Neurology

Question 1

Rx of gtcs / myoclonus / tonic or atonic seizures

Answer 1

Male sodium valproate
female lamotrigine or levetiracetam

Question 2

Ct changes in anterior and medial temporal lobe as well as the island of Reil.

Answer 2

Herpes simplex viral encephaitis

Question 3

Causes Of Sensory-Predominant Peripheral Neuropathy:?

Answer 3

Ducks Use Ladders And Vacuum Apples.

D: Diabetes.
U: Uraemia.
L: Leprosy.
A: Alcohol.
V: Vitamin B12 deficiency.
A: Amyloidosis.

Question 4

Ischaemic Stroke Rx

Answer 4

aspirin 14 days clopidogrel monotherapy after 14 days
statin

Question 5

in neuropathic pain which opioid can be used

Answer 5

Tramadol

Question 6

palatal myoclonus due to lesion in

Answer 6

olivary nucleus

Question 7

Internuclear opthalmoplegia lesion

Answer 7

same side as weakness in adduction
lesion at median longitudinal fasciculus located in the paramedian area of the midbrain and pons

Question 8

Drugs causing SJS

Answer 8

SJS happens in 3 PLACES
P-Phenytoin
P-Phenobarbitone
P-Penicillin
L-Lamotrigine
A-Allopurinol
C-Carbamazepine
E-Erythromycin
S-Sulfa Drugs

Question 9

myasthenic crisis rx

Answer 9

plasmapharesis, ivig

Question 10

guidelines to stop anti epileptic drugs

Answer 10

Can be considered if seizure free for > 2 years, with AEDs being stopped over 2-3 months

Question 11

drugs worsening myasthenia gravis

Answer 11

MP is LGBTQ
Macrolide
Penicillamine
Procainamide
Phenytoin
Lithium
Gentamicin
Beta blockers
Tetracyclines
Quinolone
Quinidine