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A 6-year old boy presents to the emergency department due to progressive difficulty walking over the past 1–2 days. His parents report that his eyes have appeared “crossed” several times recently.  His parents first noticed that he was having difficulty keeping up with his karate class this past month, and his smile is less symmetrical than usual. On physical exam, there is noted slurring of his speech. Hemifacial droop, along with a marked cranial nerve 6th nerve palsy, is noted. Which of the following diagnoses is most likely?

You are consulting Peds Neurology for a 6 week old patient who presented to the pediatric floor with severe hypotonia and poor feeding. His birth history reveals an uncomplicated pregnancy and normal birth. His birth weight was 2500 g at 39 weeks GA. His APGAR scores were 8 and 9. On exam, he has a wide nasal bridge, low set ears, upturned nose, micrognathia, and a sacral dimple. Neuro exam reveals severe hypotonia with normal spontaneous movements and deep tendon reflexes. The metabolic newborn screen was normal. The head ultrasound shows a smooth cortex with mild ventriculomegaly. Which is the most appropriate next test in order to make the most appropriate diagnosis?

A 4 year old male is your patient in the PICU. He is s/p repair of his congenital heart defect. During your exam this morning, you notice that he now has new onset of right sided hemiparesis. His speech is difficult to understand, even for his mother. Which one of the following image modalities would be the most appropriate for the initial evaluation of this patient?  

A 13-year-old male presents with a 24-hour history of sharp, pleuritic chest pain that is worse in the supine position. He recently had a viral illness a few weeks ago. Now has a fever at 38.5 C and a pericardial friction rub is heard on exam. The most likely diagnosis is:    

You have received the results on a Lumbar Puncture you performed on a 2 week old with suspected meningitis. The results are: CSF analysis ↑WBC’s (>1000) ↑protein (>60) ↓glucose (

There are different types of Hydrocephalus. Which of the following is not a type of Hydrocephalus?  

Which of the following patients is at greatest risk for developing sepsis?  

An 8 year old female with DM type 1 presents with a 3 day history of abdominal pain and vomiting. She was treated in the ED one week ago for hypoglycemia. Examination reveals rapid breathing, dry mucus membranes, and poor peripheral perfusion. Appropriate management would include all of the following EXCEPT:

 A father brings his 2 year old son to the ED. He reports that the boy spent several hours in the garage with him while he was repairing the car. On questioning, the father states that over the course of the afternoon, the child seemed more sleepier than usual, then became lethargic, vomited, and seemed like he was “drunk”. On the way to the hospital he began having seizures. In the ED, the boy was given a dose of lorazepam (Ativan) to stop the seizures and was endotracheally intubated because of respiratory depression. His initial laboratory results are: Sodium: 138 mEg/L Potassium: 4.9 mEq/L Chloride 100 mEq/L Bicarbonate 6 mEq/L Glucose 120 mg/dL BUN 10 mg/dL Calcium 5.5 mEq/L   Of the following, the MOST likely cause of this child’s clinical condition is ingestion of

A 10 year old patient, diagnosed with sickle cell is admitted with acute chest syndrome. They are already on a PCA of morphine, yet are still experiencing pain. What drug can be added to help control pain?