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Systems 3rd Year Revision Questions > Neurology > Flashcards

Neurology Flashcards

1
Q

A 66 year old, left handed, woman presents with ataxia and in-coordination. Where would you suspect
her lesion to be?

Left frontal lobe
Right frontal lobe
Brain stem
Cerebellum

A

Cerebellum

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2
Q

What are the 5 commonest tumours to spread to brain?

A 
renal cell carcinoma
lung carcinoma
breast carcinoma
malignant melanoma
GI tract
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3
Q

Gliomas are derived from?

A

Astrocytes

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4
Q

Most aggressive and malignant Glioblastoma Multiforme?

A

Glioblastoma Multiforme

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5
Q

Mengiomas features (2)

A

Found in Arachnoid

Benign

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6
Q

Most common type of pituitary tumour?

A

Adenoma

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7
Q

Which nerves have palsies in Raised ICP (2)

A

3rd and 6th

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8
Q

Hydrocephalus produces how much csf per day?

A

400-450

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9
Q

A 44 year old, right handed, woman presents with acalculia, agraphia, finger agnosia and right/left confusion. Where would you suspect
her lesion to be?

Left parietal lobe
Right parietal lobe
Left occipital lobe
Cerebellum

A

Left parietal lobe

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10
Q

A 30 year old, right handed, man presents with a bi temporal hemianopia. Where would you suspect
his lesion to be?

Right frontal lobe
Pituitary
Left optic nerve
Right occipital lobe

A

Pituitary

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11
Q

A epileptic fit in someone with a brain tumour indicates the tumour is where?

A

Above the Tentorium

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12
Q

What medication can be used in Brain Tumours?

A

Corticosteroids (Dexamethasone)

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13
Q

What chemotherapy in Glioblastoma Multiforme?

A

Temazolamide

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14
Q

Can a Glioblastoma multiforme be removed?

A

No

Only Biopsy or Debulk

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15
Q

Low Grade Astrocytomas Life Expectancy?

A

Long

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16
Q

High Grade/GBM Life Expectancy?

A

Average 1 Year Survival

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17
Q

Menegioma Life Expectancy?

A

Commonly cured by surgery

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18
Q

What test should you not do when signs/symptoms to suggest intracranial mass?

A

Lumbar Puncture

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19
Q

A cerebral abscess is a complication of? (1)

A

Acute Sinusitis

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20
Q

How does a cerebral abscess present? (3)

A

Recent Acute Sinusitis
Fever
Tender on Palpation of Maxillary and Frontal Sinuses

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21
Q

Normal ICP is?

A

5-15

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22
Q

Cerebral Perfusion Pressure is the difference between?

A

Mean Arterial Pressure and Intracranial Pressure

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23
Q

PaC02 has a significant influence on what part of the brain?

A

Cerebral Blood Flow

24
Q

Brain tissue uses what two substances exclusively for metabolism?

A

Glucose and Ketones

25
Q

What does GCS measure?

A

Cerebral Perfusion

26
Q

What does looking at a neurosurgical patient’s pupils measure?

A

Cerebral Herniation

27
Q

Where is the Pre-Central Gyrus?

A

Frontal Lobe

28
Q

What controls the bladder in the frontal lobe?

A

Parecentral Lobule

29
Q

Name 4 UMN Signs?

A 
Weakness
Increased Tone
Brisk Reflexes
Upgoing Plantars
Pronator Drift
30
Q

What does the Stroop Test measure?

A

Colour

31
Q

What does the Dorsolateral Prefrontal Cortex measure?

A

Order

32
Q

Which part of the brain controls language, numeracy and visuospatial coordination?

A

Parietal Lobe

33
Q

Dysgraphesthesia is part of which part of brain?

A

Parietal Lobe

34
Q

Two Point discrimination is part of which part of brain?

A

Parietal Lobe

35
Q

Gerstman Syndrome affects which part of brain?

A

Parietal Lobe

36
Q

Gertsman Syndrome (Parietal Lobe) Features (4)

A

Dyscalculia
Finger Anomia
Left/Right DisorientationA
graphic

37
Q

The Heschl Gyrus is made up of what part of brain?

A

Temporal Lobe

38
Q

What does the Heschl Gyrus control?

A

Auditory Input

39
Q

The Hippocampus is found where?

A

Temporal Lobe

40
Q

Which part of the brain controls encoding declarative long term memory?

A

Hippocampus in Temporal Lobe

41
Q

Where is the Amygdala found?

A

Temporal Lobe

42
Q

Which part of brain controls emotion?

A

Amygdala in Temporal Lobe

43
Q

Meyer’s Loop controls?

A

Visual Fields in Temporal lobe

44
Q

Slurred Speech is found where?

A

Cerebellum

45
Q

Nystagmus is found where?

A

Cerebellum

46
Q

Myelopathy Features? (3)

A

Bilateral
Motor and Sensory
UMN

47
Q

Myelopathy affects the?

A

Cord

48
Q

Radiculopathy affects the?

A

Nerve Root

49
Q

UMN Features (6)

A 
Clonus
Upgoing Plantars
Increased Tone
Hoffman Sign
Brisk Reflexes
Romberg Test
50
Q

Radiculopathy features? (4)

A

Unilateral
Single Myotome
Single Dermatome
LMN

51
Q

Radiculopathy Presentation? (3)

A

Pain in Single Dermatome
Weakness in Myotome
Loss of Reflex

52
Q

Peripheral Nerve features? (3)

A

Unilateral
Motor and Sensory
lMN
Glove and Stocking

53
Q

What would be present on the skin in Lyme’s Disease?

A

Erythema Chronica Migrans

54
Q

What would be present on the skin in Sarcoidosis?

A

Erythema Nodosum

55
Q

Ramsay Hunt Syndrome is caused by?

A

Varicella Virus

Systems 3rd Year Revision Questions (2 decks)

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