neuro

Question 1

epidural hemtoma

Answer 1

key lime pie
MMA
commonly have a lucid period

need to do a ct

Question 2

hemifacial spasm

Answer 2

half the face, some or all muscles start twiching in the muscles supplied by facial nerve. either an artery irrating the nerve, damage to the nerve itslef or compression by tumour etc.

Question 3

signs of tia

Answer 3

1. vision problems
2. weak muscles
3. speech problems
4. dizzines
5. migraine big dx for stroke
6. sensory changes
7. involuntary movements twitching?

Question 4

defintion of tia

Answer 4

transiset loss of blood flow to the brain and symptims usually resolve within 1 hour

Question 5

if you suspect a tia what do you do

Answer 5

1. ct head to dx from stroke
2. start patient on antiplatelet therapy 75 mg

lifestyle advice

Question 6

main culprit in tia which vessel

Answer 6

carotid artery (braches)

Question 7

subdural hematoma

Answer 7

elderly, alcoholics
banana
bridging veins

ct head

Question 8

common peroneal nerve

Answer 8

1. brach of the sciatic nerve
2. job sensory (dorsum of foot and lateral lef) and motot- supplies some of the muscles of the leg

Question 9

baclofen

Answer 9

a muscle relaxant

Question 9

how to test for common perineal nerve injury

Answer 9

1. patient may loose the ability to dorsiflex foot
2. evert the foot
3. numbness in area
4. gait, dragging the foot or slapping the foot down
5. heel walk (but dont do if balance is really bad)

Question 10

what is number 1 diagnosis for MS

Answer 10

BRAIN IMAGING MRI
lumbar is not first line

Question 11

what corticosteorid do we give in acute attack of MS

Answer 11

IV METHYLPRED