Dx from presentation

Question 1

Hand wasting + weakness, loss of arm reflexes
Loss of pain and temperature sensation
Proprioception, light touch and vibration intact

Answer 1

Syringomyelia

Question 2

Paralysis and loss of proprioception + vibration on one side
Pain and temperature loss on other side

Answer 2

Brown sequard syndrome (pain and temp is contralateral to lesion and rest is ipsilateral)

Question 3

Parkinson plus syndrome with alien limb syndrome (limb/hand performing motor tasks without them wanting it to)

Answer 3

Corticobasal degeneration
Also PD
Apraxia and aphasia

Question 4

Dermatomal pain and sensory loss and decreased reflexes and stress

Answer 4

Radiculopathy due to disc protrusion

Question 5

3rd nerve palsy and headache

Answer 5

Posterior communicating artery aneurysm

Question 6

Infertility, menorrhagia and suprapubic mass

Answer 6

Fibroids - endometriosis unlikely to present with mass

Question 7

Amenorrhoea, elevated oestradiol, elevated prolactin

Answer 7

Pregnancy

Question 8

Amenorrhoea, low oestradiol, elevated prolactin

Answer 8

Prolactinoma

Question 9

Which overdose presents with encephalopathy, renal failure, deranged coagulation and hypoglycaemia

Answer 9

Aspirin

Question 10

Perineal itching worse at night, white bits when wipe post defecation

Answer 10

Threadworm - treat with an anthelmintic drug (mebendazole) single dose to all household members

Question 11

Passing brown urine plus abdominal distention + bowel obstruction in elderly lady

Answer 11

Colovesical fistula from diverticular disease