neuro revision

Question 1

2 types of stroke and their management

Answer 1

URGENT CT HEAD SCAN - to differentiate between type of stroke

ischaemic - give loading dose of aspirin and thrombolysis within 4.5 hrs

haemorrhagic - neurosurgical referral

Question 2

stroke vs bell’s palsy

Answer 2

in a stroke, the forehead is spared
bell’s = drooping of face, forehead is involved, sudden (hrs to one day or two), may have facial pain

Question 3

first line for MG and symptoms

Answer 3

1. cholinesterase inhibitors eg pyridostigmine, to attach to ACh receptors

muscle weakness, bulbar, drooping

Question 4

most common cause and management for encepahlitis?

Answer 4

viral causes
HSV,VZV

IV ACICLOVIR

Question 5

MS and its types

Answer 5

multiple sclerosis
relapsing remitting = most common

steroids - prednisolone