Neuro

Question 1

Bells palsy

Answer 1

Pred if in 72 hours surgery if not

Question 2

Myasthenia gravis

Answer 2

Pyridostigme
Pred if no response
Azothioprine if no response

Plasmapheresis

Question 3

MS

Answer 3

Methylpred
Inteferon 1a (t cell)
Natalizumab alemtuzumab (lymphocytes)

Question 4

Trigeminal neuralgia

Answer 4

Carbamazepine

Question 5

Motor neurone disease

Answer 5

Antiglutamatergic drug - riluzole

Amitryptiline for drooling

Question 6

Gullian barre

Answer 6

Iv ig
Plasma exchange
Lmwh

Question 7

Sub arach

Answer 7

Nimodipine

Endovascular coiling

Question 8

Raise icp

Answer 8

Mannitol

Question 9

Epilepsy

Answer 9

Emergency - lorazepam the iv phenytoin jf seizures persist

Tonic clonic - sodium valporate, lamotrigine, carbamazepine (all na blocker)
Absence - sodium valporate lamotrigine, ethosuxmide ( t type ca blocker)
Focal - sodium valporate, lamotrigine, carbamazepine

Question 10

Parkinson’s

Answer 10

L-dopa and carbidopa

Delay use -ropinirole (dopamine agonist) monoamine oxidase B inhibitor (selegiline), COMT inhibitor (tolcapone)

Question 11

Stroke

Answer 11

Fluid and o2
Ischaemic - within 4.5 hours give alteplase and clopidogrel
If after 4.5 hours - give aspirin and lifelong clopidogrel

If haemorrhage - vit k and beriplex

Question 12

Menigitis

Answer 12

Cefotaxime and amoxicillin if listeria

Iv benzylpenicillin and admit

Contact prophylaxis - ciprofloxacin and rifampicin

Question 13

Viral encephalitis

Answer 13

Acyclovir

Question 14

Huntingtons disease

Answer 14

Benzos
Sulpiride (neuroleptic)
Seroxate
Haloperidol
Tetrabenazine

Question 15

Dementia

Answer 15

Acetylcholinesterase (rivastagmine)

Question 16

Headache

Answer 16

Migraine - nsaids gabapentin propanolol
Cluster - o2 triptins
TGN - decompression, gabapentin