pediatric patients with absence seizures?

Back 11

Ethosuximide (Zarontin®)

Front 12

What is the term for continuous seizures without intervening periods of consciousness?

Back 12

Status Epilepticus

Front 13

Pregnant women on anticonvulsant therapy should be treated with which supplement to help prevent birth defects?

Back 13

Folic Acid

Front 14

What neurologic syndrome is often associated with an antecedent infection 1-3 weeks prior to the onset of neurologic symptoms including ascending paralysis.

Back 14

Guillain-Barre Syndrome

Front 15

What is the treatment for severe transverse myelitis?

Back 15

IV steroids (methylprednisolone)

Front 16

What is the most likely diagnosis in a 30 year old female with weakness, sensory loss, optic neuritis and an MRI showing white matter plaques?

Back 16

Multiple Sclerosis (MS)

Front 17

Tensilon testing is helpful in determining the diagnosis of which condition?

Back 17

Myasthenia Gravis

Front 18

The diagnosis of this disorder requires the presence of both a motor tic and a vocal tic for > 1 year:

Back 18

Tourette's Syndrome

Front 19

What is the best treatment for a patient with a severe, unilateral periorbital headache that last for 30-90 minutes and occur several times a day over a period of weeks to months. Physical exam reveals ipsilateral lacrimation and ipsilateral nasal congestion.

Back 19

100% O2

Front 20

Name the likely diagnosis of a patient with slow, rigid movements, resting tremor, and postural instability

Back 20

Parkinson's disease

Front 21

What is the name for a small infarct in deep white matter that is strongly associated with hypertension and atherosclerosis?

Back 21

Lacunar Infarct

Front 22

Which cranial nerves are involved with eye movements

Back 22

3, 4, 6

Front 23

What is the name for infarcts that occur at the border of areas supplied by different arteries (MCA & ACA), often following prolonged hypotension?

Back 23

Watershed Infarcts

Front 24

What type of aneurysm accounts for most cases of nontraumatic cases of subarachoid hemorrhoage, often occurring in the 5th or 6th decade of life and has a mortality rate of 50%?

Back 24

Ruptured saccular (berry) aneurysm

Front 25

What is the term for a stroke patient who is receptive and speaks but the words do not make sense?

What is the term for a stroke patient who is expressive, but unable to verbalize?

Back 25

Wernicke's aphasia (wernicke's is wordy) Broca's aphasia (broca's is broken)

Front 26

What lobe of the brain is associated with Wernicke's aphasia?

What lobe of the brain is associated with Broca's aphasia?

Back 26

Temporal Lobe Frontal Lobe

Front 27

What is the most common form of dementia?

Back 27

Alzheimer's

Front 28

What is the name of the sign in a patient with nuchal rigidity that causes the patient to involuntary flex hip and knees when with flexion of the neck in the supine position?

Back 28

Brudzinski's Sign

Front 29

What is the name of sign in a patient with nuchal rigidity that exhibits severe stiffness of the hamstrings that causes an inability to straighten the leg when the hip is flexed to 90 degrees?

Back 29

Kernig's Sign

Front 30

What is the likely diagnosis-a patient presents with headache in a band-like distribution, the pain is describing as aching & steady in nature. There is no sensitivity to light or sound. Physical exam is normal except for mild posterior cervical muscle tenderness. The headache worsens with activities that cause straining of the eyes.

Back 30

Tension Headache

Front 31

A patient with a history of alcohol abuse presents with altered mental status. Physical exams reveals a malnourished middle-aged man with nystagmus and ataxia. What is the likely diagnosis and treatment

Back 31

Wernicke Encephalopathy/ Wernicke-Korsakoff Syndome; Thiamine

Front 32

This condition may result if hyponatremia is corrected too rapidly:

Back 32

Central Pontine Myelinolysis (CPM)

Front 33

What is the most common malignant brain tumor in adults?

Back 33

Glioblastoma

Front 34

What is the likely diagnosis in a 63 year old female with episodes of severe pain along one side of her face including. She describes the pain as "like a lightening bolt shooting.

Back 34

Trigeminal Neuralgia

Front 35

Which cranial nerve is most affected in pseudotumor cerebri?

Back 35

CN VI (Abducens)