Buzzwords

Question 1

poker face

Answer 1

parkinson’s disease

Question 2

painful horner’s synd

Answer 2

internal carotid dissection

Question 3

split hand sign

Answer 3

amyotrophic lateral sclerosis

Question 4

thunderclap ‘worst headache in my life’

Answer 4

subarachnoid haemorrhage

Question 5

MRI shows a lesion with a popcorn like appearance

Answer 5

cavernous malformation ccm

Question 6

posterior communicating artery aneurysm can cause a ….

Answer 6

CNIII palsy

Question 7

magnetic gait

Answer 7

normal pressure hydrocephalus

Question 8

hot cross bun sign MRI

Answer 8

multiple system atrophy

Question 9

mri shows sugar coating of spinal cord

Answer 9

spinal neoplasm

Question 10

christmas tree cataract

Answer 10

myotonic dystrophy

Question 11

bag of worms sensation of the eyelid

Answer 11

neurofibroma in NFT1

Question 12

lens shaped appearance on CT

Answer 12

extradural haematoma

Question 13

obese female with slit like ventricles

Answer 13

idiopathic intracranial hypertension

Question 14

mri brain butterfly ring

Answer 14

glioblastoma multiforme

Question 15

painful III palsy

Answer 15

posterior communicating artery aneurysm

Question 16

hockeystick sign

Answer 16

creutzfeldt jacob prion disease

Question 17

mri dural tail sign

Answer 17

meningioma

Question 18

xanthochromic Lumbar Puncture

Answer 18

Subarachnoid Haemorrhage

Question 19

LP shows fresh blood

Answer 19

traumatic tap

Question 20

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

Answer 20

extradural haemorrhage

Question 21

cogwheel rigidity

Answer 21

Parkinson’s (tremor over rigidity)

Question 22

raised CK

Answer 22

muscular Dystrophy

Question 23

toe walker or positive gowers sign

Answer 23

Muscular Dystrophy

Question 24

“mask-like” expression

Answer 24

Parkinson’s

Question 25

“fluctuating” cognitive deficit

Answer 25

Lewy Body Dementia or Delirium

Question 26

vivid visual hallucinations normally of children and not threatening

Answer 26

Lewy Body Dementia

Question 27

“acute onset” cognitive disturbance that fluctuates

Answer 27

delirium

Question 28

personality/behaviour changes and then dementia

Answer 28

frontotemporal dementia (Pick's disease)

Question 29

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

Answer 29

vascular dementia

Question 30

stepwise deterioration

Answer 30

vascular dementia

Question 31

pain on loud noise

Answer 31

facial nerve palsy

Question 32

myalgia + myositis + myoglobulinaemia/uria

Answer 32

rhabdomyolysis (DIC, AKI)

Question 33

inflammatory myopathy with poor response to steroids

Answer 33

inclusion body myositis

Question 34

weakness + frontal balding + cataracts + ptosis

Answer 34

myotonic dystrophy (onset 30s, +ve FHx)

Question 35

leg symptoms + midline shift

Answer 35

falcine herniation

Question 36

back pain worse on coughing

Answer 36

slipped disk

Question 37

headache worse on coughing

Answer 37

posterior fossa issue

Question 38

pleocytosis on CSF

Answer 38

rule out bacterial meningitis

Question 39

migraine prophylaxis

Answer 39

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

Question 40

injury upper brachial plexus

Answer 40

Erb’s palsy (waiters tip, more common, associated with shoulder dystocia)

Question 41

injury lower brachial plexus

Answer 41

Klumpke’s palsy (claw hand, Horners synd, pulling injury, asleep on bar stool)

Question 42

+ve Simmond’s test

Answer 42

Achilles tendon rupture

Question 43

anti acetylcholine receptor antibody

Answer 43

myaesthenia gravis

Question 44

purely motor symptoms (UMN and LMN) with ocular sparing

Answer 44

motor neurone disease

Question 45

high stepping gait + Romberg’s positive

Answer 45

cervical myelopathy

Question 46

“Racoon” or “Panda” eyes

Answer 46

fracture of anterior cranial fossa

Question 47

diarrhoea + progressive ascending weakness

Answer 47

Guillain Barre

Question 48

"battle sign” behind ears

Answer 48

fracture of middle cranial fossa - mastoid process of temporal bone

Question 49

epigastric rising

Answer 49

temporal epilepsy