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Phase 3b/finals > Neurology > Flashcards

Neurology Flashcards

1
Q

What is the risk score for stroke following TIA?

A 
ABCD2
Age > 60
BP > 140/90
Clinical features (weakness = 2, speech = 1)
Duration > 60 min = 2
Diabetes
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2
Q

TIA initial management

A

300mg aspirin

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3
Q

Treatment of myasthenia gravis

A

pyridostigmine

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4
Q

Pyridostigmine mechanism

A

long acting anticholinesterase inhibitor

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5
Q

What vessels damaged cause subdural haemorrhage?

A

briding veins

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6
Q

Epidural haemorrgae from which vessel?

A

middle meningeal artery

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7
Q

what are Jacksonian movements?

A

Clonic movements that travel proximally

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8
Q

Which lobe is affected if you see jacksonian movements (clinc movements which travel proximally)?

A

frontal lobes

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9
Q

what are temporal lobe seizures associated with?

A

aura
lip smacking
clothes plucking

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10
Q

what are parietal lobe seizures associated with?

A

sensory abnormalities

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11
Q

What is wenicke’s aphasia?

A

limited comprehension, speech fluent but makes no sense

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12
Q

Where in the brain is wernicke’s area?

A

superior temporal gyrus

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13
Q

What vessel supplies wenricke’s area?

A

inferior left middle cerebral artery

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14
Q

what is broca’s aphasia?

A

Expressive; patient can understand but not speak

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15
Q

Where is brocas area?

A

inferior frontal gyrus

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16
Q

What vessel supplies broca’s area?

A

superior left middle cerebral artery

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17
Q

investigation of suspected stroke

A

non contrast CT

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18
Q

cancers common in myasthenia gravis?

A

thymomas

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19
Q

4 features of neurleptic malignant syndrome

A

rigidity
hyperthermia
autonomic instability
confusion

20
Q

what is the treatment for an acute relapse of MS?

A

high dose steroids

21
Q

what is found in the CSF in MS?

A

oligoclonal bands

22
Q

blood test result in neuroleptic malignant syndrome

A

raised creatinine kinase, raised white cell count

23
Q

what drugs can precipitate myasthenia crises?

A

bisprolol

24
Q

investigation of acousitc neuroma

A

MRI cerebellopontine angle

25
Q

migraine prophylaxis

A

topiramate or propranolol

26
Q

acute migraine treatment

A

triptan + NSAID + paracetamol

27
Q

loss of finger adduction and abduction- which nerve is damaged?

A

ulnar

28
Q

medical management of neuroleptic malignant syndrome includes?

A

dantrolene

bromocriptine

29
Q

cerebellar vermis lesions lead to….

A

gait ataxia

30
Q

a stroke where causes locked in syndrome

A

basilar artery

31
Q

lower limbs more affected than upper limbs in a stroke suggests…

A

anterior cerebral artery

32
Q

upper limbs more affected than lower limbs in a stroke suggests a stroke in…

A

middle cerebral artery

33
Q

Describe weber’s syndrome

A

ipsilateral III palsy (down and out)

contralateral weakness

34
Q

Where is the infarct in weber’s syndrome?

A

midbrain (brainstem)

35
Q

wrist drop is caused by damage to the…

A

radial nerve

36
Q

what medication can prolong life in motor neurone disease?

A

riluzole

37
Q

what to give if a patient has been fitting for 5 minutes?

A

rectal diazepam 10mg

38
Q

first line treatment of essential tremor

A

propranolol

39
Q

what knid of dementia is associated with MND?

A

frontotemporal dementia

40
Q

parkinson symptoms + autonomic instability =

A

multi system atrophy

41
Q

homonymous hemianopia with macula sparing indicates a lesion in the…

A

occipital cortex

42
Q

1st line management of ocular myasthenia gravis

A

pyridostigmine

43
Q

prophylaxis of cluster headaches

A

verapamil

44
Q

how are demyelinatong lesions viewed?

A

MRI with contrast

45
Q

treatment for focal seizures

A

carbamazepine

46
Q

first line treatment for absence seizures

A

sodium valproate

Phase 3b/finals (19 decks)

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