04/02

Question 1

What are the signs of oculomotor palsy?

Answer 1

Fixed dilated pupil
Ptosis
Down and out deviation of eye

Question 2

What is the management of status epilepticus?

Answer 2

When a seizure has been ongoing for >5mins
IV lorazepam (in hospital setting) followed by a second dose 10-20mins later if it did not work

Followed by phenytoin if this does not work

If phenytoin does not work then GA is used

Question 3

What are signs of essential tremor?

Answer 3

Postural tremor- worse when arms are outstretched

Improved by alcohol and rest

Question 4

What is prophylactic medication for migraines?

Answer 4

Topiramate (teratogenic) or propanolol

Question 5

How can trigeminal nerve lesions present?

Answer 5

Trigeminal neuralgia 
Loss of corneal reflex
Loss of facial sensation
Paralysis of muscles of mastication
Deviation of jaw to weak side

Question 6

What are symptoms of brain abscess?

Answer 6

Headache
Fever
Focal neurology
Seizures
Papilloedema
Nausea

Question 7

What are signs of degenerative cervical myelopathy?

Answer 7

Pain affecting neck, upper/lower limbs
Loss of motor function- especially fine motor function
Loss of sensory function causing numbness
Loss of autonomic function causing faecal or urinary incontinence

Question 8

What are signs of vestibular schwanoma or acoustic neuroma?

Answer 8

Loss of corneal reflex
Facial palsy
Vertigo
Unilateral hearing loss
Unilateral tinnitus