neuro

Question 1

Differential diagnosis headache causes

Answer 1

2COCa DIVES ENT
2 CO2, COffee
Ca cancer

D rugs - withdrawal, overuse
I nfection
V ascular - aneurysm, bleed, temporal arteritis
E- endocrine hyperthyroidism, pheochromocytoma
S- OL

ENT
Eyes
Nose
Trauma

Question 2

fatigue differential diagnosis

Answer 2

ABCDEFGI
A - autoimmune
B - blood disorders
C- cancer
D - depression, domestic abuse
E- endocrine
F- fibromyalgia
G- general infection
H- heart
I- Immunocompromised
S-sleep substance

Question 3

DD Weakness of arms

Answer 3

CVA sudden onset
MS - triggered heat
MG - triggered exercise
Lambert eaton - improves with exercise
Rab/GB - ascending paralysis
C6 radiculopathy
Rheumatoid arthritis

Question 4

DD tremors

Answer 4

<40
wilson disease - serum ceruloplasmin
metabolic
essential tremors - trial of beta blocker
medications - LBM
Lithium, beta agonist, metoclopramide

> 40
parkinson
cerebellar
alcohol withdrawal

Question 5

parkinson managements

Answer 5

levodopa/carbidopa - delayed onset on response affected by mealtime
complication - dyskinesias

Question 6

investigation for stroke/stroke like

Answer 6

ECG, echo, carotid doppler Ct scan

Question 7

Counselling Seizure

Answer 7

DREAMS
Diet
R- referral to
neurologist - if for driving
gynecologist - if for pregnancy
E - exercise precaution
A-ctivity
A alcohol
B- baths
C- Climb
D - driving -seizure free 1 year refer to neurologist
discontinuation - seizure free 2-5 years. tapering, seizure precaution during tapering and 3 months after discontinuation, discontinue after 10 months
‘E -
M -medication
S- sleep deprivation

Question 8

Epilepsy questions

Answer 8

1 OCDS
Pre ictal(aura), seizure, post seizure
Triggers
D - diet/drug problems - alcohol
I - infection
M - metabolic problem
E - enviroment
R - vasculaR/ rheumatic problems
S - sleep

Investigation: usuals toxicolo`gy EEG,

Question 9

HIV counselling

Answer 9

1OCDS
Why, when, who?
Symptoms

PAMHUGSFOSS SADDEST

explain
No Pathogen Cancause Complicationif Managed
Normal
Pathogenesis -attacks immune system
Cause - HIV virus from infected SAD
complications - repeated infection
Management - prevention, antiretrovirals

Counselling
DIT - Avoid eating with animals - toxoplasmosis
Referral - infectious disease, support group
Exercise - healthy lifestyle
Activities - SAD, sex unprotected, inform partner
Medications- antiretrovirals
Surgery- x

3 F A
failure
famplet
fallow up

agree

Question 10

hand pain / tingling sensations

Answer 10

CTS -
- occupational
-hypothyroidism/ pregnancy/Diabetes
-trauma

De quervain
Ulnar Entrapment
Radial Entrapment
C6 radiculopathy
Arthritis