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MRCP/MSRA > MSRA - neuro > Flashcards

MSRA - neuro Flashcards

1
Q

Acute migraine treatment - 1st line

A

oral triptan + NSAID/paracetamol

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2
Q

Acute migraine treatment: aged 12-17

A

nasal triptan + NSAID/paracetamol

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3
Q

Acute migraine treatment - 2nd line

A

metoclopramide or prochlorperazine

+/- non-oral NSAID/triptan

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4
Q

Migraine prophylaxis - 1st line

A

topiramate or propranolo

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5
Q

Migraine prophylaxis - 2nd line

A

10 sessions of acupuncture

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6
Q

Migraine prophylaxis - menstrual migraine

A

frovatriptan or zolmitriptan

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7
Q

Classical features of vestibular schwannoma

A
  • vertigo
  • sensorineural hearing loss
  • tinnitus
  • absent corneal reflex
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8
Q

Parkinsons treatment: first line - motor symptoms affecting QOL

A

Levodopa

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9
Q

Parkinsons treatment: first line - motor symptoms not affecting QOL

A 
Dopamine agonist (ropinirole, bromocriptine, cabergoline)
/
Levodopa
/
MAO-B inhibitor (selegiline)
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10
Q

Parkinsons treatment: 2nd line

A

Levodopa plus adjunct:

  • dopamine agonist
  • MAO-B inhibitor
  • COMT inhibitor (entacapone)
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11
Q

Common features of MND

A
  • fasciculations
  • no sensory signs
  • LMN + UMN signs
  • wasting
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12
Q

Peripheral neuropathy - causes of predominantly motor

A 
GBS
lead poisining
HSMN - CMT
CIDP
diptheria
porphyria
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13
Q

Peripheral neuropathy - causes of predominantly sensory

A 
diabetes
leprosy
B12 deficiency
amyloidosis
uraemia
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14
Q

Features of bell’s palsy

A

LMN facial nerve palsy - forehead affected

Sometimes: post-auricular pain, altered taste, dry eyes, hyperacusis

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15
Q

Management of Bell’s palsy

A

Prednisolone 1mg/kg 10 days

Within 72 hours of onset

Eye care

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16
Q

Guillain-Barre - classic features

A

Progressive weakness of all four limbs

  • LL > UL
  • Proximal > distal
  • Minimal sensory
  • areflexia
  • cranial nerves - diplopa
  • autonomic - retention
17
Q

Neuropathic pain - 1st line

A

amitriptyline, duloxetine, gabapentin or pregabalin

18
Q

Neuropathic pain - 2nd line

A

Try one of the other of: amitriptyline, duloxetine, gabapentin or pregabalin

19
Q

Neuropathic pain - 3rd line

A

Tramadol rescue therapy

20
Q

Neuropathic pain - topical

21
Q

MS treatment - acute relapse

A

High dose steroids - methylprednisolone 5 days

22
Q

MS treatment - reducing relapse rate

A

Beta-interferon

23
Q

MS treatment - fatigue

A

Amantadine

24
Q

MS treatment - spasticity

A

Baclofen/gabapentin/diazepam

25
Q

MS treatment - oscillopsia

A

Gabapentin

MRCP/MSRA (15 decks)

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