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My panic deck > Neuro > Flashcards

Neuro Flashcards

1
Q

Cushings triad

A

Mannitol

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2
Q

Abcess

A

Ceftriaxone + Metronidazole

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3
Q

Delayed ischaemic neurological deficit

A

Triple H therapy i.e.
Nimodipine
Increased fluid intake

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4
Q

Trigeminal neuralgia

A

Carbamazepine

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5
Q

Migraine - acute

A

Lie still dark room

oral triptan and/or NSAID + anti-emetic

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6
Q

Tension type headache - refractory

A

Amitriptyline

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7
Q

Cluster-acute

A

High flow O2 + SC sumitriptan

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8
Q

Cluster- prophylaxis

A

Verapamil

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9
Q

Paroxysmal hemicrania

A

Indomethacin

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10
Q

SUNCT

A

Lamotrigene

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11
Q

IIH

A

Wt loss

Acetazolamide

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12
Q

GBS

A

IV immunoglobulins

Plasma exchange

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13
Q

McArdles disease

A

Stop exercise in presence of pain

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14
Q

Myasthenia gravis

A

Pyridostigmine
Corticosteroids (prednisolone)
Thymectomy

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15
Q

Myasthenia crisis

A

Plasmapheresis

IV immunoglobulins

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16
Q

Lambert- Eaton Myasthenia syndrome

A

3,4- diaminopyridine (Amifampridine)
Immunosupression?
IV immunoglobulins?

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17
Q

Stroke (not haemorrhagic)

A

Antiplatelets e.g. clopidogrel

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18
Q

Stroke -Cardioembolic

A

Anticoagulants e.g. warfarin

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19
Q

Severely stenosed carotid artery

A

Carotid endarterectomy

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20
Q

Stroke-acute

A

Thrombolysis with altepase

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21
Q

Lumbar disc herniation

A

Conservative (physio, analgesia)

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22
Q

Cauda equina syndrome

A

Immediate spinal MRI

Emergency decompression

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23
Q

Lumbar spine stenosis

A

Conservative treatment first

Decompression surgery electively

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24
Q

Failed back syndrome

A 
Anti-inflammatory
Physio
Behavioural therapy
TENS
Antidepressants
Spinal cord stimulation
Intrathecal pump
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25
Q

Neonatal meningitis - group B strep

A

Intrapartum antibiotics for the mother
Benzylpenicillin
Gentamicin

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26
Q

Neonatal meningitis- E coli

A

Cefotaxime

Gentamicin

27
Q

Neonatal meningitis- Listeria monocytognes

A

Amoxicillin and gentamicin

28
Q

General bacterial meningitis

A

Secure airway and high flow O2
IV ceftriaxone + Dexamethasone
Listeria? + amoxicillin
Travel? + Vancomycin

29
Q

Bacterial meningitis- close contact prophylaxis

A 
Ciprofloxacin (single dose)
OR Rifampicin (4 doses)
30
Q

Viral meningitis

A

Self-limiting

Severe –> IV acyclovir

31
Q

Encephalitis

A

Acyclovir

32
Q

Hydrocephalus

A

VP shunt

33
Q

Syringomyelia

A

Posterior fossa decompression shunt

34
Q

TIA or Ischaemic stroke

A

CT scan
2wk aspirin
Then 2wk clopidogrel/warfarin

35
Q

Post stroke

A

LMWH

36
Q

Haemorrhagic stroke

A

STOP anti platelet/anticoagulant

MRI 6-8wks post (if young)

37
Q

Tonic-clonic

A

Sodium valproate (or Lamotrigine)

38
Q

Absence

A

Sodium Valporate

or Ethosuximide

39
Q

Myoclonic

A

Sodium Valporate

40
Q

Focal

A

Carbamazepine

Lamotrigine

41
Q

Unclassified fit

A

Sodium Valporate

42
Q

Status epilepticus- community

A

Midazolam (rectal/buccal)

43
Q

Status epilepticus-hospital

A

IV lorazepam or phenobarbital/phenytoin

44
Q

Non-epileptic seizures

A

Comorbid anxiety/depression

CBT

45
Q

Wilsons disease

A

Penicillamine

46
Q

Multiple sclerosis-relapse for mild,mod,severe

A

Mild- symtom
Moderate-Prednisolone
Severe-IV methylprednisolone

47
Q

Multiple Sclerosis-Disease modifying

A

Tecfidera - RR

Ocrelizumab- Primary progressive

48
Q

Multiple sclerosis- spasticity

A

Physio
Occupational therapy
oral baclofen/gabapentin
bot toxin

49
Q

Multiple sclerosis- sensory

A 
Anticonvulsant
Antidepressant
TENS machine
Acupuncture
Lignocaine
50
Q

Multiple sclerosis- fatigue

A

Amantidine

+/- modefinil

51
Q

Multiple sclerosis- bladder

A

Physio
Catheterisation
Anticholinergic drugs
Desmopressin

52
Q

Motor neurone disease

A

Riluzole

53
Q

Lewy body dementia

A

Cholinesterase inhibitor

54
Q

Parkinsons

A

Levodopa

55
Q

Essential tremor

A

AlcohLOL

56
Q

Dystonia

A

Levodopa

57
Q

Huntingtons

A

Tetrabenazine

58
Q

Sydenham’s chorea

A

self-limiting

59
Q

Tourettes

A

Risperidone

Clonidine if pre-exisitng ADHD

60
Q

Restless leg syndrome

A

PRAMIPEXOLE

61
Q

Complex regional pain syndrome

A

Physiotherapy

Amitriptyline

62
Q

Migraine -prophylaxis

A

gabapentin

63
Q

Painful diabetic neuropathy

A

Pregabalin

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