Neuro COTE night before]

Question 1

Median nerve lesion

Answer 1

LOAF muscles
c6-t1
weakness of precision grip, sensory loss radial 3.5 fingers
splinting, steroid injection, decompression

Question 2

Ulnar nerve lesion?

Answer 2

Ulnar nerve
C7-T1
weakness of wrist/hand muscles
trauma at medial epicondyle, cubital tunnel syndrome

Question 3

Status epilepticus

Answer 3

IV Lorazepam then again after 10 mins then Phenytoin

Question 4

Treatment for MS?

Answer 4

High dose steroids for exacerbations, interferon-B
spasm mx (baclofen), tremor mx (benzos), pain (gabapentin), urinary incontinence (anticholinergics), antidepressants
inc risk suicide

Question 5

Cerebellar signs Are Danish pastries

Answer 5

Dysdiadochokinesis
Ataxia
Nystagmus
Intention tremor
Scanning speech, disarthria
Hypotonia, hyporeflexia

Question 6

Tx of meningitis across different age groups?

Answer 6

Primary care -> meningococcal sepsis? IM benzene (if will not delay transfer)
2ndary care:
<3 months -> IV cefotaxime + amoxicillin/ampicillin
>3 months -> IV ceftriaxone
prophylaxis to close contacts in 24 hours, cipro/rifampicin

DO NOT LP MENINGOCOCCAL SEPTICAEMIA