quickie Flashcards
When can you not give triptans?
In ischaemic heart disease
What drugs must you avoid in Lewy Body dementia?
Avoid nueroleptics!! (e.g. haloperidol) May cause irreversible parkinsonism
Which medication can cause myasthenic crises?
Beta blockers
Medication you would give for restless legs?
Ropinirole (dopamine agonist)
When can you start driving after a single TIA?
Can start driving after 1 month
Someone has a TIA, what do you do?
Aspiring 300mg immediately and specialist review with 24 hours
Prognosis of absence seizures?
Excellent prognosis - 90-95% become seizure free in adolescence
Common trigger for cluster headaches
Alcohol
How does a lacunar stroke present?
Either pure motor hemiparesis Pure sensory hemiparesis Sensorimotor stroke Ataxic hemiparesis Dysarthria/clumsy hand syndrome
Which type of medication should you avoid in Parkinsons (and Lewy body dementia)
Anti-psychotics
-may worsen symptoms of parkinsons
Massive risk factor for pontine haemorrhage?
High blood pressure e.g. “long-standing uncontrolled hypertension”
How does a pontine stroke present?
Reduced Glasgow coma score, quadriplegia, miosis, and absent horizontal eye movements
Name a 5HT3 antagonist
Ondansetron
Where do 5HT3 antagonists work in the brain (e.g. ondanestron)
The medulla
Biggest risk factor for developing Bell’s palsy?
Pregnancy (3x greater risk)
Unilateral tinnitus and deafness
Acoustic neuroma
What type of arm fracture could damage your radial nerve?
Fracture of the shaft of humerus (may present as a wrist drop)
Sodium valproate and the P450 system?
Sodium valproate causes inhibition of the P450 system
Which type of parkinsons medication is most linked with impulse control disorders?
Dopamine agonists
Which part of the spine does polio affect?
Affects the anterior horns, resulting in lower motor neurone signs
Medication you can give for insomnia in Alzheimer’s?
Trazadone
Severe dementia
MMSE <10
Moderate dementia
MMSE 10-20
Mild dementia
MMSE 21-26
