Neuro Flashcards

1
Q

Thunderclap headache diagnosis

A

Subarachnoid haemorrhage

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2
Q

Xanthochromatic CSF from LUmbar PUncture

A

Subarachnoid Haemorrhage

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3
Q

Lucid period after head trauma, then sudden collapse

A

Extradural haemorrhage

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4
Q

Cogwheel rigidity

A

Parkinson’s

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5
Q

Raised CK

A

Muscular Dystrophy

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6
Q

Toe walker, positive Gower’s sign

A

Duchenne Muscular Dystrophy

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7
Q

Mask like facies

A

Parkinson’s

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8
Q

Fluctuating cognitive deficit (2)

A

Lewy Body Dementia,

Delirium

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9
Q

REM disturbance (2)

A

Lewy Body dementia,

Parkinson’s

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10
Q

Vivid non threatening hallucinations (eg children or animals)

A

Lewy Body Dementia

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11
Q

Acute onset fluctuating cognitive disturbance

A

Delirium

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12
Q

Memory and personality problems, history of CVD

A

Vascular Dementia

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13
Q

Stepwise progression of symptoms

A

Vascular Dementia (progressive mini strokes)

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14
Q

Pain on loud noise

A

Facial Nerve Palsy

Bell’ palsy, stapedius muscle paralysed

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15
Q

Painful third nerve palsy

A

Aneurysm

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16
Q

Myalgia
Myositis
Myoglobulinaemia
Myoglobulinuria

A

Rhabdomyolysis

17
Q

Weakness
Frontal balding
Cataracts
Ptosis

A

Myotonic Dystrophy (+ve FHx, 30s)

18
Q

Leg symptom

Midline shift of brain material

A

Falcine herniation

19
Q

Back pain worse on coughing

A

Slipped disc

20
Q

Headache worse on coughing

A

Posterior fossa issue

21
Q

Bilateral sciatica

Male sexual dysfunction

A

Cauda equina syndrome

22
Q

First line pharmacological migraine prophylaxis options (3)

A

Propanolol
Topiramate
Amitriptyline

23
Q

Second line pharmacological migraine prophylaxis options (4)

A

Sodium valproate
Gapapentin
Pregabalin
Pizotifen

24
Q

When to move onto second line pharmacological migraine prophylaxis?

A

3 months

25
Q

Injury upper to brachial plexus

presentation

A

Erb’s palsy (waiters tip)

26
Q

Injury to lower brachial plexus presentation

A

Klumpke’s palsy (claw hand)

27
Q

Positive Simmond’s test is diagnostic of what

A

Achilles tendon rupture