Neuro Buzzwords

Question 1

thunderclap headache

Answer 1

subarachnoid haemorrhage

Question 2

xanthochromic lumbar puncture

Answer 2

subarachnoid haemorrhage

Question 3

lucid period after head trauma followed by sudden collapse or deterioration

Answer 3

extradural

Question 4

cogwheel rigidity

Answer 4

parkinsons

Question 5

woody texture muscle swelling

Answer 5

DMD or Becker MD

Question 6

raised CK

Answer 6

muscular dystrophy

Question 7

toe walker or positive gower’s sign

Answer 7

muscular dystrophy

Question 8

mask like expression

Answer 8

parkinsons

Question 9

fluctuating cognitive defect

Answer 9

LBD or delirium

Question 10

REM disturbance

Answer 10

LBD or parkinsons

Question 11

vivid visual hallucinations, usually of children and not threatening

Answer 11

LBD

Question 12

acute onset cognitive disturbance that fluctuates

Answer 12

delirium

Question 13

personality/behaviour changes and then dementia

Answer 13

frontotemporal dementia (Picks disease)

Question 14

memory of personality problems in someone with history of cardiovascular disease

Answer 14

vascular dementia

Question 15

stepwise deterioration

Answer 15

vascular dementia

Question 16

pain on loud noise

Answer 16

facial nerve palsy

Question 17

painful third nerve palsy

Answer 17

posterior communicating artery aneurysm

Question 18

myalgia and myositis and myoglobulinaemia/uria

Answer 18

rhabdomyolysis - DIC and acute renal failur

Question 19

inflammatory myopathy with poor response to steroid

Answer 19

inclusion body myositis

Question 20

weakness and frontal balding and cataracts and ptosis

Answer 20

myotonic dystrophy

onset 30s, +ve FxH

Question 21

leg symptoms + midline shift

Answer 21

falcine herniation

Question 22

back pain worse on coughing

Answer 22

slipped disc

Question 23

headache worse on coughing

Answer 23

posterior fossa issue

Question 24

bilateral sciatic, male sexual dysfunction, bowel/bladder symptoms

Answer 24

cauda equina

Question 25

pleocytosis on CSF

Answer 25

rule out bacterial meningitis

Question 26

migraine prophylaxis 1st line

Answer 26

propanolol topiramate amitriptylline

Question 27

migraine prophylaxis 2nd line

Answer 27

valproate pizotifen gabapentin pregabalin

Question 28

injury to upper brachial plexus

Answer 28

Erbs palsy - waiters tip | more common, associated with shoulder dystocia

Question 29

injury to lower brachial plexus

Answer 29

Klumpke's palsy - claw hand | horners syndrome, pulling injury, asleep on bar stool

Question 30

+ve simmonds test

Answer 30

Achilles tendon rupture

Question 31

anti-AChR antibody

Answer 31

myasthenia gravis

Question 32

purely motor symptoms with ocular sparing

Answer 32

MND

Question 33

cervical myelopathy

Answer 33

high stepping gait | romberg's positive

Question 34

racoon or panda eyes

Answer 34

fracture of anterior cranial fossa

Question 35

battle sign behind ears

Answer 35

fracture of middle cranial fossa, mastoid process of temporal bone

Question 36

diarrhoea and progressive ascending weakness

Answer 36

Guillain Barre