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JL Neurology > Buzzwords > Flashcards

Buzzwords Flashcards

1
Q

thunderclap headache?

A

Subarachnoid haemorrhage cf. PCKD

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2
Q

Xanthochromic LP

A

SAH (cf fresh blood - traumatic tap)

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3
Q

Lucid period after head trauma (often followed by sudden collapse or deterioration)?

A

Extradural haemorrhage

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4
Q

Cogwheel rigidity?

A

Parkinson’s (spastity over rigidity)

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5
Q

Woody texture muscle swelling?

A

Duchenne or Becker MD

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6
Q

Raised CK?

A

MD

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7
Q

Toe walker or positive gowers sign?

A

Muscular dystrophy

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8
Q

Mask-like expression?

A

Parkinson’s

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9
Q

“Fluctuating” cognitive deficit?

A

Lewy body dementia or Delerium

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10
Q

REM disturbance?

A

Lewy body dementia or parkinson’s

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11
Q

Vivid visual hallucinations normally of children and not threatening?

A

Lewy body dementia

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12
Q

“Acute onset” cognitive disturbance that fluctuates?

A

Delerium

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13
Q

Personality/behaviour changes and then dementia?

A

Frontotemporal dementia (Pick’s disease)

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14
Q

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

A

Vascular dementia

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15
Q

Stepwise deterioration?

A

Vascular dementia

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16
Q

Pain on loud noise?

A

Facial nerve palsy

17
Q

Painful third nerve palsy?

A

Aneurysm

18
Q

Myalgia + myositis + myoglobulinaemia/uria?

A

Rhabdo (–> DIC and renal failure)

19
Q

Inflammatory myopathy with poor response to steroids?

A

Inclusion body myositis

20
Q

Weakness + frontal balding + cataracts + ptosis ?

A

Myotonic dystrophy (onset 30s, +ve FHx)

21
Q

Leg symptoms + midline shift?

A

Falcine herniation

22
Q

Back pain worse on coughing?

A

Slipped disc

23
Q

Headache worse on coughing?

A

Posterior fossa issue

24
Q

BL sciatica + male sexual dysfunction?

A

Cauda equina

25
Q

Pleocytosis on CSF?

A

Rules out bacterial meningitis

26
Q

Migraine prophylaxis 1st line?

A

Propranolol, topiramate or amitriptyline

27
Q

Migraine prophylaxis 2nd line?

A

Valproate, pizotifen, gabapenton, pregabalin (if one drug does not work by 3/12 try another)

28
Q

Injury upper brachial plexus?

A

Erbs palsy (waiters tip) - more common, associated with shoulder dystocia

29
Q

Injury lower brachial plexus?

A

Klumpke’s palsy (claw hand)

30
Q

+VE Simmonds test?

A

Achilles tendon rupture

JL Neurology (12 decks)

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