Neurology

Question 1

Sinusitis + focal neurology and fever

Answer 1

brain abscess

Question 2

topiramate in pregnancy can cause

Answer 2

cleft lip/palate

Question 3

tuberous sclerosis inheritance

Answer 3

AD

Question 4

Driving and epilepsy

Answer 4

1 year seizure free can apply for license
5 years can have normal till70 license
Unprovoked/1 seizure - 6 months off

Question 5

Loss of sensory/motor function in individual nerves, assymetric to symmetric

Answer 5

mononeuritis multiplex

Question 6

pain and weakness in both legs on walking, settles with rest

Answer 6

lumbar canal stenosis

Question 7

Loss of motor/sensory function over months progressively, difficulty typing etc

Answer 7

degenerative cervical myelopathy

Refer to spinal surgery

Question 8

adhesive capsulitis

Answer 8

refer for physio

Question 9

spinothalamic loss

Answer 9

syringomelia

Question 10

Crossed findings eg left pupil affected by right paresis

Answer 10

Weber’s syndrome

Question 11

Confabulation and can’t make new memories

Answer 11

Korsakoff’s

Question 12

Recognition of stroke in emergency room

Answer 12

Rosier

Question 13

Don’t use triptans when

Answer 13

if ischaemia heart disease

Question 14

Unilateral parkinsonism and autonomic disturbance

Answer 14

multisystem atrophy

Question 15

Treatment of neuroleptic malignant syndrome

Answer 15

bromocriptine

Question 16

Exaggerated thumb flexion, difficulty holding things in degenerative cerivcal myelopathy/MS

Answer 16

Hoffman’s sign

Question 17

knee pain on extension

Answer 17

Kernig’s sign

Question 18

FH of early blindness and tunnel vision

Answer 18

retinitis pigmentosa

Question 19

GT in alcohol consumption

Answer 19

Increased