APEA Neurology exam
questions already
graded A+
Idiopathic facial nerve palsy
• Acute, spontaneous, unilateral facial paralysis
• ??? Reactivation of herpes simplex virus
BELL'S PALSY
Mild traumatic brain injury (GCS ≥13)
• Physical rest 24-48 hours with gradual return to
activities
• Cognitive rest: minimize cognitive activities that
exacerbate symptoms
CONCUSSION
• Recurrent HAs may indicate overexertion during
recovery
• If migraine history, concussion may trigger
migraine HA
• Promote sleep; it helps recovery
• Cognitive recovery may be longer than physical
recovery
• Refer for symptoms lasting beyond 21 days OR
, escalating symptoms after injury OR multiple
concussions
Concussion may?
• When able to focus for 30-45 mins at a time
• May need accommodations to school day or
workday Back-to-Sports Prerequisites
• Return-to-school success
• Symptom free, no meds
• Normal neuro exam Back to Sports
• Asymptomatic with: Light aerobic exercise
(increase HR) Sports-specific exercises (add
movement) Noncontact participation (coordination,
increased thinking) Full contact practice (assess
status) Normal game/physical activity
When Back to School/Work?
Primary headaches: migraine, tension, cluster
• New onset headache in a middle/older adult is
usually secondary.
Primary headaches:
Secondary headaches:
Take-Home Point:
• Age >50 years
• History of cancer
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