Neurology

Question 1

Lymecycline

Answer 1

Tetracyclines increase the risk of idiopathic intracranial hypertension

Question 2

Brain abscess

Answer 2

• headache
• fever
• focal neurology
• ring-enhancing lesion on CT

Question 3

Wernicke’s dysphasia

Answer 3

Speech is fluent but words often incorrect with abnormal comprehension and impaired repetition

Question 4

Idiopathic intracranial hypertension

Answer 4

If stable and no cause found then manage with weight loss

Question 5

Temporal lobe epilepsy

Answer 5

Associated with automatizations such as plucking at clothes

Question 6

Cluster headaches

Answer 6

Commonly triggered by alcohol

Question 7

Cavernous sinus syndrome

Answer 7

Commonly caused by cavernous sinus tumour and causes pain, ophthalmoplegia, proptosis and Horner’s syndrome

Question 8

Essential tremor

Answer 8

Intention tremor so worse on movement such as holding arms out

Question 9

Clopidogrel

Answer 9

Preferred antiplatelet for secondary prevention post stroke

Question 10

Ataxic gait

Answer 10

Wide base with a loss of heel to toe walking

Question 11

Baclofen

Answer 11

First line for spasticity in multiple sclerosis or you can use gabapentin

Question 12

TIA

Answer 12

If a patient is on warfarin or DOAC or has a bleeding disorder TIA needs urgent CT head

Question 13

Parkinson’s disease

Answer 13

Can lead to postural hypotension due to autonomic failure

Question 14

Broca’s dysphagia

Answer 14

Speech is not fluent, comprehension is normal but repetition is impaired

Question 15

Stroke

Answer 15

Within 4.5hrs of onset offer thrombolysis and thrombectomy

Question 16

Post stroke

Answer 16

Aspirin 300mg daily for fourteen days

Question 17

Stevens-Johnson syndrome

Answer 17

Adverse effect of lamotrigine that develops months later, had URTI like prodrome and painful red skin rashes

Question 18

Vitamin B1

Answer 18

Thiamine