Neuro

Question 1

Enlarged cup to disk ratio on opthalmoscope

Answer 1

Glaucoma

Question 2

Scalp tenderness,

Answer 2

High dose steroids asap
Biopsy

Question 3

Young F, daily headache, machinery noises in ears, transient vision, double vision, weight gain, acne, on OCP, smoker

Answer 3

Idiopathic intracranial hypertension (pseudotumour cerebri) - too much CSF fluid build up

Question 4

Red flag eye sign

Answer 4

Double vision

Question 5

What does papilledema show

Answer 5

fluffy and large cup

Answer 6

Acuity - near and far
Visual field
Colour vision

Question 7

What questions do we need to ask when someone talks about loss of vision?

Answer 7

Is it a black hole/defect
is it there a light
A shimmering edge?
Any colouurs?

Answer 8

Central visual defect

Question 9

Migraines with auras can also present with?

Answer 9

Hand mouth parasthesia

Question 10

Epileptic seizures can be caused by

Answer 10

Overstimulation in a particular pattern

Question 11

What is seen in the brain in someone with temporal lobe epilepsy?

Answer 11

Hippocampal sclerosis

Answer 13

Station - can you stand in the same position

Question 14

High stepping gait
Left foot drop
Weakness
Babinksi sign
No sensory

Answer 14

Corticospinal disease - motor neuron disease

Answer 15

Foot drop can be caused by:

Tibialis anterior, peroneal nerve, sciatic nerve
Lumbrosacral plexus
L5 root
Anterioer horn cell
Spinal cord
Deep white matter
Motor strip

Question 16

What’s the condition called when their hand behaves by themselves?

Answer 16

Alien anarachic hand
FT dementia

Question 17

What’s the syndrome called when you have fregoli syndrome

Answer 17

Fregoli syndrome - when you think someone is an imposter

Answer 18

Capgras syndrome - you think the room you’re in isn’t the real room you’re in

Question 19

Inability to recognise faces - key word

Answer 19

Prosopagnosia

Answer 20

Cotard’s sydnrome