passmed knowledge Flashcards
Tx of drug induced parkinsons tremor
Procyclidine
Which drugs cause IIH?
Name 3 other natural causes
COCP Steroids Tetracyclines Vitamin A Lithium
Female, Overweight, Pregnant
What anaesthetic agent are MG patients resistant to
Suxamethonium
Name 4 side effects of sodium valproate
Alopecia
Weight Gain
Hepatitis
Teratogenicity
Anti emetic of choice in parkinsons?
Domperidone
Where does ondansetron work?
Medulla Oblongata
Mx of restless legs syndrome
Ropinirole
Subdural haemorrhage vein?
bridging veins between cortex and venous sinus
When can Anti epilieptic drugs be stopped and over what period of time
> 2 years seizure free
over 2-3 months
Biggest side effect of carbamezapine
SJS
What drug is contraindicated in MG patients because of the risk of respiratory depression/Myaesthenic crisis
Beta Blocklers
Mx of IIH
Acetazolamide
Encephalitis and Temporal Lobe Changes?
HSV is the cause
Management of a myaesthenic crisis
IVIG and Plasmaphoresis
Mx of neuroleptic malignant syndrome
Stop Antipsychotic
IV Fluids
Dantrolene
Bromocriptine
Which diet is helpful for epilepsy in children
Keto
Cluster headache tyype symptoms managed with indomethacin?
Paroxysmal Hemicrania
What investigation should be considered before starting phenytoin and why?
Cardiac Monitoring
Pro arrythmogenic affectt
Which muscles are spared in MND
Ocular Muscles
headache worse when lying down?
Headache worse when upright?
IIH
SIH
MND mx
Riluzole
Nightly BiPAP
What is the difference between normal GBS and the miller fischer variant
Symptoms start proximally in Miller Fischer as opposed to distally.
What is cataplexy
Loss of muscle tone due to strong emotions
Benign Rolandic Seizures
Seizures in children, commonly with paraesthesia “fizzy” feeling around the mouth when waking up
Infantile Spasm (west syndrome)
Babies in first few months
Flexing of head and neck and outstretch of arms
Mental Handicap
Hypsarrythmia on EEG
Petit mal absence seizures in children
4-8 yrs
30 sec episodes
eeg. 3hz symmetrical
Lennox Gastaut Syndrome
Extension of infantile spasms Onset 1-5 yrs Absences, falls jerks, Mental Handicap Slow Spike on EEG
Juvenile Myoclonic Epipepsy
Teens
Generalized seizures in morning or lack of sleep
Daytime absences
Sudden shock like myoclonic seizures
Mx of brain abscess
Ceftriaxone and Metronidazole
Extra dural haemorrhage site, common fracture cause?
Middle meningeal artery, fracture of the pterion
What are the 6 tests to confirm brain death?
Pupillary Reflex Corneal Reflex Oculovestibular Reflex Cough Reflex Absent Response to Supraortbital Pressure No spontaneous resp effort
