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MSRA > Neurology > Flashcards

Neurology Flashcards

1
Q

Prophylaxis for cluster headaches

A

Verapamil

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2
Q

Acute management of cluster headaches?

A

100% oxygen for 15 minutes
SC Triptan

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3
Q

Investigations for diagnosis of MS

A

MRI with contrast
CSF
Visual evoked potentials

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4
Q

Treatment for trigminal neuralgua

A

Carbamazepine

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5
Q

Treatment for bells palsy

A

Oral steroids
Antivirals for severe palsy

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6
Q

When does a referral need to made in bells palsy?

A

If no sign of improvement within 3 weeks

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7
Q

Third nerve palsy

A

Ptosis
Down and out eye
Dilated fixed pupil (Mydriasis)

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8
Q

Fourth nerve palsy

A

Defective downward gaze causing vertical diplopia

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9
Q

Fifth nerve palsy

A

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

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10
Q

6th nerve palsy

A

Defective eye abduction - hosirzonal diplopia

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11
Q

7th nerve palsy

A

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

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12
Q

8th nerve palsy

A

Hearing loss, vertigo, nystagmus,

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13
Q

Secondary prevention for ischaemic stroke (not AF)

A

Clopidogrel monotherapy

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14
Q

When should carotid endarterectomy be considered

A

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

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15
Q

Side effects of phenytoin

A

Gingival hyperplasia
Inducer of cytP450
Megaloblastic anaemia
Peripheral neuropathy
Osteomalacia
Lymphadenoapthy

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16
Q

Side effects of sodium valproate

A

Inhibits p450 system
Teratogenic
Alopecia
Ataxia
tremor
Hapatotoxicity
Pancreatitis
Thrombocytopenia
Hopnatremia

17
Q

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

A

Temporal lobe

18
Q

Drugs that exacerbate myaesthenia gravis

A

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

19
Q

Ankle reflex

A

S1 - S2

20
Q

Knee reflex

A

L3 - L4

21
Q

Biceps reflex

A

C5 - C6

22
Q

Triceps reflex

A

C7 - C8

23
Q

Treatment for spasticity in multiple sclerosis

A

Baclofen and gabapentin

24
Q

CP450 inhibitors

A

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

(SICKFACES.COM)

25
Q

Cyp450 inducers

A

Carbemazepines
Rifampicin
Alcohol
Phenytoin
Griseofulvin
Phenobarbitone
Sulphonylureas

(CRAP GPS)

26
Q

First choice anti emetic in parkinsons

A

Domperidone

27
Q
A

MSRA (23 decks)

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