NEUROLOGY Flashcards

1
Q

Migraine TX
ACUTE
PROPHYLAXIA

A

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

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2
Q

Anticoagulant
TIA
Ischaemic stroke

A

tx
1st line Clopidogrel (lifelong)
2nd line Aspirin (lifelong) & dipyridamole (lifelong)

Clopidogrel (lifelong)
Aspirin (lifelong) & dipyridamole (lifelong)

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3
Q

Guillain-Barre syndrome common cause

A

Campylobacter jejuni - gastroenteritis

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4
Q

Neisseria meningitidis detected
Tx?

house hold contacts?

A

tx IV cefotaxime (+ IV amox in under 3 and over 50)

oral ciprofloxacin / rifampicin

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5
Q

SE sodium valproate

A

weight gain
teratogenic
nausea
alopecia

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6
Q

bells palsy
syx

tx

A

lower motor neuron facial nerve palsy → forehead affected
post-auricular pain (may precede paralysis)
altered taste
dry eyes
hyperacusis
tx - streoids, eye drops and tape eye

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7
Q

TIA tx
- immediate
- last 7 days
- over 7 days ago

A
  • aspirin 300mg immediate if no CI
  • assessment next 24 hours!!
  • assessment next week 7d
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8
Q

Patients cannot drive for…..? following a first unprovoked or isolated seizure if brain imaging and EEG normal

A

6 months

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9
Q

antiemetic of choice in parkinsons?

A

Domperidone - does not cross blood brain barrier

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10
Q

brocas area?
wernekes area?

A

brocas = expressive - near mouth (frontal)
wernekes -comprehend it- near ear =- temporal

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11
Q

Cluster headaches
acute?
chronic prophylaxis

A

02 and triptan

Verapamil is used for long-term prophylaxis

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12
Q

total anterior circulation infarct syx

A

unilateral weakness of the face, arm and leg; as well as a homonymous hemianopia and a symptom of higher cerebral dysfunction.

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13
Q

A posterior circulation infarct

A

present with a cerebellar or brainstem syndrome, or loss of consciousness, or an isolated homonymous hemianopia.

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14
Q

partial anterior circulation infarct

A

unilateral weakness, homonymous hemianopia and higher cerebral dysfunction.

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15
Q

lacunar stroke

A

either a purely motor, a purely sensory or a mixed motor and sensory deficit

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16
Q

1st line treatment alzehimers

A

donepezil
alZheimers- donepeZIL

17
Q

AF + stroke - tx?

A

warfarin

18
Q

essential tremor

A

Management
propranolol is first-line

19
Q

thrombolysis + thrombectomy

thrombectomy

A

4.5 hours

thrombectomy in acute ischaemic stroke is 6 hours

20
Q

Trigeminal neuralgia -

A

carbamazepine is first-line
Important for meLess important