Neurology

Question 1

Prophylaxis for cluster headaches

Answer 1

Verapamil

Question 2

Acute management of cluster headaches?

Answer 2

100% oxygen for 15 minutes
SC Triptan

Question 3

Investigations for diagnosis of MS

Answer 3

MRI with contrast
CSF
Visual evoked potentials

Question 4

Treatment for trigminal neuralgua

Answer 4

Carbamazepine

Question 5

Treatment for bells palsy

Answer 5

Oral steroids
Antivirals for severe palsy

Question 6

When does a referral need to made in bells palsy?

Answer 6

If no sign of improvement within 3 weeks

Question 7

Third nerve palsy

Answer 7

Ptosis
Down and out eye
Dilated fixed pupil (Mydriasis)

Question 8

Fourth nerve palsy

Answer 8

Defective downward gaze causing vertical diplopia

Question 9

Fifth nerve palsy

Answer 9

Trigeminal neuralgia
Loss of corneal reflex
Loss of facial sensation
Paralysis of muscles of mastication
Deviation of jaw to weak side

Question 10

6th nerve palsy

Answer 10

Defective eye abduction - hosirzonal diplopia

Question 11

7th nerve palsy

Answer 11

Flaccid paralysis of upper and lower face
Loss of corneal reflex
Loss of taste
Hyperacusis

Question 12

8th nerve palsy

Answer 12

Hearing loss, vertigo, nystagmus,

Question 13

Secondary prevention for ischaemic stroke (not AF)

Answer 13

Clopidogrel monotherapy

Question 14

When should carotid endarterectomy be considered

Answer 14

Stenosis is over 50% and the stroke/tia is in the carotid territory and the person is not severely disabled

Question 15

Side effects of phenytoin

Answer 15

Gingival hyperplasia
Inducer of cytP450
Megaloblastic anaemia
Peripheral neuropathy
Osteomalacia
Lymphadenoapthy

Question 16

Side effects of sodium valproate

Answer 16

Inhibits p450 system
Teratogenic
Alopecia
Ataxia
tremor
Hapatotoxicity
Pancreatitis
Thrombocytopenia
Hopnatremia

Question 17

Where in the brain do you seen changes associated with herpes simplex encephalitis

Answer 17

Temporal lobe

Question 18

Drugs that exacerbate myaesthenia gravis

Answer 18

penicillamine
quinidine, procainamide
beta-blockers
lithium
phenytoin
antibiotics: gentamicin, macrolides, quinolones, tetracyclines

Question 19

Ankle reflex

Answer 19

S1 - S2

Question 20

Knee reflex

Answer 20

L3 - L4

Question 21

Biceps reflex

Answer 21

C5 - C6

Question 22

Triceps reflex

Answer 22

C7 - C8

Question 23

Treatment for spasticity in multiple sclerosis

Answer 23

Baclofen and gabapentin

Question 24

CP450 inhibitors

Answer 24

Sodium valproate
Isoniazid
Cimetidine
Ketoconazole
Fluconazole
Alcohol & Grapefruit juice
Chloramphenicol
Erythromycin
Sulfonamides
Ciprofloxacin
Omeprazole
Metronidazole

(SICKFACES.COM)

Question 25

Cyp450 inducers

Answer 25

Carbemazepines
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbitone
Sulphonylureas

(CRAP GPS)

Question 26

First choice anti emetic in parkinsons

Answer 26

Domperidone