quickie

Question 1

When can you not give triptans?

Answer 1

In ischaemic heart disease

Question 2

What drugs must you avoid in Lewy Body dementia?

Answer 2

Avoid nueroleptics!! (e.g. haloperidol) May cause irreversible parkinsonism

Question 3

Which medication can cause myasthenic crises?

Answer 3

Beta blockers

Question 4

Medication you would give for restless legs?

Answer 4

Ropinirole (dopamine agonist)

Question 5

When can you start driving after a single TIA?

Answer 5

Can start driving after 1 month

Question 6

Someone has a TIA, what do you do?

Answer 6

Aspiring 300mg immediately and specialist review with 24 hours

Question 7

Prognosis of absence seizures?

Answer 7

Excellent prognosis - 90-95% become seizure free in adolescence

Question 8

Common trigger for cluster headaches

Answer 8

Alcohol

Question 9

How does a lacunar stroke present?

Answer 9

Either pure motor hemiparesis
Pure sensory hemiparesis
Sensorimotor stroke
Ataxic hemiparesis
Dysarthria/clumsy hand syndrome

Question 10

Which type of medication should you avoid in Parkinsons (and Lewy body dementia)

Answer 10

Anti-psychotics

-may worsen symptoms of parkinsons

Question 11

Massive risk factor for pontine haemorrhage?

Answer 11

High blood pressure e.g. “long-standing uncontrolled hypertension”

Question 12

How does a pontine stroke present?

Answer 12

Reduced Glasgow coma score, quadriplegia, miosis, and absent horizontal eye movements

Question 13

Name a 5HT3 antagonist

Answer 13

Ondansetron

Question 14

Where do 5HT3 antagonists work in the brain (e.g. ondanestron)

Answer 14

The medulla

Question 15

Biggest risk factor for developing Bell’s palsy?

Answer 15

Pregnancy (3x greater risk)

Question 16

Unilateral tinnitus and deafness

Answer 16

Acoustic neuroma

Question 17

What type of arm fracture could damage your radial nerve?

Answer 17

Fracture of the shaft of humerus (may present as a wrist drop)

Question 18

Sodium valproate and the P450 system?

Answer 18

Sodium valproate causes inhibition of the P450 system

Question 19

Which type of parkinsons medication is most linked with impulse control disorders?

Answer 19

Dopamine agonists

Question 20

Which part of the spine does polio affect?

Answer 20

Affects the anterior horns, resulting in lower motor neurone signs

Question 21

Medication you can give for insomnia in Alzheimer’s?

Answer 21

Trazadone

Question 22

Severe dementia

Answer 22

MMSE <10

Question 23

Moderate dementia

Answer 23

MMSE 10-20

Question 24

Mild dementia

Answer 24

MMSE 21-26