passmed knowledge Flashcards

1
Q

Tx of drug induced parkinsons tremor

A

Procyclidine

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2
Q

Which drugs cause IIH?

Name 3 other natural causes

A
COCP
Steroids
Tetracyclines
Vitamin A
Lithium

Female, Overweight, Pregnant

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3
Q

What anaesthetic agent are MG patients resistant to

A

Suxamethonium

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4
Q

Name 4 side effects of sodium valproate

A

Alopecia
Weight Gain
Hepatitis
Teratogenicity

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5
Q

Anti emetic of choice in parkinsons?

A

Domperidone

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6
Q

Where does ondansetron work?

A

Medulla Oblongata

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7
Q

Mx of restless legs syndrome

A

Ropinirole

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8
Q

Subdural haemorrhage vein?

A

bridging veins between cortex and venous sinus

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9
Q

When can Anti epilieptic drugs be stopped and over what period of time

A

> 2 years seizure free

over 2-3 months

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10
Q

Biggest side effect of carbamezapine

A

SJS

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11
Q

What drug is contraindicated in MG patients because of the risk of respiratory depression/Myaesthenic crisis

A

Beta Blocklers

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12
Q

Mx of IIH

A

Acetazolamide

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13
Q

Encephalitis and Temporal Lobe Changes?

A

HSV is the cause

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14
Q

Management of a myaesthenic crisis

A

IVIG and Plasmaphoresis

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15
Q

Mx of neuroleptic malignant syndrome

A

Stop Antipsychotic
IV Fluids
Dantrolene
Bromocriptine

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16
Q

Which diet is helpful for epilepsy in children

A

Keto

17
Q

Cluster headache tyype symptoms managed with indomethacin?

A

Paroxysmal Hemicrania

18
Q

What investigation should be considered before starting phenytoin and why?

A

Cardiac Monitoring

Pro arrythmogenic affectt

19
Q

Which muscles are spared in MND

A

Ocular Muscles

20
Q

headache worse when lying down?

Headache worse when upright?

A

IIH

SIH

21
Q

MND mx

A

Riluzole

Nightly BiPAP

22
Q

What is the difference between normal GBS and the miller fischer variant

A

Symptoms start proximally in Miller Fischer as opposed to distally.

23
Q

What is cataplexy

A

Loss of muscle tone due to strong emotions

24
Q

Benign Rolandic Seizures

A

Seizures in children, commonly with paraesthesia “fizzy” feeling around the mouth when waking up

25
Q

Infantile Spasm (west syndrome)

A

Babies in first few months
Flexing of head and neck and outstretch of arms
Mental Handicap
Hypsarrythmia on EEG

26
Q

Petit mal absence seizures in children

A

4-8 yrs
30 sec episodes
eeg. 3hz symmetrical

27
Q

Lennox Gastaut Syndrome

A
Extension of infantile spasms
Onset 1-5 yrs
Absences, falls jerks,
Mental Handicap
Slow Spike on EEG
28
Q

Juvenile Myoclonic Epipepsy

A

Teens
Generalized seizures in morning or lack of sleep
Daytime absences
Sudden shock like myoclonic seizures

29
Q

Mx of brain abscess

A

Ceftriaxone and Metronidazole

30
Q

Extra dural haemorrhage site, common fracture cause?

A

Middle meningeal artery, fracture of the pterion

31
Q

What are the 6 tests to confirm brain death?

A
Pupillary Reflex
Corneal Reflex
Oculovestibular Reflex
Cough Reflex
Absent Response to Supraortbital Pressure
No spontaneous resp effort