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stroke Flashcards

1
Q

how long after a TIA or stroke do you need to take off driving

A

1 month

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2
Q

do you need to inform the DVLA after single stork oe TIA

A

NO

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3
Q

how long off driving do you need to take for a syncopal episode that was inexplained

A

6 months

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4
Q

how long after explaind syncopal episode do you need before driving

A

4 weeks

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5
Q

2 or more unexplained syncopal episodes driving restrictions

A

12 months off

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6
Q

muscle relaxant of choie in rapid sequence induction

A

sux

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7
Q

features of osteongeneis imperfecta

A

weird teeth
blue scelra
fractures
deafness

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8
Q

what other type of investigation is done in Stroke that doesnt look at brain

A

cartoid US doppler

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9
Q

what arteries are affected in Total anterior circulation stroke

A

middle cerebral artery
anterior cerebral artery

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10
Q

symptoms of a MCA stroke

A

contralat motor and sensory loss
upper>lower
contralat hemonimous hemianopia
aphasia

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11
Q

symptoms of an ACA stroke

A

contral motor and sensory loss
lower> upper

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12
Q

what classification system is used for stroke

A

oxford stroke classification

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13
Q

symptoms of a total anterior circulation stroke

A

all 3 of
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia

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14
Q

what areteries are involved in a partial anteriro circulation storke

A

smaller arteries of anterior circulation e.g. upper or lower division of middle cerebral artery

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15
Q

symptoms of a partial anterior circulation stroke

A

2 of the:
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia

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16
Q

what is involved in webers syndrome

A

ipsilateral CN III palsy
contralat weakness

17
Q

what sign differentiates between organic and non-organic causes of lower limb weakness

A

hoovers sign

18
Q

onset in pseudo vs normal seizure

A

pseudo is gradual
true seizure is sudden

19
Q

MS investigation

A

MRI with contrast

20
Q

what neuro thing does B12 deficiency cause

A

subacute combined degeneration of the spinal cord

21
Q

what tracts are involved in subacute combnined degenration of the spinal cord

A

DCML , lat corticospinla (limbs) nd spinocerebllar tracts

22
Q

would hypo or hyper refelxia be seen in subacute combined degen of spinal cord

A

hyper refelxia

23
Q

what diet is recommended to children with lennox- gastaut and poorly controlled epilepsy

A

ketogenic diet

24
Q

prophylaxis options for migraine

contraindication for triptans

A

propanolo
topiramate - teratogenic
amitriptyline

history of cerebrovascular disease or ischaemic heart disease

25
Q

history of a chronic subdural haematoma

A

weeks to months Hx of progressively worsening confusion, neuro deficit or reduced consciousness

26
Q

how do chronic sundurals appear on CT

A

hypodense in contrast to acute

27
Q

what is amaurosis fugax

A

a transiet loss of vision in on eye thta returns to normal s

28
Q

what causes amaurosis fugax

A

retinal/opthalmic ischamia

29
Q

what stroke causes locked in syndrome

A

basilar artery

30
Q

gold standard for venous sinus thormbosis

A

MR venogram

31
Q

ptosis + constricted pupil=
ptosis + dilated pupil =

A
  1. horners
  2. CN III palsy
32
Q

what type of enema is used to check for leaks in a colon anastamosis and why

A

gastrografin as barium toxic if it leaks

33
Q

what PPI should be used alongisde clopidogrel

A

lansoprezole

34
Q

features of encephalitis

A

fever, headache, psychiatric symptoms, seizures, vomiting
focal features e.g. aphasia

35
Q

cause of viral encephalitis

A

HSV -1

36
Q

CFS finsings in encephalitis

A

ymphocytosis
elevetaed protein

37
Q

investigation for encephalitis

A

LP + PCR for virus
MRI

38
Q

what lobes are affected in ecephalitis

A

inferior frontal and temporal

39
Q

management of viral encepahlitis

A

IV aciclovir

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