Neuro

Question 1

What are examples of motor neurone disease?

Answer 1

amyotrophic lateral sclerosis (ALS), progressive muscular atrophy and bulbar palsy

Question 2

What are symptoms of conduction aphasia?

Answer 2

speech fluent, but repetition poor. Comprehension is relatively intact

Question 3

How long does a cluster headache last?

Answer 3

15 min - 2h

Question 4

What are symptoms of wernicke’s aphasia?

Answer 4

speech fluent but makes no sense (word salad), but repetition poor. Comprehension is NOT intact

Question 5

What is first line treatment for Wernicke’s encephalopathy?

Answer 5

IV Pabrinex (Vitamin B + C)

Question 6

What are lumbar puncture findings for GBS?

Answer 6

Isolated raise in protein

Question 7

What dementia is associated with motor neurone disease?

Answer 7

Frontotemporal dementia

Question 8

What gorup of drugs increase the risk of idiopathic intracranial hypertension?

Answer 8

tetracyclines

Question 9

What is first line treatment for trigeminal neuralgia?

Answer 9

Carbamazepine

Question 10

Is and acute subdural haematoma on a CT hyperdense or hypodense?

Answer 10

Hyperdense (bright) as it is fresh blood

Question 11

What malignancy is associated with Myasthenia gravis?

Answer 11

thymoma

Question 12

What is Uhthoff’s (ootofs) phenomenon?

Answer 12

Neuro symptoms exacerbated by increase in body temperature associated with MS

Question 13

What is a side effect of phenytoin?

Answer 13

peripheral neuropathy,

Question 14

What is management for symptomatic chronic subdural bleeds?

Answer 14

Burr hole evacuation

Question 15

Patient was recently diagnosed with Parkinsons but randomly falls (no reason for fall). What is his diagnosis?

Answer 15

‘Parkinson Plus’ syndrome
which is a type of Progressive supranuclear palsy

Question 16

What is Progressive supranuclear palsy?

Answer 16

• postural instability and falls
• parkinsonism
• cognitive impairment
  -impairment of vertical gaze (CN4)

Question 17

What investigation has to be done for Progressive supranuclear palsy?

Answer 17

Assessment of CN III, IV and VI (those that control the extraocular muscles)

Question 18

What condition is this: Parkinsonism with associated autonomic disturbances (atonic bladder, postural hypotension)

Answer 18

Multiple system atrophy e.g, MS but not progressive supranuclear palsy cuz it has ocular pathology

Question 19

What type of headache responds completely to indomethacin?

Answer 19

Paroxysmal hemicrania

Question 20

What are conditions for neurofibromatosis 1?

Answer 20

Cafe-au-lait spots (>= 6, 15 mm in diameter)
Axillary/groin freckles
Peripheral neurofibromas
Iris hamatomas (Lisch nodules) in > 90%
Scoliosis
Pheochromocytomas

Question 21

What are conditions for neurofibromatosis 2?

Answer 21

Bilateral vestibular schwannomas
Multiple intracranial schwannomas, mengiomas and ependymomas

Question 22

What is first line treatment spasticity in MS?

Answer 22

Baclofen / gabapentin