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MSRA > Neurology > Flashcards

Neurology Flashcards

1
Q

Thrombectomy time window for stroke

A

6 hours

Can be extended to 24 if salvageable tissue identified on imaging

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2
Q

Hoffmans sign positive

A

Degenerative cervical myopathy

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3
Q

Biceps nerve root

A

C5-c6

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4
Q

Ash leaf spots and roughened skin over lumbar spine

May also present with adenoma sebaceum

A

Shagreen patches

Tuberous sclerosis

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5
Q

GCS

A

654… MoVE

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6
Q

What artery is affected in ameurosis fugax

A

Ophthalmic /retinal

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7
Q

Trigeminal neuralgia tx

A

Carbamazepine

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8
Q

DVLA rules for TIA/stroke

A

1 month off

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9
Q

3rd nerve palsy presentation

A

ptosis
‘down and out’ eye
dilated, fixed pupil

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10
Q

Features and cause of Wernicke’s Encephalopathy

A

B1 (thiamine deficiency)

Ataxia, nystagmus, confusion, ophthalmoplegia

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11
Q

Which anti emetic in Parkinson’s

A

Domperidone

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12
Q

First line for spasticity in MS

A

Baclofen

Gabapentin

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13
Q

Migraine acute vs prophylactic tx

A

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

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14
Q

Drug management of Parkinson’s

A

Motor sx: levodopa

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

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15
Q

Palsy results in horizontal abduction defect

A

6th nerve palsy

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16
Q

Nerve root supply umbilicus

A

T10 - belly butTEN

17
Q

Nipple nerve root supply

A

T4 at the teat pore

18
Q

Nerve root supply of fingers

A

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

19
Q

Contraindication to Triptan use

A

Ischaemic heart disease

20
Q

Lesions causing homonymous quadrantiopias

A

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

21
Q

1st line treatment for newly diagnosed FOCAL seizures

A

Carbamazepine

22
Q

1st line treatment for ABSENCE seizures

A

Ethosuxemide or sodium valproate

23
Q

Which area of brain affected in lacunar strokes

A

Basal ganglia, thalamus and internal capsule

24
Q

Migraine prophylaxis in women of childbearing age

A

Propranolol preferable to topiramate

25
Q

Epilepsy and driving bans

A

First unprovoked seizure: 6 months

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

26
Q

Most common type of motor neurone disease

A

Amyotrophic lateral sclerosis

27
Q

SCDC presentation

A

B12 deficiency
UMN and LMN symptoms
Proprioception symptoms

28
Q 
Nerve roots for reflexes
Biceps
Triceps
Knee
Ankle
A

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

knee: L3-L4
Ankle: S1-S2

29
Q

Laughter causing collapse

A

Cataplexy

30
Q

Homonymous hemianopias with macular sparing

A

Occipital cortex

31
Q

Friedrich’s ataxia associations

A

Cardiomyopathy and diabetes

MSRA (8 decks)

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