Neurology Flashcards
First line post herpectic neuralgia
Amitryptilline
Treatment of migraine prophylaxis
Propranolol or topirimate
Acute treatment of migraine
Nsaid or oral triptan
Wien should migraine prophylaxis be given
If people get 2 or more attack’s a month
First line for essential tremor?
Propranolol
Most common psychiatric problem in Parkinson’s?
Depression
Signs of MND
4
Fasiculations
Mixed LMN and UMN signs
Lack of sensory signs
Wasting of the small hand muscles
Migraine with aura, name of blurry flashing lights
Scintillating scotoma
LMN forehead sparing or wasting?
Wasting
Other symptoms of Bell’s palsy except for facial droop
Dry mouth
Eyelid drooping
Hyperacusis
Treatment of Bell’s palsy
Pred 1mg/kg for 10 days and eye care
Other finding in acoustic neuromas
Loss of corneal reflex
Who are cluster headaches common in
3
Men
Smokerss
Drinkers
How often and long do cluster headaches last for
Twice daily for 4-12 weeks
Associated symptoms with cluster headaches
4
Eye red, lacrimation, lid swelling nasal stuffiness
What is empty sella syndrome and what are the features?
3 features
Regression of the pituitary
Headaches
HTN
Rhinorrhoea
Commonest cause of MS
Relapsing remitting
Signs of bulbar onset MND
Tongue fasciculations
Hypophonia
Which cranial nerves can acoustic neuromas affect
5,7,8
Absolute congrats to thrombolysis you don’t know
4
LP 7 days ago
Stroke in last 3 months
Uncontrolled htn
Pregnancy
Secondary prevention stroke, second choice if clop contrindicated
Dipyramidomole
What is used to prevent ms relapses
Beta interferon
First line for oscillating visual fields in MS
Gabapentin
Main side effects of phenytoin
4
Gingival hyperplasia (bleeding)
Peripheral neuropathy
Megalobladtic anaemia
Osteomalacia
Pneumonic for hemianopias
PITS
First line for trig emu all neuralgia
Carbamazepine
P450 inhibitor valproate?
Yes
Bilateral acoustic neuromas associated with what condition?
NF TYPE 2
Eye down and out, what palsy
3rd nerve
Which anti emetic in pd
Domperidone
Migraine prophylaxis if asthmatic
Topirimate
Features of neuromalignant syndrome
Within 10 days of treatment
Pyrexia
Rigidity
Tachycardia
Surgery for cds
Cervical decompression
Which dermatologist does palm of hand
C7
Hoffman’s sign?
Flicking the middle finger causes flexion of the thumb in DCM
Adhesive capsulitis causes limited int or ext shoulder rotation?
External
Which chromosome is huntingtons
4
Features of lewy body
Hallucinations
Movement problems
Contraindication to triptan
IHD
What is capgras syndrome
Believing your friend has been replaced by an identical looking imposter
First line generalised seizures
Valproate
Second line generalised seizures
Lamotrigine and carbamazepine
First line partial seizures
Carbamazepine
First mine absence seizures
2
Valproate or ethosuxamide
1st line myoclonus seizure
Valproate
1st line focal seizure
2
Carbamazepine or lamotrigine
Oxygen is the main treatment of what headache
Cluster
Which migraine prophylaxis causes teratogenicity
Topirimate
Peak incidence of MG
20-30 women
60-70 men
Holmes adie pupil?
Dilated pupils
Loss of deep tendon reflexes
Argyll robertson pupil features
Bilaterally small constricted pupils
Do not accommodate
What is uhthoffs phenomenon in MS
Symptoms worsen in heat
Achilles’ tendon teflex is which root
S1-2
Plantar reflect what root
S1-2