Neuro buzzwords Flashcards

1
Q

Thunderclap headache

A

Subarachnoid haemorrhage

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2
Q

Xanhochromic LP

A

Subarachnoid haemorrhage

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3
Q

Fresh blood in CSF

A

Traumatic tap

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4
Q

Lucid period after head trauma followed by collapse

A

Extradural haemorrhage

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5
Q

Cogwheel rigidity

A

PD

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6
Q

“Woody texture” muscle swelling

A

Duchenne or Becker MD

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7
Q

Raised CK

A

Muscular dystrophy

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8
Q

oe walker or positive Gowers sign

A

Muscular dystrophy

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9
Q

“Mask-like” expression

A

Parkinson’s

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10
Q

“Fluctuating” cognitive deficit

A

LB Dementia or Delirium

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11
Q

REM disturbance (later in night)

A

LB dementia or Parkinson’s

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12
Q

Vivid visual hallucinations normally of children and not threatening

A

Lewy Body Dementia

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13
Q

“Acute onset” cognitive disturbance that fluctuates

A

Delirium

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14
Q

Personality/behaviour changes then dementia

A

Frontotemporal dementia (Pick’s disease)

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15
Q

Stepwise deterioration

A

Vascular dementia

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16
Q

Pain on loud noise

A

Facial nerve palsy

17
Q

Painful third nerve palsy

A

Posterior communicating artery anuerysm

18
Q

Myalgia + myositis +microglobuniaemia/uria

A

Rhabdomyolysis

19
Q

Inflammatory myopathy with poor response to steroids

A

Inclusion body myositis

20
Q

Weakness + frontal balding + cataracts + ptosis

A

Myotonic dystrophy (onset 30’s with family history)

21
Q

Leg symptoms + mdline shift

A

Falcine erniation

22
Q

Back pain worse on coughing

A

Slipped disc

23
Q

Headache worse on coughing

A

Posterior fosa issue

24
Q

BL sciaticia + male sexual dysfunction +/- bowel and bladder symptoms

A

Cauda equina

25
Q

Pleocytosis on CSF

A

Rule out bacterial meningitis

26
Q

1st line migraine prophylaxis

A

Propranolol, topiramate or amitryptiline

27
Q

2nd line migraine prophylaxi

A

Valpoate

Pizotifen

28
Q

How long do you try gabapentin/pregabalin for before trying the other if it doesn’t work?

A

4 months

29
Q

What palsy does an injury to the uper brachial plexus cause?

A

Erb’s palsy (waiters tip)

30
Q

What tends to cause Erb’s palsy?

A

Shoulder dystocia

31
Q

What palsy is caused by an injury to the lower brachial plexus?

A

Klumpke’s palsy (claw hand)

32
Q

What ca cause Klumpke’s palsy?

A

Pulling injury

Sleep on bar stool

33
Q

What does apositive Simmond’s test indicate?

A

Achilles endonrupture

34
Q

WHat are anti-ACh antibodies present in?

A

Myaesthenia gravis

35
Q

Pure motor symptoms (UMN and LMN) with ocular sparing

A

MND

36
Q

How does cervical myelopathy present in the clinic?

A

High stepping gait

Romberg;s positive

37
Q

“Raccoon” or “Panda” eyes

A

Fracture of anterior cranial fossa

38
Q

“Battle sign” behind ears

A

Frcture of middle cranial fossa - mastoid process of the temporal bone

39
Q

Diarrhoea + progressive ascending weakness

A

Guillain-Barre