Buzzwords

Question 1

Thunderclap headache

Answer 1

Subarachnoid haemorrhage

Question 2

Xanthochromic (fresh blood/traumatic tap) Lumbar Puncture

Answer 2

subarachnoid haemorrhage

Question 3

Lucid period after head trauma

Answer 3

extradural haemorrhage

Question 4

Cogwheel rigidity

Answer 4

Parkinsons

Question 5

woody texture of muscles

Answer 5

Duchenne’s or Becker’s MD

Question 6

Raised CK

Answer 6

Muscular Dystrophy

Question 7

toe walker or positive gowers sign

Answer 7

Muscular Dystrophy

Question 8

Mask like expression

Answer 8

Parkinson’s

Question 9

Fluctuating Cognitive Deficit

Answer 9

Must be either: Lewy Body Dementia OR Delirium

Question 10

REM disturbance (later in night)

Answer 10

Lewy Body Dementia or Parkinsons

Question 11

Vivid visual hallucinations, normally of children, and not threatening

Answer 11

Lewy Body Dementia

Question 12

“Acute Onset” Cognitive disturbance that fluctuates

Answer 12

delirium

Question 13

Personality/behaviour changes and then dementia

Answer 13

Frontotemporal dementia (Pick’s disease)

Question 14

Memory and personality problems in someone with a history of cardiovascular disease

Answer 14

Vascular Dementia

Question 15

Stepwise deterioration

Answer 15

Vascular Dementia

Question 16

Pain on loud noise

Answer 16

facial nerve palsy

Question 17

Painful third nerve palsy

Answer 17

posterior communicating artery aneurysm

Question 18

Myalgia + myositis + myoglobulinaemia/uria

Answer 18

Rhabdomyolysis

Question 19

Inflammatory myopathy with poor response to steroids

Answer 19

Inclusion body myositis

Question 20

Weakness + frontal balding + cataracts + ptosis

Answer 20

Myotonic dystrophy

Question 21

Leg symptoms + midline shift

Answer 21

Falcine herniation

Question 22

Back pain worse on coughing

Answer 22

slipped disc

Question 23

Headache worse on coughing

Answer 23

posterior fossa issue

Question 24

BL sciatica + male sexual dysfunction +/- bowel and bladder symptoms

Answer 24

cauda equina

Question 25

Pleocytosis on CSF

Answer 25

need to rule out bacterial meningitis

Question 26

Migraine prophylaxis?

Answer 26

1. 1st line propranolol, topiramate or amitriptyline; 2nd line valproate, pizotifen, gabapentin, pregabalin (if one drug does not work by 4/12, try another)

Question 27

Injury upper brachial plexus, shoulder dystocia

Answer 27

Erb's palsy

Question 28

Injury lower brachial plexus, Klumpke's palsy (claw hand)

Answer 28

Horner's syndrome

Question 29

+ve Simmond’s test -

Answer 29

Achilles tendon rupture

Question 30

Anti acetylcholine receptor antibody

Answer 30

myasthenia gravis

Question 31

Purely motor symptoms (UMN and LMN) with ocular sparing

Answer 31

motor neuron disease

Question 32

high stepping gait + Romberg’s positive

Answer 32

cervical myelopathy