Neurology

Question 1

If topiramate and propranolol have failed to offer migraine prophylaxis whats do the NICE guidelines recommend?

Answer 1

Acupuncture

Question 2

What can be used for prophylaxis in Menstrual Migraines?

Answer 2

Triptans

Question 3

In secondary prevention of a Stroke what is used first line?

Answer 3

Clopidogrel 75mg

Question 4

What is used in the secondary prevention of a stroke if clopidogrel isn’t tolerated?

Answer 4

Aspirin + Dipyridamole

Question 5

Status Epilepticus - Management in prehospital

Answer 5

PR or Buccal BDZ x2

Phenytoin infusion

Question 6

Status Epilepticus - Management in Hospital

Answer 6

IV BDZ x2
Phenytoin or Phenybarbitol infusion
General Anaesthesia - after 45 minutes

Question 7

First line management of trigeminal neuralgia

Answer 7

Carbamezapine

Question 8

When should trigeminal neuralgia be referred on?

Answer 8

<50

Red flags - sensory loss, tumour nearby, etc

Question 9

Which antibiotics should be used in care with a history of epilepsy?

Answer 9

Quinilones - reduce seizure threshold
Ciprofloxacin
Levofloxacin