Neurology random

Question 1

What get in GBS LP

Answer 1

ALbumin

Question 2

4 As of GBS

Answer 2

Acute inflam demyel polyradi
Acute
A

Question 3

First line management any MS patient with bladder dysfunction

Answer 3

US KUB - assess whether retention - depends what medication will use
Oxybutinin can worsen retnetion
Then -> methylpred if flare
Residual volume - self catheterisation
No residual volume - anticholinergics eg oxybutinin

Question 4

CSF MS

Answer 4

Oligo clonal bands - not in serum

Question 5

MRI contrast head in MS

Answer 5

Dawsons fingers
Periventricular white lesions
Lesions disseminated in space and time

Question 6

Why is domperidone used in reducing nausea in parkinsons

Answer 6

Doesn’t cross BBB

Question 7

SACD features

Answer 7

Loss of proprioception and vibration sensation
Muscle weakness
Hyperreflexia

Question 8

SCD acronym features for SACD

Answer 8

Spinocerebellar tracts - sensory infromation - ataxia, +ve romberg
Corticospinal tracts motor tract
Dorsal columns - proprioception, vibration fine touch

Question 9

Why replace B12 before folate

Answer 9

Because body uses up all og B12 with replaced folate until none left -> SACD

Question 10

Pyramidal vs extrapyramidal

Answer 10

Pyramidal - vulantary
Extrapyramidal - epsies, eg movement disorders - tardive dyskinesia etc

Question 11

Treatment for bells palsy

Question 12

Bells palsy features

Answer 12

Unilateral facial weakness affecting forehead
Hyperacusis
30-40 women
Treat - predisolone + eye care

Question 13

Bells palsy vs ramsay hunt

Answer 13

Ramsay hunt - auricular pain, vesicular rash, tinnitis
Bells - less ear features

Question 14

Treatment for ramsay hunt

Answer 14

Prednisolone + aciclovir

Question 15

Results ofSAH on LP

Answer 15

bilirubin +normal openeing pressure + xanthochromia

Question 16

CT head SAH what see

Answer 16

sTAR SHAPE

Question 17

sECONDARY PREVENTION for ischaemic strokes

Answer 17

2 weeks aspsirin = primary
Swap clopidogrel + atorvaastatin long term

Question 18

When do mechanical clot retrieval in ischaemic stroke

Answer 18

After thrombolysis IF stroke occured in last 6 hours in proximal anterior circulation
Should happe within 6-24hours of last normal if potential to salvage brain tissue + limited infarct core volume

Question 19

Where does a strke have to be for thrombectomy

Answer 19

Proximal anterior circulation with CTA or MRA

Question 20

Features of idiopathic intracrania HPTN

Answer 20

headache
blurred vision
papilloedema (usually present)
enlarged blind spot
sixth nerve palsy may be present

Question 21

Management of idiopathic IC HPTN

Answer 21

WEIGHT LOSS
Carbonic anhydrase inhibitors eg acetazolamide
Topiramate
Repeat LP short term
Surgery if optic nerve sheath compression and fenestration

Question 22

What is acetazolamide

Answer 22

Carbonic anhydrase inhibitor used to treat idiopathic intracranial HPTN

Question 23

Features of cerebellar tremor

Answer 23

Cerebellar tremor - coarse intention tremor increases with amplitude on reahc, can be unilaterl