Neurology

Question 1

Thunderclap headache

Answer 1

Subarachnoid haemorrhage

Question 2

Xanthochromic

Answer 2

Presence of bilirubin in the CSF

Can be used to differentiate between traumatic tap and in vivo haemorrhage

Question 3

Xanthrochromic lumbar puncture

Answer 3

Subarachnoid haemorrhage

Question 4

Lucid period after head trauma

often followed by sudden collapse or deterioration

Answer 4

Extradural haemorrhage

Question 5

Cogwheel rigidity

Answer 5

Parkinson’s disease

Question 6

Woody texture muscle swelling

Answer 6

Duchenne or Becker MD

Question 7

Raised CK

Answer 7

Muscular dystrophy

Question 8

Mask like expression

Answer 8

Parkinson’s disease

Question 9

Toe walker/positive Gower’s sign

Answer 9

Muscular dystrophy

Question 10

Fluctuating cognitive deficit

Answer 10

Lewy body dementia

Delirium

Question 11

REM disturbance (later in night)

Answer 11

Lewy body dementia

Question 12

Vivid visual hallucinations (usually children, not threatenting)

Answer 12

Lewy body dementia

Question 13

Acute onset cognitive disturbance that fluctuates

Answer 13

Delirium

Question 14

Personality/behaviour changes > dementia

Answer 14

Frontotemporal dementia

= Pick’s disease

Question 15

Memory and personality problems in someone with a history of CV disease

Answer 15

Vascular dementia

Question 16

Stepwise deterioration

Answer 16

Vascular dementia

Question 17

Pain on loud noise

Answer 17

Facial nerve palsy

Question 18

Painful CN III palsy

Answer 18

Posterior communicating aneurysm

Question 19

Myalgia + Myositis + myoglobulinaemia/uria

Answer 19

Rhabdomyolysis

Question 20

Inflammatory myopathy with poor steroid response

Answer 20

Inclusion body myositis

Question 21

Weakness + frontal balding + cataracts + ptosis

Answer 21

Myotonic dystrophy

Question 22

Leg symptoms + midline shift

Answer 22

Falcine herniation

Question 23

Back pain worse on coughing

Answer 23

Slipped disc

Question 24

Headache worse on coughing

Answer 24

Posterior fossa issue

Question 25

BL sciatica + male sexual dysfunction + bowel/bladder symptoms

Answer 25

Cauda equina syndrome

Question 26

Pleocytosis on CSF

Answer 26

Bacterial meningitis | until proven otherwise

Question 27

Migraine prophylaxis

Answer 27

1st - propranolol 2nd - amitriptyline | If neither of these work then try other drugs e.g. sodium valproate

Question 28

Erb's palsy

Answer 28

Injury to upper brachial plexus | Associated with shoudler dystocia

Question 29

Klumpke's palsy

Answer 29

= claw hand | Injury to lower brachial plexus

Question 30

+VE Simmond's test

Answer 30

Achilles tendon rupture

Question 31

Anti-acetylcholine receptor antibody

Answer 31

Myaesthenia gravis

Question 32

Purely motor symptoms across U and LMN with ocular sparing

Answer 32

Motor neurone disease