NEURO 5

Question 1

chronic hereditary sensory motor neuropathy

Answer 1

CMT1a commonest

Question 2

acute autonomic neuropathy

Answer 2

GBS, popyphyria

Question 3

chronic autonomic neuropathy

Answer 3

DM, amyloidosis, heriditary

Question 4

MND is what

what in summary symptoms do px get

Answer 4

neurodgen condition, loss of motor neurones from cortex of brain
U/LMN signs without sensory symptoms

Question 5

MND extremities which is more common

Answer 5

Upper > lower

Question 6

what other forms of MND

Answer 6

bulbar - worst prognosis
thoracic
UMN
LMN

Question 7

bulbar symptoms
what is generalised into
who

Answer 7

chewing, talking, swallowing. Cranial nerves 9-12
generalised into ALS
F>M, 60-80yo

Question 8

ALS symptoms
genetics
ix
rx

Answer 8

LMN in arms - weak flexors. UMN in legs - weak extensors
idiopathic. familial - gene on chromosome 21
absence of sensory symp. EMG. neuroimaging - rule out
Riluzole

Question 9

split hand syndrome

Answer 9

ALS

Question 10

PLS

Answer 10

UMN signs only

Question 11

PMA

Answer 11

LMN signs only affects distal muscles before proximal ones

Question 12

best and worst prognosis in MND

Answer 12

best is PMA

worst is bulbar

Question 13

cord transection cervical

T/L/S

Answer 13

quadraplegia

paraplegia

Question 14

cord compressione BSS

Answer 14

ipsilateral motor and dorsal column loss

contralateral spinothalamic loss

Question 15

central cord syndrome how and what r the symp

Answer 15

hyperflexion to already steotatic neck
UL weakness - distal cape like spinothalamic sensory loss
LL power and DC preserved

Question 16

acute cord compression

Answer 16

high dose IV dexa

Question 17

chronic spinal cord compression causes

Answer 17

spondolysis, RA, tumours, stenosis

Question 18

treatment of chronic spine

Answer 18

decompress and stabilise

Question 19

SAH investigations

Answer 19

CT - 3d post can be negative
LP 12h after if no CI - blood stained or xanthocromia CSF - not - traumatic tap
cerebral angio

Question 20

rebreeding

Answer 20

clipping
first in 11 days
50% in 6 months

Question 21

delayed iscaemia vasospasm prevention

Answer 21

IV nimodipine

triple h therapy

Question 22

hydrocephalus

Answer 22

CSF drainage

Question 23

hyponatraemia

Answer 23

dont fluid restrict

Na, fludrocortisone

Question 24

seizures

Answer 24

anti convulsion proph

Question 25

intracereberal haem is what
causes

what sign on CT
rx

Answer 25

bleeding into parenchyma
50% secondary to htn - charcots bouchard
30% - aneurysm/arterovenous malf
swirl sign
surgical

Question 26

extra dural

Answer 26

temporal - rupture of middle meningeal artery

Question 27

subdural

Answer 27

elderly

alcoholics

Question 28

AVM

Answer 28

steal syndrome - ischaemia