Neurology Flashcards
Prophylaxis for cluster headaches
Verapamil
Acute management of cluster headaches?
100% oxygen for 15 minutes
SC Triptan
Investigations for diagnosis of MS
MRI with contrast
CSF
Visual evoked potentials
Treatment for trigminal neuralgua
Carbamazepine
Treatment for bells palsy
Oral steroids
Antivirals for severe palsy
When does a referral need to made in bells palsy?
If no sign of improvement within 3 weeks
Third nerve palsy
Ptosis
Down and out eye
Dilated fixed pupil (Mydriasis)
Fourth nerve palsy
Defective downward gaze causing vertical diplopia
Fifth nerve palsy
Trigeminal neuralgia
Loss of corneal reflex
Loss of facial sensation
Paralysis of muscles of mastication
Deviation of jaw to weak side
6th nerve palsy
Defective eye abduction - hosirzonal diplopia
7th nerve palsy
Flaccid paralysis of upper and lower face
Loss of corneal reflex
Loss of taste
Hyperacusis
8th nerve palsy
Hearing loss, vertigo, nystagmus,
Secondary prevention for ischaemic stroke (not AF)
Clopidogrel monotherapy
When should carotid endarterectomy be considered
Stenosis is over 50% and the stroke/tia is in the carotid territory and the person is not severely disabled
Side effects of phenytoin
Gingival hyperplasia
Inducer of cytP450
Megaloblastic anaemia
Peripheral neuropathy
Osteomalacia
Lymphadenoapthy
Side effects of sodium valproate
Inhibits p450 system
Teratogenic
Alopecia
Ataxia
tremor
Hapatotoxicity
Pancreatitis
Thrombocytopenia
Hopnatremia
Where in the brain do you seen changes associated with herpes simplex encephalitis
Temporal lobe
Drugs that exacerbate myaesthenia gravis
penicillamine
quinidine, procainamide
beta-blockers
lithium
phenytoin
antibiotics: gentamicin, macrolides, quinolones, tetracyclines
Ankle reflex
S1 - S2
Knee reflex
L3 - L4
Biceps reflex
C5 - C6
Triceps reflex
C7 - C8
Treatment for spasticity in multiple sclerosis
Baclofen and gabapentin
CP450 inhibitors
Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Fluconazole
Alcohol & Grapefruit juice
Chloramphenicol
Erythromycin
Sulfonamides
Ciprofloxacin
Omeprazole
Metronidazole
(SICKFACES.COM)
Cyp450 inducers
Carbemazepines
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbitone
Sulphonylureas
(CRAP GPS)
First choice anti emetic in parkinsons
Domperidone