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Exam (elaborations)

Neurology EORE (EMMED-453) | 35 Q&A | Emergency Medicine | Stroke, HA Types, Vertigo, SAH

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This focused resource contains 35 expert-verified Q&A covering essential neurology topics for the Emergency Medicine End-of-Rotation Exam (EORE), course code EMMED-453, tailored for the 2025 academic year. The format emphasizes rapid clinical recognition, diagnostic criteria, and acute treatment protocols for neurological emergencies. Designed in a high-yield board-prep style, it is ideal for medical, PA, NP, or DO students preparing for EORE, PANCE, or USMLE Step 2 exams. Core topics include the full spectrum of headache disorders (migraine, cluster, and tension-type), central vs peripheral vertigo (including BPPV, labyrinthitis, Meniere’s disease, cerebellar stroke), and life-threatening neurologic conditions such as meningitis, encephalitis, TIA, ischemic stroke, hemorrhagic stroke, and subarachnoid hemorrhage (SAH). Key diagnostic techniques like non-contrast CT, LP, Kernig/Brudzinski signs, and neurovascular imaging (CTA/MRA) are included, along with first-line treatments such as tPA, mechanical thrombectomy, oxygen, nimodipine, labetalol, and empiric antibiotics. This document helps learners distinguish stroke types by vascular territory (MCA, ACA, PCA), identify mimics like hypoglycemia, and memorize red flag symptoms such as "worst headache of my life" for SAH. Preventive strategies, post-stroke workups (EKG, carotid duplex, echo), and prophylactic regimens (e.g. verapamil for cluster HA) are also outlined for comprehensive review. Best suited for: Medical students in Emergency Medicine or Neurology rotations PA students preparing for the EORE or PANCE NP and DO students reviewing neurology for exams or clinicals Examinees for USMLE Step 2 or COMLEX Level 2 A perfect last-minute neurology crash course or supplement to clinical learning. Keywords: stroke, TIA, ischemic stroke, hemorrhagic stroke, subarachnoid hemorrhage, cluster headache, migraine, tension headache, vertigo, BPPV, labyrinthitis, Meniere’s disease, meningitis, encephalitis, LP, Kernig sign, Brudzinski sign, CT head, tPA, nimodipine, mechanical thrombectomy, carotid duplex, USMLE Step 2, EORE neurology, PANCE prep

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Institution
Emergency Medicine
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Institution
Emergency Medicine
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Emergency Medicine

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Uploaded on
December 22, 2025
Number of pages
7
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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EM EORE Neurology 2025 Expert
Verified | Ace the Test



Vertigo - 🧠 ANSWER ✔✔Peripheral:


- BPV, labrynthtis, and meniere's disease

- Nystagmus improves w/ fixation

- Hearing loss and tinnitus are common




Central:

- Stroke, migraine, MS

- Nystagmus does NOT improve w/ fixation

- Ataxia and/or neurological deficits

, BPV: sudden change, *lasts seconds*, self-resolves

Labrynthitis: post-viral inflammatory disorder that *lasts a couple of days*

Meniere's disease: *lasts minutes to hours*




Treat peripheral w/ vestibular suppressants (meclizine (antivert))

Treat central by treating underlying cause


Migraine HAs - 🧠 ANSWER ✔✔- Unilateral, pulsating discomfort


- Lasts 4-72 hrs

- Photophobia, N/V, and aura

- Treat w/ NSAIDs or triptans

- If frequent, treat w/ BBs, TCAs, CCBs, or botox injections


Tension HAs - 🧠 ANSWER ✔✔- Bilateral, band-like, squeezing discomfort


- MC form of HA

- Treat w/ NSAIDs and acetaminophen

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