Neurology Part 1

Question 1

Lump on the side of the face

Displaced earlobe outwards

Answer 1

Parotid tumour -

the most common one is

Pleomorphic adenoma

Question 2

Ptosis and dilated pupil

Answer 2

Third nerve palsy

Question 3

CSF in acute poly neuritis

Answer 3

Normal cell count with high protein

Question 4

Difference between neuroleptic malignant syndrome and serotonin syndrome

Answer 4

Serotonin syndrome has
hyper reflexia,
dilated pupils,
hyperactive bowel sounds

Neurolytic malignant syndrome

Normal pupil and bowel
Low reflexes

Question 5

The only treatment for juvenile myoclonic epilepsy

Answer 5

Sodium valproate

Question 6

Parkinson’s plus syndrome

Answer 6

Bilateral rest tremor
Poor response to levodopa

Question 7

Complications after Sarah haemorrhage from aneurysm bleed:

Answer 7

Re-rupture
Acute hydrocephalus
Vasospasm
Hyponatremia

Question 8

Peripheral neuropathy treatment in diabetes

Answer 8

Amitriptyline

Question 9

Pallidotomy

Answer 9

Surgery to alleviate tremor and rigidity in Parkinson’s

Doesn’t help for bradykynesia, dysarthria or dementia

Question 10

Supra nuclear palsy

Answer 10

Falls
Dysphasia
Vertical gaze deficit

Question 11

Creutzfeldt - Jacob disease

Answer 11

Dementia and myoclonus

Caused by infectious protein particles

Death within one year

Question 12

Gerstmann syndrome

Answer 12

Right left confusion
Acalculia
Dysgraphia
Can’t name fingers

Question 13

Most common cause of six Nerve palsy

Answer 13

Diabetes

Question 14

Memory in fronto temporal dementia

Answer 14

Preserved to late stage disease

Question 15

Test for peripheral neuropathy

Answer 15

Monofilament

Question 16

Iris Lisch nodules +

Optic pathway glioma

Answer 16

Neurofibromatosis type 1

Question 17

Hemi section of spinal cord

Answer 17

Contralateral loss of pain and thermal sensation

Ipsilateral loss of proprioception and motor paralysis

Question 18

Speech symptom in Parkinson’s

Answer 18

Progressively inaudible speech

Loss of clarity and volume

Question 19

Todd’s paralysis

Answer 19

Temporary loss of motor function and feeling after a seizure up to 36 hours

Usually resolve without treatment

Question 20

Double vision
Ptosis
Tiredness

Answer 20

Myasthenia gravis

Question 21

Poor naming ability

Answer 21

Trans cortical motor aphasia

Question 22

Failure of one eye to develop normal Iris colour

Answer 22

heterochromia iridis

Congenital Horner syndrome

Question 23

Feeling detached from yourself
And occasional headaches

Answer 23

Temporal lobe epilepsy

Question 24

What can aggravate symptoms of Alzheimer’s?

Answer 24

Thyroid disorders

Question 25

Mild headache and in two weeks severe headache

Answer 25

Subarachnoid haemorrhage CT scan can be normal then do lumbar puncture

Question 26

Sudden severe facial pain

Answer 26

Trigeminal neuralgia Treat with carbamazepine

Question 27

Guillian Barre CSF

Answer 27

High protein Normal cells

Question 28

Myasthenia gravis treatment

Answer 28

Mild and moderate: neostigmine All degrees: corticosteroids

Question 29

Investigation for myasthenia

Answer 29

1 line: anti-acetylcholine rec a/b 2 line - Highest diagnostic sensitivity!!!! - single fibre electromyography

Question 30

Acute alcohol withdrawal seizures

Answer 30

Diazepam