Passmed2

Question 1

Nerve responsible for pronation of hand

Answer 1

Median

Question 2

Nerve which allows opposition of thumb

Answer 2

Median

Question 3

This nerve may be damaged in axillary dissection

Answer 3

Intercostobrachial

Question 4

First line treatment for trigeminal neuralgia

Answer 4

Carbamazepine

Question 5

Vitamin B12 deficiency

Answer 5

Pernicious anaemia

Question 6

Vitamin B1 deficiency

Answer 6

Wernicke’s encephalopathy

Question 7

Difference between essential tremor and parkinsons tremor

Answer 7

Essential tremor is worse when arms are outstretched

Question 8

What makes essential tremor worse

Answer 8

Propnaolol and alcohol

Question 9

What is ROSIER?

Answer 9

Recognition of stroke in the emergency room

Question 10

What causes a RAPD?

Answer 10

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).

Question 11

Treatment of cluster headache

Answer 11

Subcutaneous triptan and 100% O2

Question 12

What causes a subdural haemorrhage?

Answer 12

Damage to the bridging veins between CORTEX and VENOUS SINUS

Question 13

What does Hoover’s sign test?

Answer 13

Tests to differentiate between organic and non-organic lower leg weakness

Question 14

Supplies blood to the occipital lobe

Answer 14

Posterior cerebral artery

Question 15

Gold standard for checking whether fluid is CSF

Answer 15

beta-2 transferrin

if not available, check glucose

Question 16

Most common psychiatric problem seen in Parkinson’s?

Answer 16

Depression

Question 17

When would you consider carotid endarterectomy?

Answer 17

When carotid stenosis is greater than 70%/50% (depends which reporting criteria used)

Question 18

Most common complication following meningitis?

Answer 18

Hearing loss

Question 19

Side effects of metoclopramide?

Answer 19

Extra-pyramidal side effects (particularly common in children and young adults)

Question 20

Treatment of post-herpetic neuralgia?

Answer 20

Amitryptiline, duloxetine, gabapentin or pregabalin

Question 21

Axillary freckles

Answer 21

NF type 1!!!

Question 22

These annoying conditions that you always learn and forget can cause developmental delays

Answer 22

NF 1 and tuberose sclerosis

Question 23

What can you do for eye symptoms in Bell’s palsy?

Answer 23

Prescribe artificial tears and advise eye taping at night§

Question 24

Ptosis + dilated pupil

Answer 24

Third nerve palsy

Question 25

Ptosis + constricted pupil

Answer 25

Horners

Question 26

Suxamethonium

Answer 26

Don’t bother using in myasthenia gravis - won’t work

Question 27

Mnemonic for features of Wenicke’s?

Answer 27

CAN OPEN
Confusion
Ataxia
Nystagmus

Ophthalmoplegia
Peripheral neuropathy

Question 28

Can cause reddish discolouration of urine on standing

Answer 28

Levodopa

Question 29

Saturday night palsy

Answer 29

Compression of radial nerve against humeral shaft

e.g. sleeping on a hard chair with hand draped over back

Question 30

Phonophobia

Answer 30

Typical feature of migraines