Neuro

Question 1

MS treatment for fatigue

Answer 1

Amantadine

Question 2

MS treatment for bladder dysfunction

Answer 2

Significant volume of urine left in bladder - intermittent self catheterisation

No significant volume left in bladder - anticholinergics

Question 3

MS treatment for spasticity

Answer 3

Gabapentin/baclofen

Question 4

MS treatment for oscillopsia

Answer 4

Gabapentin

Question 5

Cluster headache acute treatment

Answer 5

Oxygen (+/- subcutaneous triptan)

Question 6

Migraine acute treatment

Answer 6

Oral triptan and NSAID/paracetamol combination

Question 7

Problems with propanolol in women

Answer 7

Interferes with pill and risk of cleft palate/lip

Question 8

Treatment for menstrual headache

Answer 8

Mefanamic acid + caffeine + paracetamol

Question 9

Treatment for migraine during pregnancy

Answer 9

Paracetamol 1g first line

then aspirin or ibuprofen

Question 10

What makes essential tremor better

Answer 10

Alcohol and propanolol

Question 11

Normal CSF glucose

Answer 11

50-80mg/dl

Question 12

Normal CSF protein

Answer 12

15-40mg/dl

Question 13

Normal CSF white cell count

Answer 13

0-3 cells/mm^3

Question 14

Signs of multiple system atrophy and how to distinguish it from parkinsons?

Answer 14

• Parkinsonism
• Autonomic dysfunction (e.g. impotence, atonic bladder, postural hypotension)
• CEREBELLAR SIGNS

Will have POOR response to levodopa

Question 15

Signs of progressive supranuclear palsy

Answer 15

Starts with patients having impaired balance and therefore being prone to many falls
They will also have a vertical gaze palsy
Onset is symmetrical

POOR RESPONSE TO LEVODOPA

Question 16

Treatment for focal/partial seziures

Answer 16

Carbamazepine

Question 17

Lambert eaton is strongly associated with what

Answer 17

Small cell lung cancer

Question 18

Why do you need to be careful in dermatomyositis?

Answer 18

Up to 50% have underlying malignancy