Neurology Flashcards

1
Q

Thunderclap headache?

A

Subarachnoid harmorrhage

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2
Q

Xanthochromic lumbar puncture?

A

Subarachnoid haemorrage

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3
Q

Lucid period after head trauma (often followed by sudden collapse or deterioration)?

A

Extradural haemorrhage

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4
Q

Cogwheel rigidity?

A

Parkinon’s (spasticity over rigidity)

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5
Q

Woody texture muscle swelling?

A

Duchenne or Becker MD

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6
Q

Raised CK?

A

Muscular dystrophy

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7
Q

Toe walker or positive gowers sign?

A

Muscular dystrophy

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8
Q

Mask-like expression?

A

Parkinson’s

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9
Q

Fluctuating cognitive deficit?

A

Lewi body dementia or parkinson disease

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10
Q

REM disturbance?

A

Lewi body dementia or parkinson disease

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11
Q

Vivid visual hallucinations normally of children and not threatening?

A

Lewi body dementia

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12
Q

“Acute onset” cognitive disturbance that fluctuates?

A

Delirium

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13
Q

Personality/ behaviour changes and then dementia?

A

Frontotemporal dementia (Pick’s disease)

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14
Q

Memory and personality problems in someone with a history of CV disease?

A

Vascular dementia

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15
Q

Pain on loud noise?

A

Facial nerve palsy

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16
Q

Painful third nerve palsy?

A

Aneurysm

17
Q

Myalgia and myositis and myoglobulinaemia/uria?

A

Rhabdomyolysis

18
Q

Inflammatory myopathy with poor response to steroids?

A

Inclusion body myositis

19
Q

Weakness + frontal balding + cataracts + ptosis?

A

Myotonic dystrophy

20
Q

Leg symptoms + midline shift?

A

Falcine herniation

21
Q

Back pain worse on coughing?

A

Slipped disk

22
Q

Headache worse on coughing?

A

Posterior fossa issue

23
Q

Sciatica + male sexual dysfunction?

A

Cauda equina syndrome

24
Q

Pleocytosis on CSF?

A

Rules out bacterial menignitis

25
Q

Migraine prophylaxis 1st line? (3)

A

Propranolol, topirmate or amitryptyline

26
Q

Migraine prophylaxis 2nd line? (4)

A

Valproate, pizotifen, gabapentin, pregabalin

27
Q

Injury to upper brachial plexus?

A

Erb’s palsy (waiters tip)

28
Q

Injury to lower brachial plexus?

A

Klumpke’s palsy (claw hand)

29
Q

Positive simmond’s test?

A

Achilles tendon rupture

30
Q

Purely motor symptoms (UMN and LMN) with ocular sparing?

A

Motor neurone disease