Neuro and eyes

Question 1

Menstrual migraine prophylaxis medication

Answer 1

Zoltriptan or frovatriptan
(unlicensed taken around time of menstruation)

Question 2

Dementia screen bloods

Answer 2

FBC, u&e, LFT, TFT, calcium, glucose, folate, b12

Question 3

steroid dose in children

Answer 3

The recommended dosage of prednisone for asthma exacerbation is 10 mg of prednisolone for children under two years of age, a dose of 20 mg for children aged 2–5 years and a dose of 30–40 mg for children older than five years.

Question 4

psedomonus sputum treatment

Answer 4

cipro 7-14 days

Question 5

Acute severe asthma episode is

Answer 5

Peak expiratory flow (PEF) 33–50% best or predicted

respiratory rate ≥ 25 breaths per minute

heart rate ≥ 110 beats per minute

inability to complete sentences in one breath

Question 6

A 60 year-old retired man who has a sudden onset of slurring of speech and unilateral weakness. He has a complete recovery within 24 hours, and there are no neurological abnormalities at this time. He has not had any similar episodes in the past. DVLA guidance TIA

Answer 6

Cannot drive until four weeks after the event, no need to contact the DVLA. This patient has had a Transient Ischaemic Attack (TIA). Patients with TIA should not drive for four weeks. The DVLA only need be informed if there are neurological abnormalities present four weeks after the episode.

Question 7

Werneckes triad

Answer 7

Ataxia, confusion and ophthalmoplegia

Question 8

Korsacoff psychosis

Answer 8

Amnesia, confabulation and disorientation of time

Question 9

Delirium tremens

Answer 9

Present uptp 7 days of alcohol withdrawal
Autonomic dysfunction- sweating, htn and tachycardia with confusion

Question 10

Motor neurone disease good presdictive factor

Answer 10

Onset at young age

Question 11

Horners syndrome

Answer 11

Ptosis, mitosis (constricted pupils), anhidrosis

Question 12

herpes zoster ophthalmicus tx

Answer 12

Oral acovlovir

Question 13

acute angle closure glaucoma risk factors

Answer 13

hypermetropia (long-sightedness)
pupillary dilatation
lens growth associated with age
medications - amitriptyline

Question 14

Holmes-Adie pupil

Answer 14

dilated pupils
slowly reactive to accommodation
associated with absent knee and ankle reflexes

Question 15

Stye - infection of the glands on eye lids tx

Answer 15

warm compress for 5-10mins 3-4 times a day

Question 16

Acute angle closure management if delay in hospital admission

Answer 16

Lie facing front without pillow
Pilocarpine 2% in blue eyes, 4% in green eyes
acetazolamide 500 mg

Question 17

prostaglandin analogues e.g lantoprost side effects

Answer 17

Brown pigmentation around eyes

Question 18

Pilocarpine side effects

Answer 18

Small pupils, headaches and blurred vision