Passmed2 Flashcards
Nerve responsible for pronation of hand
Median
Nerve which allows opposition of thumb
Median
This nerve may be damaged in axillary dissection
Intercostobrachial
First line treatment for trigeminal neuralgia
Carbamazepine
Vitamin B12 deficiency
Pernicious anaemia
Vitamin B1 deficiency
Wernicke’s encephalopathy
Difference between essential tremor and parkinsons tremor
Essential tremor is worse when arms are outstretched
What makes essential tremor worse
Propnaolol and alcohol
What is ROSIER?
Recognition of stroke in the emergency room
What causes a RAPD?
Damage to the optic nerve
RAPD is a defect in the direct response to light. It is due to damage in optic nerve or severe retinal disease. If an optic nerve lesion is present the affected pupil will not constrict to light when light is shone in the that pupil during the swinging flashlight test. However, it will constrict if light is shone in the other eye (consensual response).
Treatment of cluster headache
Subcutaneous triptan and 100% O2
What causes a subdural haemorrhage?
Damage to the bridging veins between CORTEX and VENOUS SINUS
What does Hoover’s sign test?
Tests to differentiate between organic and non-organic lower leg weakness
Supplies blood to the occipital lobe
Posterior cerebral artery
Gold standard for checking whether fluid is CSF
beta-2 transferrin
if not available, check glucose
Most common psychiatric problem seen in Parkinson’s?
Depression
When would you consider carotid endarterectomy?
When carotid stenosis is greater than 70%/50% (depends which reporting criteria used)
Most common complication following meningitis?
Hearing loss
Side effects of metoclopramide?
Extra-pyramidal side effects (particularly common in children and young adults)
Treatment of post-herpetic neuralgia?
Amitryptiline, duloxetine, gabapentin or pregabalin
Axillary freckles
NF type 1!!!
These annoying conditions that you always learn and forget can cause developmental delays
NF 1 and tuberose sclerosis
What can you do for eye symptoms in Bell’s palsy?
Prescribe artificial tears and advise eye taping at night§
Ptosis + dilated pupil
Third nerve palsy
Ptosis + constricted pupil
Horners
Suxamethonium
Don’t bother using in myasthenia gravis - won’t work
Mnemonic for features of Wenicke’s?
CAN OPEN
Confusion
Ataxia
Nystagmus
Ophthalmoplegia
Peripheral neuropathy
Can cause reddish discolouration of urine on standing
Levodopa
Saturday night palsy
Compression of radial nerve against humeral shaft
e.g. sleeping on a hard chair with hand draped over back
Phonophobia
Typical feature of migraines
