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Medicine Final > Neurology/Neurosurgery Final > Flashcards

Neurology/Neurosurgery Final Flashcards

1
Q

Infants Hydrocephalus Presentation:

A

Increased Head Circumference
Bulging Fontanelle
Sunsetting of eyes
Impaired Upward Gaze

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2
Q

Which Drugs can cause Steven Johnson?

A

Lamotrigine

Carbamazepine

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3
Q

First step in Patients with Raised ICP?

A

Head Elevation

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4
Q

Head Injury + Lucid Interval :

A

Extradural Hematoma

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5
Q

Internuclear Ophthalmoplegia:

A

One eye fails to adduct and the other undergoes nystagmus with abduction

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6
Q

Trigeminal Neuralgia First Line:

A

Carbamazepine

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7
Q

Wet Wobbly Whacky :

A

Normal Pressure Hydrocephalus

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8
Q

Basilar Skull Fracture Presents with:

A

Periorbital + Post auricular Bruising

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9
Q

Temporal Seizure:

A

Hallucinations
Automatisms
Deja Vu / Dysphagia

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10
Q

Automatisms Examples:

A

Lip smacking
Grabbing
Plucking

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11
Q

Frontal Lobe Seizure:

A

Head /Leg Movements

Jacksonian March

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12
Q

Parietal Lobe Seizure

A

Paresthesia

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13
Q

Occipital Lobe Seziure:

A

Floaters / Flashers

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14
Q

TempORAL

A

ORAL Automatisms

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15
Q

Which nerve is responsible for Abducting the eyes:

A

Abducens (VI)

Lesion has Ipsilateral Effect

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16
Q

Which drug prevents Vasospasm in Subarachnoid H?

A

Nimodipine

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17
Q

What to do in a case of SAH if the CT is Normal ?

A

Lumbar Puncture 12 Hours following onset of symptoms

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18
Q

Which tumor is associated with Loss of Corneal Reflex?

A

Acoustic Neuroma

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19
Q

Pituitary Macroadenoma Visual loss;

A

Bitemporal Hemianopia

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20
Q

Broca’s Aphasia

A

Normal Comprehension

Impaired Speech

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21
Q

A Lesion in which lobe causes Broca’s Aphasia?

A

Dominant Frontal

22
Q

Fluent Speech but impaired repetition (Aphasia )?

A

Conduction Aphasia

23
Q

Lambert-Eaton is associated with?

A

Small Cell Lung Cancer

24
Q

Uhthoff’s Phenomenon:

A

Worsening of Neurological deficits with exercise or hot weather

25
Q

Why does Parkinson lead to Orthostatic Hypotension?

A

Autonomic Failure

26
Q

Side Effects of Sodium Valproate:

A

Teratogenic
Weight Gain
Alopecia
Hepatotoxicity

27
Q

What can mimic TIA and needs to be ruled out?

A

Hypoglycemia in diabetics

28
Q

Which Drugs precipitate Myasthenic Crisis?

A

Bisoprolol

29
Q

What is spared in ALS?

30
Q

Idiopathic Intracranial Hypertension first line:

A

Weightloss

31
Q

Unilateral tinnitus with deafness is a feature of?

A

Acoustic Neuroma

32
Q

Acoustic Neuroma Nerves involved:

33
Q

What is given in status Epilepticus?

A

IV Phenytoin

34
Q

What should you do in status epilepticus?

A

Rule out hypoxia and Hypoglycemia

35
Q

Weber Syndrome presents with:

A

Ipsilateral III Palsy

Contralateral Weakness

36
Q

Another name for Wallenberg Syndrome?

A

Lateral Medullary

37
Q

Lateral Medullary Syndrome presents with:

A

ipsilateral: ataxia, nystagmus, dysphagia, facial numbness, cranial nerve palsy
Contralateral Limb Sensory Loss

38
Q

What is used in Cluster headache:

39
Q

Brain Abscess IV antibiotics:

A

Ceftriaxone and Metronidazole

40
Q

Cerebellar disease can present with what? (DANISH)

41
Q

Is Hypo or Hypertonia associated with Cerebellar disease:

42
Q

Isolated high protein in CSF is associated with?

43
Q

What are Jacksonian movements?

A

Clonic Movements travelling proximally

44
Q

Which lobe is effected when there are Jacksonian Movements?

A

Frontal Lobe

45
Q

Fluctuating Confusion and Consciousness ?

A

Subdural Hematoma

46
Q

Raised ICP Triad:

A

Widening of PP
Resp Changed
Bradycardia

47
Q

Which electrolyte disorder is common in SAH?

A

Hyponatremia

SIADH

48
Q

Tests to confirm Brain Death:

A

pupillary reflex, corneal reflex, oculo-vestibular reflex, cough reflex, absent response to supraorbital pressure, and no spontaneous respiratory effort

49
Q

What does binocular vision post trauma suggest?

A

Depressed Fracture of Zygoma

50
Q

Long Term prophylaxis of Cluster:

A

Verampamil

51
Q

Acute Recue therapy for cluster:

A

Sumatriptan

Medicine Final (7 decks)

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