Neurology

Question 1

When is migraine prophylaxis given?

Answer 1

If getting >2 migraine attacks/month

Question 2

Which migraine prophylaxis drug is associated with risk of cleft lip/cleft palate in infants if used in the first trimester of pregnancy?

Answer 2

Topiramate

Question 3

Which drug is preferably used for migraine prophylaxis in women of child-bearing age?

Answer 3

Propanolol

Question 4

What is the recommended antibiotic prophylaxis for close contacts of pts with meningococcal meningitis?

Answer 4

oral ciprofloxacin

Question 5

BNF recommended treatment for meningitis management:

Initial empirical therapy aged < 3 months

Answer 5

Intravenous cefotaxime + amoxicillin

Question 6

BNF recommended treatment for meningitis management:

Initial empirical therapy aged 3 months - 50 years

Answer 6

Intravenous cefotaxime

Question 7

BNF recommended treatment for meningitis management:

Initial empirical therapy aged > 50 years

Answer 7

Intravenous cefotaxime + amoxicillin

Question 8

BNF recommended treatment for meningitis management:

Meningitis caused by Listeria

Answer 8

Intravenous amoxicillin + gentamicin

Question 9

What causes subdural bleed?

Answer 9

damage to bridging veins between cortex and venous sinuses

Question 10

features of subdural bleed and CT finding

Answer 10

generalised headache, fluctuating GCS, alcohol

CT - crescent-shaped haemorrhage

Question 11

mechanism of action of dipyridamole

Answer 11

phosphodiesterase inhibitor