10/10

Question 1

types of generalised seizure

Answer 1

tonic clonic, myoclonic, absence

Question 2

types of focal seizure

Answer 2

aware/impaired awareness

Question 3

mx generalised seizure

Answer 3

lamotrigine/levetiracetam

Question 4

mx absence seizure

Answer 4

ethosuximide

Question 5

mx focal seizure

Answer 5

carbimazole

Question 6

sx MS

Answer 6

visual changes, foot drag, spasticity

Question 7

sx Guillain barre

Answer 7

progressive neuropathy, weakness, paraethesia

Question 8

mx Guillain barre

Answer 8

IVIG

Question 9

pathophys myasthenia gravis

Answer 9

AB mediated autoimmune disease against nAChR at NMJ

Question 10

sx myasthenia graves

Answer 10

ptosis, diplopia

Question 11

mx myasthenia graves

Answer 11

pyridostigmine

Question 12

pathophys normal pressure hydrocephalus

Answer 12

hydrocephalus sx without raised CSF

Question 13

sx normal pressure hydrocephalus

Answer 13

gait dyspraxia, cognitive impairment, urinary incontinence

Question 14

mx normal pressure hydrocephalus

Answer 14

ventriculoperitoneal shunting

Question 15

what is corticobasal degeneration

Answer 15

tau deposition

Question 16

sx corticobasal degeneration

Answer 16

asymmetrical rigidity, apraxia, sensory loss

Question 17

‘Micky mouse ears’ on MRI

Answer 17

progressive supra nuclear palsy

Question 18

sx progressive supranuclear palsy

Answer 18

backward falls, supra nuclear gaze palsy, dysphasia

Question 19

posterior cerebral artery stroke affects

Answer 19

eyesight

Question 20

mx ischaemic stroke <4h

Answer 20

thrombolysis with alteplase, thrombectomy <6h

Question 21

mx ischaemic stroke >4h

Answer 21

300mg aspirin 2w, switch to 75mg clopidogrel

Question 22

mx Alzheimer’s

Answer 22

acetylcholinesterase inhibitors e.g. donepezil

Question 23

anti-voltage gated calcium channels

Answer 23

Lambert eaton

Question 24

auto-antibodies against post-synaptic acetylcholine receptors

Answer 24

myasthenia graves

Question 25

substantia nigra is affected in….

Answer 25

parkinson’s = degraded dopamine neurone

Question 25

mx eczema

Answer 25

emollient and increase the strength of steroid depending on severity

Question 26

mx acne

Answer 26

mild: 2 of: benzoyl peroxide/ABx/retinoid
Mod-sev: retinoid/COCP/ABx

Question 26

diagnosing diabetes if sx

Answer 26

one test is enough - random >11, fasting >7, HbA1C >48

Question 27

diagnosing diabetes if asx

Answer 27

2 tests needed - random >11, fasting >7, HbA1C >48

Question 28

mx diabetes

Answer 28

metformin mono - duo with pioglitazone, DPP4-i, sulfonylurea -> trio -> insulin

Question 29

mx hyperthyroidism

Answer 29

anti-thyroid like carbimazole/propylthiouracil

Question 30

mx hyperthyroidism in pregnancy

Answer 30

propylthiouracil in tri1-> carbemazole