Neurology

Question 1

in which haemorrhage is fluctuating consciousness seen?

Answer 1

subdural

Question 2

which artery is affected in extradural?

Answer 2

middle meningeal artery

Question 3

which haemorrhage involves fracture of pterion

Answer 3

extradural

Question 4

what is cushings triad?

Answer 4

widening of pulse pressure
respiratory changes
bradycardia

Question 5

what does cushings triad indicate?

Answer 5

raised ICP

Question 6

what is todds paresis

Answer 6

focal seizures followed by post ictal weakness

Question 7

how to diagnose guillan barre?

Answer 7

LP

Question 8

where would you see an empty delta sign?

Answer 8

saggital sinus thrombus

Question 9

how do absence seizures appear in Hz

Answer 9

3Hz spike and wave

Question 10

CSF findings of Guillan barre?

Answer 10

isolate protein increase

Question 11

which channel is involved in LEMS

Answer 11

voltage gated calcium channel bodies

Question 12

eye deficit in CN IV palsy?

Answer 12

defective downward gaze and vertical diplopia

Question 13

which receptors are found in MG?

Answer 13

ACH

Question 14

which nerve palsy is foot drop?

Answer 14

common peroneal nerve

Question 15

TIA investigation

Answer 15

diffusion weighted MRI of head

Question 16

when are juvenille myotonic seizures seen

Answer 16

morning following sleep deprivation

Question 17

in MND what is used for nutrition support?

Answer 17

percutaenous gastrostomy

Question 18

what is used to treat relapse for MS?

Answer 18

monoclonal antibodies eg natilizumab

Question 19

what is used to treat IIH

Answer 19

acetazolomide (carbonic anhydrase inhibitor)

Question 20

DANISH

Answer 20

dydsidochokinesia
ataxia
nystagmus
intention tremor
slurred, sticatto speach
hypotonia

Question 21

what condition is seen with axillary freckling

Answer 21

tuberous sclerosis

Question 22

where is wernickes seen

Answer 22

superior temporal gyrus

Question 23

what is seen in wernickes

Answer 23

fluent speech but altered content so unable to repeat

Question 24

treatment for atonic / tonic seizure women

Answer 24

lamotrigine

Question 25

treatment for SAH

Answer 25

endovascular recoiling

Question 26

what is pituitary apoplexy

Answer 26

sudden enlargement of pituitary tumour secondary to haemorrhage or infarction

Question 27

how to treat pituitary apoplexy

Answer 27

IV hydrocortisone

Question 28

side affect of phenytoin

Answer 28

peripheral neuropathy

Question 29

treamtent for wernickes encephalopathy

Answer 29

IV pabrinex

Question 30

thiamine

Answer 30

vit B1

Question 31

what condition are shagreen pathces seen in

Answer 31

tuberous sclerosis

Question 32

what is long term prophylaxis for cluster headaches

Answer 32

verapamil

Question 33

investigaiton to do in MS

Answer 33

CT chest as 12% have thyoma

Question 34

which epilepsy drug can cause SJS

Answer 34

lamotrigine

Question 35

which tumour is located at the falx cerebri

Answer 35

meningioma

Question 36

how to treat perpiheral neuropathy

Answer 36

B12

Question 37

how to treat subdural haematoma

Answer 37

burr holes

Question 38

describe posterior inferior cerebellar artery infarct

Answer 38

horners cerebellar signs contralateral sensory loss of limbs

Question 39

tonic means

Answer 39

stiff muscles

Question 40

atonic means

Answer 40

relaxed muscles

Question 41

myoclonic means

Answer 41

short jerking

Question 42

treatment of myoclonic seizures

Answer 42

males - sodium valproate females - levetricataram

Question 43

treatment for bacteiral meningitis

Answer 43

cefotazime / cefriazone IV + IV dex

Question 44

anterior cerebral artery

Answer 44

contralateral hemiparaesis + sensory loss (lower > upper)

Question 45

middle cerebral artery

Answer 45

contalatearl hemiparesis + sensory loss (upper > lower) contralateral homonymous hemianopia aphasia