Neurology

Question 1

Cerebellar signs (5)

-DANISH-

Answer 1

1. Dydiadochokinesia
2. Ataxia
3. Nystagmus
4. Intention tremor
5. Slurred speech
6. Hypotonia

Question 2

Management of acute myelopathy

Answer 2

1. Steroid (reduce swelling/infammation)
2. Plasmapherisis (remove antibody&plasma in autoimmune esp)
3. IV immunoglobulin (reset immune system)
4. Analgesics
5. Antiviral (if infection)
6. Rehab
7. Education

Question 3

To diagnose GBS

Answer 3

1. Progressive weakness in both arms and legs
2. Areflexia
3. Others: symmetrical, > 4weeks, cranial nerve involvement, autonomic dysfunction, high protein in CSF

Autonomic dys: Tachy, sweating, BP chg

Question 4

Management of GBS

Answer 4

General

1. Secure ABC
2. Keep NBM: NG tube
3. Vital signs
4. Ventilation
5. DVT prophylaxis
6. Chest physiotherapy
7. Urinary catherizaiton
8. Analgesic

Specific

1. IV immuglobulin within 14 days

Question 5

Myasthenia gravis crises causes

Answer 5

1. Worsening weakness
2. Bulbar weakness
3. Weak cough
4. Poor clearing throat
5. DIfficulty in breathing- paradoxical

Precipitating: infection, stress, drug (B-blockers, Abx)

Question 6

Signs of parkinson syndrome (7)

Answer 6

1. Tremor
2. Rigidity
3. Bradykinesia (slow movement)
4. Postural instability
5. Masked face (reduction facion expression)
6. Gait disorder
7. Dysarthia
8. Difficulty in swallowing