Neurology

Question 1

TACI

Answer 1

All 3 of
Unilateral hemiparesis
Homonymous hemianopia
Affect to higher mental function (dysphasia)

Question 2

PACI

Answer 2

2 of
Unilateral hemiparesis
Homonymous hemianopia
Affect to higher mental function (dysphasia)

Question 3

Anterior cerebral artery stroke

Answer 3

COntral leg weakness, numbness with higher function defeceit

Question 4

Middle cerebral artery stroke

Answer 4

Covers most, contralateral hemiplegia, numbeessn including face + arms. Speech and homonymous hemaniopia

Question 5

Posterior cerebral artery stroke

Answer 5

Loss of pain and temp sensation contralateral body and ipsi fave. Ataxia, nystagmus, vertigo. Lateral medullary syndrome, Wallenberg’s syndrome

Question 6

Basilar artery stroke

Answer 6

Corticospinal, spinothalamic, & medial lemniscus. Locked-in syndrome.

Question 7

Stroke Mx (ischaemic)

Answer 7

300mg aspirin
Thrombolysis (alteplase) if within 4.5 hours
Thrombectomy, depends on location. Up to 24 hours

Question 8

Stroke Mx (haemorrhagic)

Answer 8

Nimidopine get BP <150
+neurosurgery opinion

Question 9

TIA Mx

Answer 9

300mg aspirin
If >1 TIA in week admit
TIA within 7 d seen by specialist <24hrs
TIA over 7 d seen within a week

Diffusion weighted MRI & Carotid doppler

Question 10

Migraine Mx

Answer 10

Prevent - Topimerate (propanolol for women of CBA)
Acute - Triptans (sumitriptan)

Question 11

Cluster headaches Mx

Answer 11

100% oxygen + subcut triptans

Verapamil as prophylaxis

Question 12

CNIII lesion

Answer 12

Ptosis
Fixed dilation
Eye down and out

Question 13

CNIV lesion

Answer 13

Diplopia
Tilted head
Cant look down and in

Question 14

CNIV lesion

Answer 14

Diplopia
Tilted head
Cant look down and in

Question 15

Trigeminal neuralgia Mx

Answer 15

Carbemazepine

Question 16

Electrolyte abnormality of subarachnoid haemorrhage

Answer 16

Hyponatraemia