JMS

Question 1

What is the management of acute single episodes of headache

Answer 1

For suspected, Meningitis, encephalopathy, etc..

Urgent CT. If CT negative Lumbar puncture indicated

Question 2

What are the types of situation syncopes?

Answer 2

Effort syncope
Cough syncope
Miturition syncope

Question 3

Does tension headache usually present as a unilateral or bilateral episode

Answer 3

Bilateral

Question 4

What does this describe
Sever pain on one side of face. Involves pain in eye (bloodshot), swelling of eyelid and face
Occurs 1-2 a day for a certain amount of time then stops..could start again months/ years later

Answer 4

Cluster Headache

Question 5

`What is the treatment for cluster headaches

Answer 5

Oxygen- non-rebreather mask

NSAID

Question 6

In headache what does medication such as paracetamol+ codine cause

Answer 6

Analgesic rebound headaches- can treat with NSAIDs instead

Question 7

What are the triggering factors for migrane in some individuals?

Answer 7

CHOCOLATE
Hangover
Orgasm
Cheese
Oral contraceptive pill
Lie ins
Alcohol
Tulmut
Exercise

Question 8

What does a Weber’s test tell you

Answer 8

If the sound localises to 1 side then there is a conductive loss on that side or it could be contralateral side senorineural loss

Need to do the Rhine test to distinguish

Question 9

What is a positive Rhine’s test?

Answer 9

When sound is heard loudest in Air conduction than bone conduction- Normal/ SNHL

Question 10

What is a negative Rhine’s test?

Answer 10

When sound is heard loudest in bone conduction (Mastoid process) than Air conduction - Conductive deafness

Question 11

What type of hearing loss does tympanosclerosis cause?

Answer 11

Conductive hearing Loss

The calcification of the tympanic membrane causes decreased mobility of the membrane