neuro

Question 1

pyrexic 35 year old with tonic clonic fits in last 48 hours

Answer 1

viral encephalitis

Question 2

30 year old offshore worker who with presents with headache with sudden onset

Answer 2

sub arachnoid haem

Question 3

what is akathisia

Answer 3

restlessness

side effect of anti-psychotics

Question 4

causes of jaw tremor?

Answer 4

essential tremor

Parkinsons

Question 5

lack what neurtransmitter in myasthenia gravis

Answer 5

acetylcholine

Question 6

headache with tingling arms

Answer 6

migraine with aura

Question 7

head lagging and dysphonia

what is this and what would you test

Answer 7

myasthenia gravis

test for anti-acetylcholine antibodies

Question 8

best invetsigation for prolapsed disc

Answer 8

MRI

Question 9

patient with subarachnoid, has a clear CT, what invetsigation?

Answer 9

LP

Question 10

sudden headache and felt dizzy before, never had this before

Answer 10

vetsibular migraine

Question 11

alcoholic person is confused and drowsy

liekly head injury?

Answer 11

sub dural haem

Question 12

boxer is unconscious and confused

likely head injury

Answer 12

extra dural haem due to middle meningeal artery rupture

Question 13

headache after sex

Answer 13

benign coital cephalgia

Question 14

diffuse axonal injury in a patient who was in a coma after a motorcyle crash

Answer 14

Ca++ influx and excititoxicity

Question 15

back pain after lifting somehting heavy,

felt it go

Answer 15

slipped disc

Question 16

parkinsons disease, just started on new meds and is falling

Answer 16

postural hypotension

Question 17

pain on eating and shaving etc

Answer 17

trigeminal neuralgia

Question 18

cluster headache

Answer 18

mirganous neuralgia

Question 19

hit on head, lucid interval then deterioration

Answer 19

extradural haemorrhage

Question 20

which sensory pathway is first to go in diebatic neuropathy

Answer 20

dorsal calumn

Question 21

CSF shows gram postive cocci in somebody who had a splenectomy

Answer 21

pneumoccal meningitis

Question 22

swimming in lake in malawi, haematuria

Answer 22

schistosomiasis

Question 23

most common renal stone

Answer 23

calcium oxalate

Question 24

stone associated with staghorn calculi

Answer 24

struvite