Neurology

Question 1

Thrombectomy time window for stroke

Answer 1

6 hours

Can be extended to 24 if salvageable tissue identified on imaging

Question 2

Hoffmans sign positive

Answer 2

Degenerative cervical myopathy

Question 3

Biceps nerve root

Answer 3

C5-c6

Question 4

Ash leaf spots and roughened skin over lumbar spine

May also present with adenoma sebaceum

Answer 4

Shagreen patches

Tuberous sclerosis

Question 5

GCS

Answer 5

654… MoVE

Question 6

What artery is affected in ameurosis fugax

Answer 6

Ophthalmic /retinal

Question 7

Trigeminal neuralgia tx

Answer 7

Carbamazepine

Question 8

DVLA rules for TIA/stroke

Answer 8

1 month off

Question 9

3rd nerve palsy presentation

Answer 9

ptosis
‘down and out’ eye
dilated, fixed pupil

Question 10

Features and cause of Wernicke’s Encephalopathy

Answer 10

B1 (thiamine deficiency)

Ataxia, nystagmus, confusion, ophthalmoplegia

Question 11

Which anti emetic in Parkinson’s

Answer 11

Domperidone

Question 12

First line for spasticity in MS

Answer 12

Baclofen

Gabapentin

Question 13

Migraine acute vs prophylactic tx

Answer 13

acute: triptan + NSAID or triptan + paracetamol
prophylaxis: topiramate or propranolol

Question 14

Drug management of Parkinson’s

Answer 14

Motor sx: levodopa

Motor sx not affecting QOL: dopamine agonist, levodopa or MAO-B inhibitors

Question 15

Palsy results in horizontal abduction defect

Answer 15

6th nerve palsy

Question 16

Nerve root supply umbilicus

Answer 16

T10 - belly butTEN

Question 17

Nipple nerve root supply

Answer 17

T4 at the teat pore

Question 18

Nerve root supply of fingers

Answer 18

C6 - thumb and index (touching they form a 6)
C7 - middle and palm
C8 - ring and pinky

Question 19

Contraindication to Triptan use

Answer 19

Ischaemic heart disease

Question 20

Lesions causing homonymous quadrantiopias

Answer 20

PITS: (Parietal-Inferior, Temporal-Superior)
incongruous defects = optic tract lesion
congruous defects= optic radiation lesion or occipital cortex
5

Question 21

1st line treatment for newly diagnosed FOCAL seizures

Answer 21

Carbamazepine

Question 22

1st line treatment for ABSENCE seizures

Answer 22

Ethosuxemide or sodium valproate

Question 23

Which area of brain affected in lacunar strokes

Answer 23

Basal ganglia, thalamus and internal capsule

Question 24

Migraine prophylaxis in women of childbearing age

Answer 24

Propranolol preferable to topiramate

Question 25

Epilepsy and driving bans

Answer 25

First unprovoked seizure: 6 months

Diagnosis of epilepsy: 12 months, then if seizure free for 12 months, can drive

Question 26

Most common type of motor neurone disease

Answer 26

Amyotrophic lateral sclerosis

Question 27

SCDC presentation

Answer 27

B12 deficiency
UMN and LMN symptoms
Proprioception symptoms

Question 28

Nerve roots for reflexes
Biceps
Triceps
Knee
Ankle

Answer 28

Biceps: C5/6 (6 looks like biceps bulging)
Triceps: C7/8

knee: L3-L4
Ankle: S1-S2

Question 29

Laughter causing collapse

Answer 29

Cataplexy

Question 30

Homonymous hemianopias with macular sparing

Answer 30

Occipital cortex

Question 31

Friedrich’s ataxia associations

Answer 31

Cardiomyopathy and diabetes