2a Questions and answer Hot Points

Question 1

What are the contraindications of lumbar puncture?

Answer 1

Meningococcal septicaemia
Raised ICP
Focal Nx igns
coagulation disorder
cardiovascular instability

Question 2

What to watch out for when treating trigeminal neuralgia?

Answer 2

Carbemazpine is the first line used for this

Reduces effectivness of COCP

Question 3

DVLA after sizeure?

Answer 3

Cant drive for:
6 months if single seizure
1 year if more than one seizure
5 years if bus/coach/lorry
10 years if more than one seizure

Question 4

lambert eaton syndrome is associated with what>

Answer 4

small cell lung cancer

Question 5

what is status eplipeticus?

Answer 5

seizure lasting more than 5 mins without recovery

Question 6

how to treat status epilepticus?

Answer 6

1- benzos -
rectal diazepam, buccal modazolam, iv lorazepam

2nd line - after two doses
phenytoin/ sodium valporate // levetracetam

i there is iv access - lorazepam

Question 7

what contraindicated for pd?

Answer 7

anti-psychotiocs - increases extrapydrmaidla effects

also
Dopamine agonists

Question 8

Which of the following is the single most important investigation to determine this patient’s prognosis? GBS

Answer 8

LUNG FUNCTION TEST

Question 9

WHAT SAH ASSOCIATED WITH

Answer 9

POLYCYSTIC KIDNEY DSEASE -BILATERAL FLANK MASSES

Question 10

Where do most extra-dural /epidural hemorrhages occur?

Answer 10

UNILATERAL // Supretentorial arterial bleed

Question 11

treating fungal causes of meningitis?

Answer 11

csf - High opening Pa + Immjno compromised

IV Amphotericin B + Oral Flucytosine + 8wks of fluconazole

Question 12

side effect of lamotrigine?

Answer 12

large blistering rash

Question 13

Before starting anti-chlinsterase inhibitors, what should you check?