NEURO 6

Question 1

resting tremor causes

Answer 1

PD, psychogenic, drug induced PD

Question 2

postural tremor causes

Answer 2

drug induced, ET, psychological, trauma, neuropathy

Question 3

kinetic

Answer 3

cerebellar, wilsons

Question 4

head

Answer 4

ET

Question 5

joint

Answer 5

dystonia, PD

Question 6

what ix should be done in tremor and in who

Answer 6

TFTs in <45s

Question 7

dystonic tremor produced how

treatment

Answer 7

dystonic muscle contraction

propanolol, promidone, atenolol, stool, gabapentin

Question 8

myoclonus with encephalopathy

Answer 8

liver disease, renal failure, alcohol, lithium

Question 9

myoclonus with dementia

Answer 9

alzheimers, LBD

Question 10

myoclonus with parkinsonism

Answer 10

multisystem

Question 11

myoclonus - focal /segmental

Answer 11

injury

Question 12

juvenile myoclonus epilepsy in who

Answer 12

female teenager who drinks and doesn’t sleep and has gen seizures as well and is worse in the mornings

Question 13

EEG of JME

Answer 13

3-5Hz wave pattern

Question 14

treatment of JME

Answer 14

valproate

levetiracetam

Question 15

TICS causes

Answer 15

tourrets -primary
hunt, wilsons, retts, fragil X, docs, autism, BG lesions, post encephalitis, infections, drugs, poisoning, cocaine, amphetamines

Question 16

turrets syndrome genetics

Answer 16

ADom M>5

mostly in under 18s

Question 17

diagnosis of tourreettss

Answer 17

multiple motors tics and 1 or more vocal
occur lots during the day or intermittently over a year with no longer than 3 months tics free
onset <18
exclusion of obvious secondary causes

Question 18

treatment of tics

Answer 18

clonidine, tetrabenazine

CBT

Question 19

chorea causes

Answer 19

huntingtons, wilsons, benign hereditary

SLE, anti phosph, coeliac, hashimotos, HIV, levodopa, OCP, anticonvulsants, PD, glucose, thyroid, Na, Mg

Question 20

treatment of chorea

Answer 20

underlying

terbazine or DA - reserpine

Question 21

torsion dystonia genetics
where does it start and progresses how
treatment

Answer 21

DYT1. childhood. FH
limbs usually legs and majority progress over 5-10y to become gen/multifoca
cervical - botox
FIRST LINE DEEP BRIAN STIMULATION

Question 22

TACI where and criteria

Answer 22

middle and cerebral arteries
unilateral hemiparesis +/or hemisensory loss of face, arm and leg
HH
high cogn dysf

Question 23

PACI

Answer 23

small arteries of anterior circulation

2 of TACI OR isolated cogn dysf OR pure motor/sensory symptoms

Question 24

posterior circulation infarct

Answer 24

vertibrobascilar arteries

1 of: cerebellar/brainstem syndrome, LOC, isolated HH

Question 25

lacunar infarcts

Answer 25

perforating arteries around internal capsule, thalamus, BG
1 of:
unilateral sensory (and/or sensory deficit) of face and arm, arm and leg or all 3
pure sensory stroke
ataxic hemiparesis

Question 26

lateral medullary syndrome (wellenbergs)

Answer 26

post inf cerebellar artery

ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, CN palsy
contrlateral: sensory limb

Question 27

webers syndrome

Answer 27

brainstem

ipsilateral CN3 palsy and contralateral weakness

Question 28

cereberal perfusion pressure is

aim in head injury should be

Answer 28

MAP + ICP

>60 (MAP 80 and ICP 20)

Question 29

normal ICP

Answer 29

9-11

Question 30

skull vault fracture

Answer 30

linear, depressed, compound

Question 31

ant cranial fossa

Answer 31

raccoon eyes

Question 32

middle cranial fosssa

Answer 32

battle sign over mastoid

Question 33

when should CT be done immediately

Answer 33

GCS <13 initially <15 at 2h post injury 
suspected open/depressed skull fracture
basal fracture signs 
post trauma seizure 
focal near signs 
>1 ep of vom

Question 34

CT within 8h if amnesia/LOC and:

Answer 34

65 or over, history of bleeding/clotting disorders, dangerous mechanism of injury, >30min of retrograde amnesia, on warfarin

Question 35

complications
epilepsy
CSF leak
cognitive

Answer 35

early 2w
into nose/middle ear
post concussion synd in 30% of px