Management

Question 1

What is the imanagement for cluster headaches

Answer 1

Acute:
100% oxygen
Subcutaneous Triptan

Prophylaxis :
VeRAPimil- because you RAP in clusters of rhyme :)

Question 2

What is the management for eclampsia

Answer 2

Magnesium sulphate to prevent and treat seizure. Should continue for 24 hours after last seizure or delivery .

Calcium gluconate is used for respiratory depression induced calcium gluconate

Question 3

What is the investigation of choice for infectious mononucleosis and what should you avoid doing after having it?

Answer 3

FBC and Monospot tests- heterophil antibody test in 2nd week of illness

Avoid contact sports for 4 weeks to reduce splenic rupture

Question 4

What is the management for tension headaches

Answer 4

Aspirin, paracetamol or NSAIDS first line in acute attack

Prophylaxis- 10 sessions of accupunture over 5-8 weeks

Question 5

What is he management for ALS _prlongs life for 3 months

Answer 5

Riluzole - because you are trying to Resolve the ALS - prevents stimulation of glutamate receptors

Question 6

What is the management for MS

Answer 6

In an acute relapse : high dose steroids- oral or IV methylprednisolone 5 days

Reduce relapse:
Natalizumab or ocrelizumab

Question 8

What is the first line management for myasthenia gravies

Answer 8

(Better with rest)

First line: pyridostigmine - achesterase inhibitors

Crisis management: plasmapherisis , iv immunoglobulins