Neurology

Question 1

Features of GCA/ temporal arteritis

Answer 1

More common in women than men
Over the age of 50
Jaw claudication
Visual loss

Question 2

Treatment of GCA

Answer 2

Oral steroids

Question 3

Facial paralysis, weakness, disturbed taste, numbmess, hyrperacusis, ear pain, changes in lacrimation

Answer 3

Bells palsy

Question 4

Bells phenomenon

Answer 4

When closing the eyes and showing the teeth, the eyeball on the affected side rotates upwards and outwards

Question 5

Riluzole

Answer 5

Treatment for ALS

Question 6

Cabergoline

Answer 6

Treatment for hyperprolactinaemia disorders

Question 7

Apomorphine

Answer 7

Used to treat refractory motor fluctuations in Parkinson’s disease which are inadequately controlled by co-beneldopa or co-careldopa or other dopaminergics.

Question 8

Mycophenolate

Answer 8

Prophylaxis of transplant rejection

Question 9

Peginterferon beta-1a

Answer 9

Relapsing remitting multiple sclerosis

Question 10

Treatment of TIA

Answer 10

Aspirin 300mg stat
24 hour review in stroke clinic
Consider brain imaging

Question 11

postoperative cognitive dysfunction (POCD)

Answer 11

can develop in weeks to months after surgery. Patients report increasing difficulty with behaviour, memory and complex mental functioning. The cause of postoperative cognitive dysfunction is unclear but suggestions include reduced blood pressure during surgery, increased stress levels while in hospital, genetic susceptibility and increased inflammation in the body. Recovery can take months to years and there is evidence that there may be some lasting effects in a few people. GPs can help to support patients by reassurance, considering social problems and offering formal assessment of their cognitive function with onward referral to memory clinics if necessary

Question 12

Prevention of chronic tension type headache

Answer 12

Acupuncture

Question 13

Initial management of trigeminal neuralgia

Answer 13

Carbemazepine

Question 14

Pregabalin

Answer 14

It is licenced for use in neuropathic pain, for generalised anxiety disorder as well as being used as an anticonvulsant. It is often used off-label though for persistent pain conditions.

Question 15

How long should contact sports be avoided for after a mild traumatic brain injury

Answer 15

3 weeks

Question 16

Spastic diplegia

Answer 16

the most common type of cerebral palsy, usually causes stiffness in the legs with difficulty walking. The individual may require a walking aid. Communication and intelligence are usually unaffected.