TQ Quiz | Phone a Friend: The Greatest Cases That I Never Saw (Nashville 2024)

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1. Which of the following does not happen in cases of optic neuritis?*

A - Retrobulbar optic neuropathy

B - Papillitis

C - Disc hemorrhage

D - Painful vision loss

2. Which of the following, in addition to markedly elevated blood pressure, constitutes malignant hypertension?*

A - Additional presence of end organ damage

B - Severe vision loss

C - Double vision

D - Transient visual obscurations

3. What is the best management of a patient with malignant hypertension?*

A - Referral to a primary care provider

B - Admission through a hospital ER for emergency blood pressure reduction

C - Weight loss

D - Increase current anti-hypertensive medication dosing

4. A patient manifesting cranial nerve 3 and cranial nerve 6 palsy simultaneously on the same side should be suspected of having a lesion in what area?*

A - Pons

B - Mesencephalon

C - Occipital lobe

D - Cavernous sinus

5. A patient with severe headache, lethargy, and sudden onset bitemporal visual field defect should be suspected of having what condition?*

A - Cavernous sinus thrombosis

B - Posterior communicating artery aneurysm

C - Drug toxicity

D - Pituitary apoplexy

6. What is the pre-existing condition that leads to pituitary apoplexy?*

A - Malignant hypertension

B - Diabetes

C - Adenoma

D - Aneurysm

7. Approximately what percentage of pituitary adenomas will develop apoplexy?*

A - 10%

B - 22%

C - 37%

D - 55%

8. What is the main cause of mortality in patients with pituitary apoplexy?*

A - Uncontrolled hypertension and subsequent stroke

B - Intracranial bleed

C - Respiratory collapse

D - Hemodynamic instability may be result from adrenocorticotrophic hormone deficiency

9. What is the preferred diagnostic imaging for patients with suspected pituitary apoplexy?*

A - CTA

B - CT with contract

C - MRI with contrast

D - MRA

10. What is the optimal management of a patient experiencing an acute retinal artery occlusion?*

A - Referral to a primary care physician for an atherosclerotic evaluation

B - Breathing into a brown paper bag

C - Emergency evaluation at a stroke center

D - Referral to a retinal specialist

11. Up to what percentage of patients with TIA/ acute retinal arterial ischemia with have disabling stroke within 3 months?*

A - 2 %

B - 15%

C - 25%

D - 37%

12. What is the term used to describe high-risk carotid plaques that can result in stroke despite minimal carotid artery occlusion?*

A - Dissecting aneurysm

B - Carotid dissection

C - Symptomatic non-stenotic carotid disease (SyNC)

D - Vascular thrombus apoplexy

13. Which of the following is most characteristic of aberrant regeneration of cranial nerve 3?*

A - Patient looks medial: lid elevates

B - Patient looks lateral: lid lowers

C - Patient looks down: lid elevates (Pseudo-Von Graefe’s)

D - Patient looks medial: pupil constricts

14. Which of the following is never a cause of aberrant regeneration of cranial nerve 3?*

A - Trauma

B - Tumor

C - Aneurysm

D - Diabetes

15. Which medication is associated with bilaterally constricted visual fields?*

A - Vigabatrin

B - Viagra

C - Amiodarone

D - Ethambutol

16. How many potential optic nerve causes of bilaterally constricted visual fields are there, according to this presentation?*

A - 1

B - 5

C - 8

D - 10

17. How many potential retinal causes of bilaterally constricted visual fields are there, according to this presentation?*

A - 2

B - 5

C - 8

D - 10

18. How many potential intracranial causes of bilaterally constricted visual fields are there, according to this presentation?*

A - 1

B - 5

C - 8

D - 10

19. How many overall potential causes of bilaterally constricted visual fields are there, according to this presentation?*

A - 3

B - 5

C - 8

D - 10

20. What is the default cause of bilaterally constricted visual fields once all others have been ruled out?*

A - Drug toxicity

B - Non-organic field loss

C - Amblyopia

D - Paraneoplastic syndrome

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