10/10 Flashcards

1
Q

types of generalised seizure

A

tonic clonic, myoclonic, absence

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2
Q

types of focal seizure

A

aware/impaired awareness

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3
Q

mx generalised seizure

A

lamotrigine/levetiracetam

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4
Q

mx absence seizure

A

ethosuximide

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5
Q

mx focal seizure

A

carbimazole

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6
Q

sx MS

A

visual changes, foot drag, spasticity

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7
Q

sx Guillain barre

A

progressive neuropathy, weakness, paraethesia

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8
Q

mx Guillain barre

A

IVIG

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9
Q

pathophys myasthenia gravis

A

AB mediated autoimmune disease against nAChR at NMJ

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10
Q

sx myasthenia graves

A

ptosis, diplopia

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11
Q

mx myasthenia graves

A

pyridostigmine

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12
Q

pathophys normal pressure hydrocephalus

A

hydrocephalus sx without raised CSF

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13
Q

sx normal pressure hydrocephalus

A

gait dyspraxia, cognitive impairment, urinary incontinence

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14
Q

mx normal pressure hydrocephalus

A

ventriculoperitoneal shunting

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15
Q

what is corticobasal degeneration

A

tau deposition

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16
Q

sx corticobasal degeneration

A

asymmetrical rigidity, apraxia, sensory loss

17
Q

‘Micky mouse ears’ on MRI

A

progressive supra nuclear palsy

18
Q

sx progressive supranuclear palsy

A

backward falls, supra nuclear gaze palsy, dysphasia

19
Q

posterior cerebral artery stroke affects

A

eyesight

20
Q

mx ischaemic stroke <4h

A

thrombolysis with alteplase, thrombectomy <6h

21
Q

mx ischaemic stroke >4h

A

300mg aspirin 2w, switch to 75mg clopidogrel

22
Q

mx Alzheimer’s

A

acetylcholinesterase inhibitors e.g. donepezil

23
Q

anti-voltage gated calcium channels

A

Lambert eaton

24
Q

auto-antibodies against post-synaptic acetylcholine receptors

A

myasthenia graves

25
Q

substantia nigra is affected in….

A

parkinson’s = degraded dopamine neurone

25
Q

mx eczema

A

emollient and increase the strength of steroid depending on severity

26
Q
A
26
Q

mx acne

A

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

26
Q

diagnosing diabetes if sx

A

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

27
Q

diagnosing diabetes if asx

A

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

28
Q

mx diabetes

A

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

29
Q

mx hyperthyroidism

A

anti-thyroid like carbimazole/propylthiouracil

30
Q

mx hyperthyroidism in pregnancy

A

propylthiouracil in tri1-> carbemazole

31
Q
A