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Neuro Flashcards

1
Q

Difference between spacticity and rigidity?

A

spacticity is velocity dependent

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2
Q

Precentral gyrus

A

motor

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3
Q

Post central gyrus

A

sensory

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4
Q

Broca’s is lesion where, and what happens?

A 
frontal lobe
broken speech (expressive issue)
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5
Q

Wernicke’s is lesion where, and what happens?

A

temporal lobe

receptive issue,

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6
Q

Problems if parietal lobe lesion?

A

sensory

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7
Q

Oncology patient with spinal compression

A

give dexamethoson

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8
Q

Cape like sensory loss?

A

central cord syndrome

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9
Q

Hot cross buns on MRI

A

multi system atrophy

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10
Q

Hummingbird sign MRI

A

progressive supranuclear palsy

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11
Q

Corticobasilar?

A

alien limb

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12
Q

Wilson’s disease treatment

A

penicillamine

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13
Q

Give what with levodopa?

A

carbodopa

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14
Q

What anti-emetic in PD?

A

NOT metoclopramide

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15
Q

Huntingon’s is what chromosome?

A

4

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16
Q

What is reduced in Huntington’s

A

GABA

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17
Q

Antibodies in MG?

A

anti musc and anti-ACh

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18
Q

Which is post synaptic, MG or lambert eaton?

A

MG

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19
Q

What does Lambert eaton affected first?

A

LEGS

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20
Q

What column is affected first in diabetic neuropathy?

A

dorsal

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21
Q

Ascending paralysis?

A

Guillian barre

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22
Q

What contraceptives are safe in epilepsy?

A

IUS, IUS and depo

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23
Q

Raised protein in which meningitis?

A

bacterial and TB

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24
Q

hemocrania responds to?

A

indomethacin

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25
Q

Who gets cluster headaches?

A

male smokers

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26
Q

Pulsating headache?

A

migraine

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27
Q

Acute migraine treatment?

A

triptan stat

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28
Q

What is used to treat short unilateral neuralgiform injection and tearing of eye?

A

lamotrigine

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29
Q

Commonest brain tumour?

A

glioblastoma

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30
Q

Prognosis of glioblastoma?

31
Q

What artery affected in upper limb stroke?

A

middle cerebral

32
Q

POCS?

A

eye problems

33
Q

Dural tail?

A

meningioma

34
Q

Chicken wire?

A

oligodendroglioma

35
Q

What vessels affected in subdural?

A

bridging veins

36
Q

What vessel affected in extradural?

A

middle meningeal

37
Q

What fracture can lead to extradural

38
Q

How long do you wait to LP in SAH?

39
Q

What can you give in SAH?

A

hypertonic saline and nifedipine

40
Q

What are burrholes used for?

41
Q

stormy appearance?

42
Q

Which haemorrhage crosses midline?

43
Q

Normal intracranial pressure?

44
Q

How do you calculate cerebral perfusion pressure?

45
Q

Decorticate posturing?

46
Q

Decerbirate posturing?

47
Q

Spacticity in MS can give what?

48
Q

Recent travel, add what to meningitis treatment?

A

Vancomycin

49
Q

Are ash leaf spots pigmented or depigmented?

A

depigmented

50
Q

Pregnancy risk of Bells palsy?

51
Q

Most common complication of meningitis?

A

sensorineural HL

52
Q

Pontine haemorrhage may be secondary to what?

A

uncontrolled BP

53
Q

Prophylaxis for cluster headache?

54
Q

restless legs?

A

ropinirole

55
Q

Treament of demyelinating polyneuropathy?

56
Q

Best treatment for motor neurone disease?

57
Q

What artery affected in occipital infarct?

A

posterior cerebral

58
Q

ataxia, nystagmus, facial palsy/numbness, dyphagia?

A

Lateral medullary syndrome

59
Q

Wernicke’s features?

A

CANOPEN

Confuction, Ataxia, Nystagmus, Opthalmoplegia, Peripheral Neuropathy

60
Q

What motor neurone disease has worst prognosis?

A

progressive bulbar palsy

61
Q

What may provoke absence seizure?

A

hyperventilation

62
Q

Axillary freckles?

63
Q

Weber’s syndrome?

A

3rd nerve palsy

64
Q

Craniopharyngioma?

A

lower quadrant defect

65
Q

Pituitary?

A

upper quadrant defect

66
Q

Intolerant of clopidigrel, give what?

A

aspirin and dipyrd.

67
Q

How does odansetron work??

A

5HT3 antagonist

68
Q

What should be give in young women for migraine prophylaxis?

A

propranolol

69
Q

What supplies index finger?

A

median nerve

70
Q

What must be checked in SAH?

A

U+Es for hyponatraemia

71
Q

Signs of coning?

A

hypertension and bradycardia

72
Q

Transtentorial herniation in an extradural haemorrhage causes what?

A

3rd nerve palsy

73
Q

On warfarin and head injury?

A

CT in 8 hrs

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