neuro Flashcards

1
Q

parkinsons tx

A

levodopa and carbidopa

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2
Q

avoid these drugs in parkinsons

A

haloperidol and metroclopramide

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3
Q

tx and moa: MND

A

riluzole (anti-glutamine)

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4
Q

tx for spasticity

A

baclofen

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5
Q

tx myasthenia gravis

A

pyridostigmine (anti-cholinesterse - reduces ACh breakdown) ie long acting acetylcholinesterase inhibitor

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6
Q

myasthenia gravis acute relapse tx

A

prednisolone

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7
Q

lambert eaton myasthenic syndrome tx

A

3,4-diaminopyrodine IV

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8
Q

MS relapse tx

A

iv steroids (methylprednisolone)

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9
Q

encephalitis tx

A

aciclovir

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10
Q

meningitis tx

A

cefriaxone

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11
Q

meningitis tx (penicillin allergy)

A

chloramphenicol and vancomycin

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12
Q

meningitis tx (>60 or immunocompromised)

A

add amoxicillin (or if allergic add co-trimoxazole)

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13
Q

pneumococcal meningitis tx

A

stop abx and give dexamethasone before abx

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14
Q

viral meningitis tx

A

supportive

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15
Q

contact prophylaxis meningitis

A

rifampicin

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16
Q

migraine relief tx

A

nsaids and paracetamol

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17
Q

migraine prophylaxis tx

A

topiramate
propranolol for child bearing age women

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18
Q

focal seizure tx

A

carbamazepine

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19
Q

absence seizure tx

A

ethosuzamide

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20
Q

myoclonic seizure tx

A

valproate
or
levetiracetam

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21
Q

atonic seizure tx

A

valproate

22
Q

guillian barre tx

A

iv immunoglobulins
plasmaphoresis

23
Q

status epileptics tx

A

IV lorazepam x2
then phenytoin

24
Q

restless leg syndrome tx

A

dopamine agonist - pramipexole

25
Q

dystonia tx

A

im anticholinergic - procyclidine

26
Q

tension headache tx

A

acute paracetamol/nsaids

27
Q

cluster headache tx

A

acute high flow O2 or subcutaenous triptans

28
Q

cluster headache prophylaxis tx

A

verapamil
or
topiramate

29
Q

trigeminal neuralgia tx

A

carbamazepine

30
Q

temporal arthritis tx

A

steroids (prednisolone)

31
Q

bells palsy tx

A

prednisolone and eye lubricants but after 72hr give nothing

32
Q

narcolepsy tx

A

stimulants - modafinil

33
Q

ischaemic stroke tx

A

<4.5hr - thrombolysis and thrombectomy
>4.5hr - aspirin and thrombectomy

34
Q

secondary prevention ischaemic stroke tx

A

clopidogrel
2nd line aspirin and dipyridamole

35
Q

AF stroke prevention tx

A

DOAC

36
Q

TIA tx

A

clopidogrel

37
Q

SAH tx

A

nimodipine (CCB)

38
Q

reduce ICP tx

A

mannitol (osmotic diuretics) or acetazolamide (carbonic anhydrase inhibitor)

39
Q

cerebral oedema tx

A

dexamethasone

40
Q

subdural tx

A

burr hole

41
Q

insomnia tx

A

zopiclone

42
Q

Idiopathic intracranial hypertension tx

A

wt loss
reduce CSF - azetazolamide (carbonic anhydrase)

43
Q

essential tremor tx

A

beta blocker propranolol and primidone

44
Q

vascular dementia tx

A

cholinesterase inhibitors eg donepezil

45
Q

frontotemporal dementia tx

A

trazadone (tricyclic)

46
Q

parkinsons tremor tx

A

clozapine

47
Q

alcohol withdrawal tx

A

chlordiazepoxide (but if they have hepatic failure - lorazepam)

48
Q

wernicke tx

A

iv thiamine (b1)

49
Q

acute dystonia tx

A

procyclidine

50
Q

akathisia tx

A

propranolol or a benzo