07/02 Flashcards
If a patient on anti-coagulation presents with symptoms suggestive of a TIA what should be done?
Urgent referral to A&E to exclude haemorrhage via CT head
If a patient has a homonymous quadranopia where is the lesion?
Inferior= parietal lobe Superior= temporal lobe
What are features of motor neuron disease?
No eye involvement Difficulty swallowing liquids compared to solids Facial weakness Hypophonic speech Fasiculations Reduced jaw jerk reflex
What tremor is seen in Parkinsons?
Unilateral tremor that improves with movement
How does an anterior cerebral artery stroke present?
Leg weakness with speech and facial sparing
What is the acute management of a migraine?
Triptain PLUS NSAID/paracetamol for acute migraines
Prophylaxis- propranolol or topiramate (not in women of child bearing age as teratogenic and reduces effectiveness of contraception)
What is the motor scoring of GCS?
6- obeys motor commands 5- localises to pain 4-withdraws from pain 3-abnormal flexion to pain 2- extending to pain 1- none
What is the verbal scoring for GCS?
5- speaking normally 4- confusion 3-words 2- groans/grunts 1- nothing
What is the eye scoring for GCS?
4-spontaneous
3- to speech
2- to pain
1- nothing
How may a lesion in the frontal lobe of the brain present?
Loss of disinhibition
Anosmia- loss of sense of smell
Broca’s aphasia
Which antibodies are associated with myasthenia gravis?
ACh receptor antibodies
What antibodies are seen in Lambort Eaton syndrome?
Voltage gated calcium channel antibodies
What symptoms suggest a pseudoseizure?
Widespread convulsions without loss of consciousness
