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Question 1

What is presbyopia?

Answer 1

Long-sighted vision associated with age - commonly occurs in 40s

Question 2

What meds are started post stroke?

Answer 2

HALTSS

HTN drugs
Anti-platelet - 300mg aspirin daily 2 weeks (PR if nil by mouth) and 75mg clopidogrel lifelong
Lipid lowering - statin
Tobacco - stop smoking
Sugar - diabetic control
Surgery - >70% occlusion of carotids = carotid endoarterectomy

Question 3

What is important to remember when starting a patient on clopidrogrel with aspirin post stroke?

Answer 3

Need loading dose of 300mg

Question 4

What is xanthochromia?
What opening pressure would you expect when doing an LP post SAH?

Answer 4

Bilirubin in CSF

Normal or high

Question 5

What is the most common complication of measles in children?

Answer 5

M/ear/sles

Otitis media

rash typically spreads from around ears/face to rest of body

Question 6

What are the 3 criteria that should be assessed when deciding if a partial or full anterior circulatiary stroke?

How does a lacunar infarct present? Where is the “lacunar”?

How does posterior stroke present?

Answer 6

1. Homonymous hemianopia
2. Unilateral hemiparesis and/or hemisensory loss of arm,leg and face
3. Higher cognitive dysfunction e.g. dysphasia

Full = all 3
Partial = 2/3

Lacunar = internal capsule, thalamus and basal ganglia
1 of:
- pure sensory stroke
- unilateral weakness
- ataxic hemiparesis

Posterior
1 of:
- isolated homonymous heminopia
- LOC
- cerebellHar or brainstem sx

Question 7

How can you tell if CSF is bacterial or viral infection?

Answer 7

CSF glucose <1/2 of serum glucose?
Yes = bacterial
No = viral

bacteria are using the glucose

Question 8

Straight lines appear curvy

Answer 8

ARMD

Question 9

Disc prolapse - step management

Answer 9

1. Analgesia and physio
2. MRI if no resolving after 4-6wks