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Chings Notes > High Yield Neurology > Flashcards

High Yield Neurology Flashcards

1
Q

Unilateral Headaches accompanied by nasak Stuffiness, Conjunctival injection and lacrimation
Treatment?

A

Dx: Cluster Headache
Tx: Verapamil

CP: Unilateral headache (often occurring at night, retro-orbital headache) + rhinorrhea + lacrimation
treatment:
Verapamil
Methysergide
Lithium and bridging treatment with Prednisolone

100% O2 - inhalation for 15 mins - acute attack of cluster headache
Sumatriptan - second line treatment of a cluster headache

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2
Q

Lumpn on her left side of her face
Slowly growing
Displacing earlobe outwards
Dx?

A

Pleomorphic Adenoma

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3
Q

Ptosis and Dilated Pupil

A

Third Cranial nerve palsy

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4
Q

Ptosis and Diplopia with no pupil abnormality

A

Myasthenia Gravis

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5
Q

Associated with Progressive Opthalmoplegia and Limb weakness induced by exercise.
Does not involve the pupils

A

Mitochondriak Myopathy

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6
Q

Ptosis, miosis and ipsilateral loss of sweating

A

Horner’s Syndrome

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7
Q

Weak ankle and Pain in the lateral shin and dorsum of the foot 3 daays after a bowel resection for colon cancer
Weakness in eversion and dorsiflexion of the foot is noted.
Inversion of the ankle is preserved.
dX?

A

Common Peroneal Damage

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8
Q

What is the typical clinical presention of common peroneal neuropathy and where is the site

A

Acute Foot drop at the Fibular Neck - Foot limp

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9
Q

Ankle reflezes and senses at the posterior calf and lateral foot.

A

s1 nerve root

s1 radiculopathy may cause weakness of the plantar flexion

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10
Q

Ankle and great toe dorsiflexion

A

L5 motor nerve

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11
Q

Numbness in the medial foot and the webspace between the first and the second toe

A

L5 sensory nerve

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12
Q

Features of dementia of Lewy bodies

A

Rapidly fluctuating cognition
Visual Hallucinations
Spontaneous motor parkisonism

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13
Q

Serotonin Syndrome features

A

Hyprerreflexia
Dilated pupils
Hyperactive Bowel sounds

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14
Q

Hyporeflezia
Normal Pupil
decreased bowel sounds

A

Neuroleptic malignant Sydnrome

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15
Q

What is true regarding the clock drawing test?

A

Measure of severity of dementia

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16
Q

What is the surgical procedure for an alleviation of symptoms like tremor and rigidity

A

Palliodotomy

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17
Q

Gold standard for Parkinson’s disease

A

Levodopa

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18
Q

3 -4 attacks of Migraine
Prevention?

A

Tx:
Amitriptylline
Pizotifen
Propanolol
Sodium valproate

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19
Q

Asial Rigidity, dysphagia and vetical gaze abnormality

A

Supranculear Palsy

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20
Q

Does not cause Stiffness on the neck

A

Botulism

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21
Q

Progressive weakness of the left arm
kept dropping objects from his right hands
Sensations are intact
reduced power and tone in the elft arm
dx?

A

Motor Neuron Disease

22
Q

Which of the ff degenerative disease of the cNS is caused by infectious proteins

A

Creutzfedlt Jkob disease

23
Q

Treatment of Migraine in children

A

1st line - Ibuprofen
Second line - Paracetamol

24
Q

Worst headache of his life

A

Subarachnoid Hemorrhage

25
Q

Unable to tell whetehre they are standing on the right or left side during the assessment

A

Left parietal lobe

26
Q

Most significant risk facor for falls in elderly

A

Visual Impairment

27
Q

Seizure patient and who is on medication for 12 months
how long can he drive again

A

3 months

28
Q

Acute onset of vertigo without hearing loss or tinnitus
An absence of tinnitus and hearing loss
Symptoms follow an immune mediated sequel following a viral illness leading to inlammation of the Vestibular nerve
Dix-Hallpike is negative
Change in head position aggravates vertigo

A

Vestibular neuritis

29
Q

Mild tremor worsening using her hands

A

Essential Tremor

30
Q

Treatment of Essential Tremors

A

Propanolol and Primidone

31
Q

Characterized by wing-beating tremor
Signs of hepatic failure, rigidity, clumsy gait and dysarthria

A

Wilson’s disease

32
Q

Most approp way to monitor the resp status of GBS

A

Forced Vital Capacity

33
Q

Sixth nerve palsy is rarely caused by which one of the ff

A

Low CSF pressure after lumbar puncture

34
Q

Inability to see in the right halves of the both eyes
Hypertension, hyperlipidemia, obesity, smoking and atrial fibrillation
Possible location of the lesion

A

Left Occipital Lobe
- Homonymous Hemianopia

35
Q

Racoon eyes

A

Basilar Skull Fracture

36
Q

History of strpke with meory impairment

A

Vascular dementia

37
Q

Muscle weakness with myasthenia gravis

A

Ocular muscle weakness

38
Q

Stroke is localize to the broder of the somatosensory and association aread in the posterior parietal lobe
Symptoms ?

A

Loss of the ability to recognise items based on touch
(Tactile Agnosia)

39
Q

Early, insidiouus short term memory loss
Language deficits and spatial disorientation
Personality changes

A

Alzheimer Disease

40
Q

Cerebral Infarction and Deeo or White Matter changes on Neuroimaging

A

Vascular dementia

41
Q

Apathy, disinhibition and compulsive behavior

A

Frontotemporal Dementia

42
Q

Visual hallucinations

A

Dementia With lewy bodies

43
Q

Ataxia and urinary incontinence

A

Normal Hydrocephalus

44
Q

Rapod progession
Myoclonus with or without seizures

A

Prion Disease

45
Q

Most common infection in the GBS

A

Campylobacter jejuni

46
Q

brain of Down syndrome will have the features of

A

Alzheimers disease

47
Q

Which of the ff test will best assess this patient’s risk of foot ulcers

A

Monofilament testing

48
Q

hit on the head by a ball while playing cricket
able to continue but 1 hr later become drowsy and went into coma
Dx?

A

Extradural Hematoma

49
Q

Which of the medication may result to coginitive improvement in Alzheimer disease

A

Donepezil

50
Q

Bilateral Spastic paraparesis and urinary urgency
pain and thermal sensation loss on part of his left body and proprioception loss on his R foot

A

Brown Sequard (hemisection) Syndrome

Chings Notes (39 decks)

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