26/3/22

Question 1

What do each of the following terms mean with regard to affect

• Fixed
• Restricted
• Labile
• Reactive

Answer 1

Fixed = no change during consolation 
Restricted = not as much change as expected 
Reactive = as much range as you would expect 
Labile = over exaggerated response, paitent feel like they can’t control symptoms

Question 2

Describe how a patient presents with Myasthenia Gravis

How do you differentiate from Lambert-Eaton Syndrome?

Answer 2

Fatigable weakness which improves on rest

Diplopia
Bulbar features inc. speech disturbance

Lambert-Eaton - weakness typically improves on movement and there is often a history of malignancu

Question 3

What kind of haemorraghe is rupture of a berry aneursym associated with?

Answer 3

Subarachnoid

Question 4

How do you manage Bell’s Palsy?

Answer 4

Oral steriods for 10 days

Question 5

What is the management for Guillain-Barre syndrome?

Answer 5

IV Ig and (if not effective) plasmapharesis

Question 6

Patient presents post infection with progressive ascending symmetrical limb weakness.

What is it?

Answer 6

Guillan-Barre syndrome

Question 7

What drugs are known to cause ototoxicity?

Answer 7

Aminoglycoside ABs - gentamicin and vancomycin

Loop diuertics - furosemide

Question 8

What part of the brain matter are axons found in - grey or whigte?

Answer 8

white

Question 9

State what nerves come through each of the skull foramen

Answer 9

CN I - cribiform plate
CN II - optic canal
CN 3-6 (all have something to do with eye) - superior orbital fissure
V1, V2 and V3 (some random hOle)
V1 = superior orbital fissure
V2 = foramen Rotundum
V3 = foramen Ovale
VII and VIII (seven a song and 8 = ate = meatus) = acoustic meatus
9-11 (imagine a massive jug on a police car) = jugular foramen
12 = hypoglossal canal

Question 10

What is given to patients with subarachnoid haemorraghe to prevent vasospasm?

Answer 10

Nimodipine - calcium receptor antagonist