y3 neurology matrix

Question 1

list some symptoms of migraine aura

Answer 1

1. visual disturbances (eg. central scotoma, scintillating scotoma)
2. sensory changes (eg. numbness/tingling)
3. motor changes (eg. hemiplegic migraine)

Question 2

what symptoms is migraine associated with?

Answer 2

nausea, photophobia, phonophobia

Question 3

what are the 3 types of primary headaches

Answer 3

1. migraine
2. tension-type
3. cluster headache

Question 4

what are some secondary causes of headache

Answer 4

1. acute sinusitis
2. temporal arteritis
3. trigeminal neuralgia
4. withdrawal of medication
5. cervical artery dissection
6. cerebral venous sinus thrombosis
7. cervicogenic headache

Question 5

which is the best test to show intracranial haemorrhage/bleeding?

Answer 5

CT scan

Question 6

which is the best test to show brain tumour?

Answer 6

MRI scan

Question 7

list management principles of increased ICP

Answer 7

1. DRSABC
2. Elevate head
3. Hyperventilation
4. IV mannitol
5. Surgery (removal of CSF, decompressive craniectomy)