Neuro

Question 1

What is the triad of symptoms of Wernicke’s encephalopathy?

Answer 1

Confusion, ataxia and nystagmus

Question 2

What causes Wernicke’s encephalopathy?

Answer 2

thiamine deficiency (mostly secondary to chronic alcohol consumption)

Question 3

What is the management of Wernicke’s encephalopathy?

Answer 3

IV pabrinex (B and C vitamins)

Question 4

What is Korsakoff’s syndrome?

Answer 4

Wernicke’s encephalopathy - if untreated - causes amnesia (antero and retrograde) and confabulation

Question 5

What medications are used for migraine prophylaxis?

Answer 5

Propranolol or topiramate (in asthmatics but not in women of child-bearing age)

Question 6

What is the first line treatment for an acute migraine episode?

Answer 6

oral triptan and NSAID/paracetamol

Question 7

What is the most common presentation of a posterior communicating artery aneurysm?

Answer 7

painful third nerve palsy

Question 8

What is the management of idiopathic intracranial hypertension?

Answer 8

Acetazolamide (carbonic anhydrase inhibitor)