Tuesday 10th

Question 1

Explain the management of a TIA if less than 24 hours since onset

Answer 1

1. 300mg of clopidogrel and 300mg of aspirin should be taken initiall
2. for 21 days 75mg of clopidogrel and 75mg of aspirin should be taken
3. monotherapy of just 75mg clopidogrel should be conitnued

Question 2

when should assessment with a stroke specialist occur after TIA

Answer 2

if less than 7 days since onsent -> within 24 hours
if more than 7 days since onset -> within 7 days

Question 3

what is the imaging of choice for a TIA

Answer 3

diffusion weighted MRI

Question 4

what should be first checked in an apparent TIA

Answer 4

glucose

Question 5

what carotid imaging should be done post TIA

Answer 5

carotid duplex USS

Question 6

what is the acute and what is the prophylactic treatment of meniere’s disease?

Answer 6

acute- prochlorperazine (may also use antihistamines such as cyclizine)
prophylactic- betahistine

Question 7

how does acute vestibular neuritis and viral labyrinthitis differ?

Answer 7

labyrinthitis might affect hearing but vestibular neuritis wont

Question 8

how are acoustic neuromas diagnosed?

Answer 8

MRI of the cerebellopontine angle

Question 9

what are two complications of acoustic neuromas and what nerves are they associated with?

Answer 9

facial nerve- facial paralysis
cranial nerve V - absent corneal reflex

Question 10

how long after treatment of CIN should a smear be done?

Answer 10

6 months

Question 11

describe a venous hum

Answer 11

a continuous blowing noise heard below both clavicles

Question 12

describe stills murmur

Answer 12

low pitched sound heard best at left sternal edge

Question 13

what surgery is done for malrotation and volvulus

Answer 13

Ladd’s procedure

Question 14

what type of amenorrhoea does excessive exercise cause?

Answer 14

hypothalamic hypogonadism