TQ Course | Neural Pearls (Nashville 2022) by Optometric Education Consultants | Oct 24, 2022 | 2022 Nashville, TQ Courses | 0 comments HiddenNeural PearlsHiddenDate (Hidden) MM slash DD slash YYYY HiddenEvent Date (Hidden) MM slash DD slash YYYY HiddenEvent 60 days past date (Hidden) MM slash DD slash YYYY HiddenEvent Date Difference (Hidden)1. Which of the following is generally not considered to be a neuro-ophthalmic urgency or emergency?* a. Suspected papilledema b. Giant cell arteritis c. Intracranial aneurysm d. Isolated, dilated pupil with no motility deficits 2. Any acute vision loss in the elderly should be immediately suspected as the cause?* a. Giant cell arteritis b. Intracranial aneurysm c. Carotid dissection d. Pituitary apoplexy 3. Over which age is giant cell arteritis and arteritis ischemic optic neuropathy a consideration?* a. 30 years b. 40 years c. 50 years d. 70 years 4. Which of the following is typically not elevated in giant cell arteritis?* a. Erythrocyte sedimentation rate b. Hemoglobin levels c. Platelet count d. C-reactive protein 5. What is the most important definitive treatment for patients with pseudotumor cerebri?* a. Diamox b. Weight reduction c. Topiramate d. Optic nerve sheath fenestration 6. What is the etiology behind horizontal diplopia in patients with pseudotumor cerebri?* a. Six nerve palsy b. Orbital congestion c. Decompensating phoria d. Fourth nerve palsy 7. Which of the following is not a typical cause of pseudotumor cerebri?* a. Venous sinus thrombosis b. Tetracycline use c. Meningitis d. Vitamin A use 8. What is the minimum recommended weight loss for managing pseudotumor cerebri?* a. Flat 20 lbs. b. 5% of body weight c. 10% of body weight d. 20% of body weight 9. Which of the following regarding an isolated cranial nerve 3 palsy is considered an emergency?* a. Isolated dilated pupil b. Complete palsy with pupil sparing c. Partial palsy with pupil sparing d. Pupil involved palsy 10. A patient presenting with sudden onset headache, diplopia, and bitemporal visual field loss should immediately be suspected of having which condition?* a. Pituitary apoplexy b. Carotid artery dissection c. Intracranial aneurysm d. Horner syndrome 11. What is the recommended treatment for patients with giant cell arteritis?* a. Systemic steroids b. Systemic non-steroidal drugs c. Systemic antibiotics d. A biologic agent 12. What is the typical visual field defect seen in non-arteritic anterior ischemic optic neuropathy?* a. Central scotoma b. Paracentral scotoma c. Inferior arcuate defect d. Constricted visual field 13. What is the recommended medical treatment for a patient diagnosed with pseudotumor cerebri?*a. Twice monthly tocilizumab infusions b. Acetazolamide 500 mg TID c. Augmentin 500 mg BID d. Minocycline 50 mg BID a. Twice monthly tocilizumab infusions b. Acetazolamide 500 mg TID c. Augmentin 500 mg BID d. Minocycline 50 mg BID 14. Which of the following is not an alternate therapy for pseudotumor cerebri?* a. Furosemide b. Bevacizumab c. Topiramate d. Zonisamide 15. Which of the following is characteristic of fulminant IIH?* a. There are different diagnostic criteria compared to typical IIH b. Vision loss is rapid and often less than 4 weeks from symptoms c. Medical therapy is nearly always successful d. If vision loss occurs, it is very slowly progressive 16. What percentage of cranial nerve 3 palsies are caused by aneurysm?* a. 17% b. 30% c. 58% d. 72% 17. What field defect is typical for pituitary apoplexy?* a. Central scotoma b. Paracentral scotoma c. Homonymous d. Bitemporal 18. What is the most concerning cause of a 3rd order, sudden-onset, painful Horner syndrome?* a. Lung cancer b. Multiple sclerosis c. Cavernous sinus malignancy d. Carotid artery dissection 19. What is the major concern from carotid dissection?* a. High risk of stroke b. High risk of myocardial infarction c. High risk of blindness d. High risk of intractable diplopia 20. What is the most common cause of cranial nerve 4 palsy?* a. Trauma b. Idiopathic c. Ischemic d. 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