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Exam Revision > Neurology 5 > Flashcards

Neurology 5 Flashcards

1
Q

in webers, sound localises to left ear. possible problems?

A

conductive loss in left ear (sound localises towards affected side)
sensorineural in right (sound localises away from affected side)

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2
Q

air conduction louder than bone

A

sensorineural hearing loss

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3
Q

stroke with isolated leg weakness + no face/arm symptoms

what artery is involved?

A

ANTERIOR cerebral

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4
Q

stroke with leg, arm, facial weakness

what artery is involved?

A

MIDDLE cerebral

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5
Q

who gets lacunar strokes

A

patients with hypertension

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6
Q

bilateral leg weakness, incontinence + reduced anal tone

most likely?

A

cauda equina

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7
Q

what kind of things give you UMN symptoms

A

acute stroke
SOL
Spinal cord problems

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8
Q

18 year old with abnormal movements that start in hand and spread up to the same shoulder. associated involuntary head + eye movements + drooling

A

Jacksonian seizure

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9
Q

features of Jacksonian seizures

A 
begins distally + spreads up upsilateral limb
lip smacking
sudden head + eye movements 
drooling 
numbness/tingling
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10
Q

symptoms of focal frontal lobe seizure

A

head/leg movements

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11
Q

symptoms of temporal lobe seizure

A

hallucinations
lip smacking
olfactory dysfunction
deja vu

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12
Q

ECG abnormality absent seizure

A

3-Hz spike + wave

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13
Q

tx of prolonged seizure (>3 mins)

A

10mg rectal/IV diazepam

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14
Q

tx status epilepticus

A

IV 4mg lorazepam
phenytoin if seizures continue
phenobarbital if seizures continue after that

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15
Q

how long do you have to be seizure free from in epilepsy to drive a car

A

1 year

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16
Q

how long do you have to be seizure free from in epilepsy to drive A HGV

A

10yrs without medication

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17
Q

treatment of germinoma

A

radiotherapy

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18
Q

nerve root affected in foot drop

A

L5

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19
Q

affects of L5 damage

A

weakness of ankle INVERSION + EVERSION

weakness of ankle dorsiflexion

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20
Q

pain, muscle weakness + rash on nuckles/face/neck

A

dermatomyositis

21
Q

Wilsons disease symptoms

A

wide based gait
dysarthria
tremor
depression/anxiety

22
Q

diagnostic test for Wilsons

A

24 hour urine collection

23
Q

which branchial arch is the facial nerve associated with

A

second

24
Q

Criteria for Total Anterior Circulation Stroke

A
  1. unilateral weakness +/- sensory loss of leg, arm, face
  2. Homonymous hemianopia
  3. Speech/swallow/language difficulty
25
Q

management of ischaemic stroke presenting within 4.5 hours

A

thrombolysis

26
Q

management of ischaemic stroke presenting after 4.5 hours

A

anti-platelet e.g. aspirin

27
Q

post stroke drugs

A

aspirin for 14 days
clopidogrel after that
add a statin if high cholesterol

28
Q

anti emetic used in Parkinson’s

A

domperidone

29
Q

presentation of phenytoin toxicity

A

CEREBELLAR SYMPTOMS

30
Q

what nerve innervates the angle of the mandible

A

C2,C3 - great auricular nerve

31
Q

what foramina does the middle meningeal artery pass through

A

foramen spinosum

32
Q

tx Ramsay hunt

A

acyclovir + prednisolone

33
Q

Meniers disease

A

recurrent bouts of vertigo + nausea, sensorineural hearing loss + tinnitus + aural fullness

34
Q

Benign paroxysmal vertigo

A

vertigo caused by head movements e.g. rolling over in bed

35
Q

vestibular neuronitis

A

preceded by infection

severe vertigo + vomiting NO deafness/tinnitus

36
Q

symptoms of acute closed angle glaucoma

A

long sited elderly patient

decreased vision, dilated pupil, pain made worse by darkness, halos around lights

37
Q

treatment acute closed angle glaucoma

A

acetezolamide

38
Q

chorea

A

non rhythmic jerky movements

39
Q

webers syndrome

A

ipsilateral oculomotor palsy

contralateral weakness

40
Q

what artery is affected in lateral medullary syndrome

A

posterior inferior cerebellar artery

41
Q

what arteries are involved in posterior circulation infarcts

A

vertibrobasilar arteries

42
Q

presentation of posterior circulation stroke

A

1 of

  • cerebellar symptoms
  • loss of consciousness
  • isolated homonymous hemianopia
43
Q

indications for memantine in Alzheimers

A

severe disease

intolerant of acetylcholine inhibitors

44
Q

1st line mild Alzheimers

A

donepezil

45
Q

mydriasis

miosis

A

dilated pupil

constricted pupil

46
Q

Management of restless leg syndrome

A

dopamine agonists

benzodiazepines

47
Q

Visual field with craniopharyngioma

A

inferior bitemporal quadrantanopia

48
Q

what causes pin point pupils

A

opiate overdose

pontine lesions

Exam Revision (32 decks)

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