passmed again

Question 1

absent corneal reflex indicates which tumour

Answer 1

acoustic neuroma

Question 2

prophylaxis of migraines if asthmatic

Answer 2

topiramate

Question 3

first line investigation for stroke is CT with or without contrast?

Answer 3

WITHOUIT

Question 4

what nerve palsy:

up and out
vertical diplopia worse on downward gaze

Answer 4

trochlear

Question 5

if rly short post-ictal period after what seems like a seizure, what is it thats most likely happening

Answer 5

vasovagal syncope

Question 6

medication overuse headache treatment

Answer 6

simple analgesia + triptans: stop abruptly
opioid analgesia: withdraw gradually

Question 7

pure motor stroke

Answer 7

lacunar stroke

Question 8

can the patient wrinkle their forehead in bell’s palsy

Answer 8

no because the whole side of the face is affected as this is a LMN disease

Question 9

Paralysis, low GCS, and bilateral pinpoint pupils

Answer 9

pontine haemorrhage (stroke)

Question 10

can triptans be stopped suddenly

Answer 10

yes

Question 11

after a TIA, if clopidogrel is contraindicated or not tolerated, what should be given?

Answer 11

aspirin and modified release dipyramidole for secondary prevention following stroke

Question 12

what lobes does HSV usually affect

Answer 12

temporal

Question 13

treatment of focal seizures in males

Answer 13

lamotrigine or levetiracetam

Question 14

headache thats worse in the morning

Answer 14

cancer headache

Question 15

what nerve for contraction of sternocleidomastoid muscle

Answer 15

spinal root of accessory nerve

Question 16

what type of drug is rivastigmine

Answer 16

acetylecholinesterase inhibitor
-for alzheimers