neuro tx

Question 1

tx for trigeminal neuralgia

Answer 1

1st line= carbamazepine

2. Gabapentin, Baclofen, lamotrigine, phenytoin
3. surgiclal decompression

Question 2

Tx for post LP headache

Answer 2

hydration, NSAIDs

caffeine

epidural blood patch

Question 3

What ocular symptoms are seen with PCP

Answer 3

rotary nystagmus

Question 4

What are 3 complications of PCP

Answer 4

rhabdomyolysis, seizures, and hypoglycemia.

Question 5

Tx for PCP

Answer 5

benzos

cooling

IVF

charcoal

Question 6

Tx for status epilepticus

Answer 6

• 1st line:
  
  • Benzo
    
    • Lorazepam, diazepam, midazolam
• 2nd line:
  
  • phenytoin
  • valproic acid
  • phenobarbital
  • levitiracetam
• 3rd line
  
  • pentobarbital
  • propofol

Question 7

tx for dementia

Answer 7

cholinesterase inhibitors (donepezil)

NMDA antagonists (memantine)

Question 8

tx for aseptic meningitis

Answer 8

Aseptic: symptomatic or IV acyclovir for HSV

Question 9

tx for bacterial meningitis

Answer 9

Bacterial: dexamethasone + empiric IV antibiotics (cephalosporin, Vanco, penicillins)

Question 10

Tx for household contacts of someone with meningitis

Answer 10

rifampin, Cipro, Levaquin, azithromycin, ceftriaxone