MRCP neuro

Question 1

NICE guidelines treatment of alzheimers

Answer 1

any of 3 acetylcholinesterase inhibitors (donepezil, galantamine, rivastigmine)
Memantine(anti-NMDA) is 2nd line - intolerant to 1st line, as add on, or monotherapy in severe

Question 2

Depression treatment with Alzeihmers

Answer 2

NICE does not recommend treatment with antidepressants

Question 3

Contraindications with donepezil

Answer 3

No interaction with warfarin and not renally excreted

Relative CI is bradycardia and other cardiac abnormalities

Question 4

Features of bells palsy

Answer 4

Isolated, unilateral, facial nerve palsy, lower motor neurone (not sparing the forehead)

Question 5

Treatment of bells palsy

Answer 5

Prednisolone 1mg/kg for 10 days

Question 6

What are NICE guidelines re: stopping anti-epileptics

Answer 6

Can be considered if seizure free for > 2 years, with AEDs being stopped over 2-3 months