Neurology

Question 1

Fever, Raised ESR, bad backpain, worse with movement and point tenderness of spine - Dx?

Answer 1

Vertebral osteomyelitis or epidural abscess
Mc pathogen : S.aureus (for vertebral osteomyelitis)
Mc cause of epidural: diabetes mellitus, spinal trauma

Question 2

Intermittent ptosis mc due to which disease?

Answer 2

Myasthenia gravis
(Ptosis= fatigued eyelids - drooping)

Question 3

Myasthenia Gravis associated with which tumour?

Answer 3

Thymoma

THYMUS = T CELLS!

Question 4

Trigeminal neuralgia treatment

Answer 4

1. Carbamazepine

2. if not nerve decompression surgery

Question 5

Vesicles and macular rash on 57 yo man, has unliateral facial paralysis. Dx?

Answer 5

Bell’s palsy- inflammation and edema of the facial nerve due to HSV reactivation