2/4/22

Question 1

Go to basal ganglia and complete pic

Question 2

What are the names of the 5 parts that make up the basal ganglia?

What make up the striatum?

What make up the lentiform nucleus? What shape is this?

Answer 2

Caudate nucleus
Putamen 
Globus pallidus
Subthalamic nucleus
Substantia nigra 

Striatum = caudate nucleus + putamen 
Lentiform = putamen + globus pallidus

lentiform is triangle shaped

Question 3

What communicates between the two hemispheres?

Answer 3

Corpus callosum

Question 4

Hyper vs hypodense on CT scan - stroke

Answer 4

Hyper = haemorraghe
Hypo = ischaemic

Question 5

What kind of brain bleed is assoc. with trauma and collapse then a lucid period followed by a further collapse?

Answer 5

Extradural

Question 6

If ischaemic stroke what is your management?

Answer 6

As soon as haemoraghic is ruled out - ASPIRIN 300MG

<4.5hrs - thrombolysis with alteplase (condradicted in very high BP)
>4.5hrs - give 300mg of aspirin for 2 weeks then 75mg clopidogrel

If large vessel thrombus on CT = thrombectomy

Question 7

What is the acronym to remember chronic stroke management?

Answer 7

HALTSS

HTN
Antiplatetelet/anticoagulation - after aspirin for 2 weeks then clopidogrel once daily OR AC with warfarin/rituaxaban if AF
Lipid lowering therapy - statin
Tobacco - smoking cessation
Sugar - screen and manage diabetes
Surgery - patients with ipsilateral carotid artery stenosis of 70-90% should be referred for carotid endarterectomy

Question 8

What investigation is most important when monitoring a patient wit Guillan-Barre syndrome?

Answer 8

Vital capacity - can cause respiratory failure

Question 9

What are the most common causes for peripheral neuropathy?

What investigations do you do beyond a upper/lower neuro exam?

Answer 9

ABCDE

Alcohol
B12 and folate
CKD
Diabetes
Everything else (CMT, Vasculitis, Lead toxicity, chemo theraoy drugs)

Blood tests and nerve conduction studies

Question 10

Down and out eye palsy?

Answer 10

CN III palsy