WorksheetsEpilepsy Quiz Dec 25'
Total questions: 49
Worksheet time: 28mins
What is the generic name for Fycompa?
Eslicarbazepine
Fenfluramine
Perampanel
Phenytoin
Cenobamate
Who dat?
Benbadis
Van Loveren
Bezchlibnyk
Tim Lewis
The US headquarters of LivaNova is in which city?
(a)
A patient with VNS can have a cervical spine (neck) MRI.
True
False
(Video 1) What is shaking?
Seizure
Hemifacial spasm
Tic
Psychogenic event
Fasciculations
Which is not a side effect during vagus nerve stimulation?
Voice change
Headache
Cough
Shortness of breath
Tingling in the throat
(Video 2) What is shaking?
Focal seizure
Hemifacial spasm
Tic
Myokymia
Fasciculations
What is the newest and oldest ASM for focal epilepsy?
Xcopri
Fycompa
Fintepla
Aptiom
Phenobarb
Which is the Visual Evoked Potential?
This test is part of the pre-surgery w/u and looks for areas of hypometabolism.
PET scan
SPECT scan
FMRI
MEG
Colonoscopy
Which is false regarding the Wada test?
A. It is named after Dr. Wada
B. It tests language and memory
C. It includes a cerebral angiogram
D. It involved injecting a barbiturate into the internal carotid artery
E. It is an acronym so it should be all caps (WADA)
What year was VNS approved in the US?
(a)
Which is false about the ketogenic diet as a treatment of Epilepsy?
Consist mainly of fat, with limited amounts of carbs and protein
It works primarily in children
Can treat all types of epilepsies
Is usually used in combination with antiseizure medications
Can be challenging to adhere to
What does this MRI show?
Lacunar Stroke
Mesiotemporal sclerosis
Temporal Tumor
AVM
Pulmonary embolism
A patient with VNS is coming for an MRI. He must come to clinic first to have it turned off.
True
False
What does this page show?
Artifacts
Focal spikes
Sleep spindles
Generalized spikes and polyspike
This structure is called the
(a)
What percent of patients with epilepsy are drug-resistant?
1-5%
5-20%
20-40%
Over 50%
Which is true of VNS for depression?
Approved as first-line treatment (before antidepressant medications)
Efficacy has been shown to be 96.3%
Stimulates a different nerve adjacent to the vagus nerve
Is poorly reimbursed by insurance
Which ASM is chemically related to Keppra?
Aptiom (eslicarbazepine)
Epidiolex (CBD)
Briviact (brivaracetam)
Vimpat (lacosamide)
Xcopri (cenobamate)
How many beds are at TGH?
200
500
1,000
3,000
Which is false of intellectual disability?
Is defined as IQ<70
Is classified as severe when IQ is 20-34 and profound when IQ<20
Has multiple causes
Is always associated with an abnormal MRI
Can be associated with epilepsy and cerebral palsy
(Video 3) What is shaking?
Seizure
Dystonia
Syncope
Psychogenic event
Tic
In which stage(s) of sleep would you expect to see vertex waves and POST?
N1
N2
N3
REM
24-year-old with convulsive episodes 5 times over the last 2 years. Routine EEG, 3-day ambulatory EEG and MRI are normal. Lives alone and wants a diagnosis before taking medications. What is your next step?
Repeat ambulatory EEG
Repeat MRI
Admit to EMU
Home camera or cellphone videos
Blood work (including liver enzymes)
Which is not part of the brainstem?
Medulla
Pons
Hypothalamus
Midbrain
Which are the two best choices for rescue medication in patient with seizure clusters? Choose the best answer.
Intra-rectal diazepam (Diastat)
Intranasal diazepam (Valtoco)
Intranasal midazolam (Nayzilam)
Disintegrating Clonazepam (Klonopin)
What is the prevalence of epilepsy?
20%
0.1%
1%
10%
Which of these is not an FDA-approved neurostimulation modality for epilepsy?
Vagus nerve stimulation
Deep Brain Stimulation
Trigeminal nerve stimulation
Responsive Neurostimulation
Which would not be considered as static encephalopathy or developmental disability?
Down syndrome with intellectual disability
Perinatal anoxic injury with cerebral palsy
Rett Syndrome
Dravet Syndrome
Left MCA stroke with residual aphasia and R hemiparesis
A wave seen on the EEG tracing that does not originate from the brain is referred to as:
(a)
Which of our attendings did both residency and fellowship here?
Dr. Amin
Dr. Rivera-Cruz
Dr. Benbadis
Dr. Zemina
Which is the main advantage of inpatient EEG-video vs ambulatory?
It is safer and patients prefer it
It can be done for >3 days
It allows for safe medication reduction
EEG has better quality
(Video 4) What is shaking?
Automatisms
Focal Seizure
Psychogenic Event
Dystonia
Tremor
This ASM only treats typical absence seizures.
Keppra
Dilantin
Depakote
Zarontin
When should VNS be turned on once implanted?
In the OR
In the next day
1-2 weeks later in clinic
All of the above
Which of these ASMs requires periodic echocardiograms?
Cenobamate (Xcopri)
Fenfluramine (Fintepla)
Vigabatrin (Sabril)
All ASMs need an echo once a year.
About how many IOM cases do we do in a year?
10
100
1,000
10,000
How many patients per year are in the adult EMU (9A)?
<100
100-200
200-300
300-400
Epilepsy is deemed medically intractable (drug-resistant) is defined as failure of at least (a) (number) ASMs.
How many cEEGs (“bedsides”) do we do per year (adults)?
<100
100-200
200-300
>500
(Video 4) What is shaking?
Seizure
PNES
Tic
Fasciculation
Saw-tooth waves are seen in which stage?
Wakefulness
N1
N2
N3
REM
Which of these syndromes is not a genetic disease?
Dravet Syndrome
Lenox-Gastaut Sydrome
Angelman Syndrome
Rett Syndrome
What duration does an EEG have to be for the physician to be able to code and bill the video?
30 minutes
2 hours
6 hours
24 hours
What does this show?
Sleep Spindles
Artifact
GPFA
Polyspike
Arousal
Which is true of a “phase reversal” on EEG?
Is only meaningful on a referential montage
Is indicative of an abnormality
Is never seen with normal rhythms
Only indicates localization
Is never seen with artifacts
Which of the following is intracranial and records EEG?
DBS
RNS
VNS
A.Cerebellar stimulation
(Video 5) What is shaking?
Focal Seizure
Tic
Leg Stereotypies
Annoying
