RACP-Neuro Flashcards

1
Q

A 74-year-old man present for review after developing blurring of vision in his left eye for 20 minutes, which has now resolved. He had a similar episode whilst driving two weeks ago, but reports being able to continue driving as his right eye was unaffected. His neurological examination is unremarkable.
He likely has a stenosis of which artery?
a) Basilar Artery
b) Right Internal Carotid Artery
c) Left Internal Carotid Artery
d) Left Vertebral Artery
e) Right Vertebral Artery

A

Left Internal Carotid Artery

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2
Q

A 72-year-old female has a two-week history of episodes of shooting pain affecting her cheek and jaw. The episodes last 30 seconds and she had dozens per day. They are brought on by chewing or talking. She has a normal neurological examination. What is the most likely diagnosis?

a) Giant Cell Arteritis
b) Hemifacial Spasms
c) Migraine
d) Transient Ischaemic Attack
e) Trigeminal Neuralgia

A

e) Trigeminal Neuralgia

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