PassMed Neuro(1/3/20) Flashcards

1
Q

What is the long term prophylaxis treatment of cluster headaches

A

Verapamil

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2
Q

Patient presents with: right sensorineural hearing loss, dizziness , right sided facial numbness and absent corneal reflex
What is the diagnosis

A

Acoustic neuroma (vestibular schwannoma) affecting cranial nerves V, VII, VIII

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3
Q

Which condition is associated with post-ictal weakness?

A

Focal-onset epilepsy

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4
Q

What is loss of corneal reflex

A

Acoustic neuroma

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5
Q

Which medication could potentially cause idiopathic intracranial hypertension

A

Tetracycline AB

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6
Q

The following symptoms make you think of which diagnosis -

  • resting tremor
  • rigidity
  • bradykinesia
  • postural instability
  • postural hypotension
  • ataxia
A

Multi- system atrophy

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7
Q

What are the medications for treating brain abscess

A

Ceftriaxone and metronidazole

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8
Q

What does a ring enhancing lesion on a brain CT show

A

Brain abscess

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9
Q

Which type of primary tumour is most likely to cause metastatic brain cancer

A

Lung

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10
Q

What is the most common bacteria, cause of guillian barre syndrome

A

Campylobacter jejuni

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11
Q

Which gait is wide based with a loss of heel to toe walking

A

Ataxic gait

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12
Q

What is the drug combination used to prevent another stroke

A

Aspirin and dipyridamole lifelong

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13
Q

Which stroke shows

  • unilateral hemiparesis and/or he is escort loss of the face, arm and leg
  • homonymous hemianopia
  • higher cognitive dysfunction
A

Total anterior circulation infarcts

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14
Q

Which stroke shows 2 of the following

  • unilateral hemiparesis and/or he is escort loss of the face, arm and leg
  • homonymous hemianopia
  • higher cognitive dysfunction
A

Partial anterior circulation infarcts

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15
Q

Which stroke presents with one of the following

  • cerebellar or brain stem syndromes
  • loss of consciousness
  • isolated homonymous hemianopia
A

Posterior circulation infarcts

Vertebrobasilar arteries

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16
Q

Which type of stroke presents with the following

  • unilateral weakness or face and arm, arm and leg or all 3
  • pure sensory
  • ataxic hemiparesis
A
Lacunar stroke 
(Perforating arteries around internal capsule, thalamus, basal ganglia
17
Q

Which neuropathy presents with

  • foot drop
  • pes cavus
  • scoliosis
  • stamping gait
  • family history
A

Charcot Marie tooth

18
Q

Acutely painful visual loss, conjunctival injection and firm, tender and pulsation eyeball
Points towards which condition

A

Carotid cavernous fistula

19
Q

Which nerve is a potential complication of a numeral shaft fracture?

A

Radial nerve

20
Q

What abnormal blood results are seen on neuroleptic malignant syndrome?

A

Raised CK and raised WC