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medicine > Neurology > Flashcards

Neurology Flashcards

1
Q

First line post herpectic neuralgia

A

Amitryptilline

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2
Q

Treatment of migraine prophylaxis

A

Propranolol or topirimate

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3
Q

Acute treatment of migraine

A

Nsaid or oral triptan

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4
Q

Wien should migraine prophylaxis be given

A

If people get 2 or more attack’s a month

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5
Q

First line for essential tremor?

A

Propranolol

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6
Q

Most common psychiatric problem in Parkinson’s?

A

Depression

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7
Q

Signs of MND

4

A

Fasiculations
Mixed LMN and UMN signs
Lack of sensory signs
Wasting of the small hand muscles

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8
Q

Migraine with aura, name of blurry flashing lights

A

Scintillating scotoma

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9
Q

LMN forehead sparing or wasting?

A

Wasting

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10
Q

Other symptoms of Bell’s palsy except for facial droop

A

Dry mouth
Eyelid drooping
Hyperacusis

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11
Q

Treatment of Bell’s palsy

A

Pred 1mg/kg for 10 days and eye care

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12
Q

Other finding in acoustic neuromas

A

Loss of corneal reflex

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13
Q

Who are cluster headaches common in

3

A

Men
Smokerss
Drinkers

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14
Q

How often and long do cluster headaches last for

A

Twice daily for 4-12 weeks

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15
Q

Associated symptoms with cluster headaches

4

A

Eye red, lacrimation, lid swelling nasal stuffiness

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16
Q

What is empty sella syndrome and what are the features?

3 features

A

Regression of the pituitary

Headaches
HTN
Rhinorrhoea

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17
Q

Commonest cause of MS

A

Relapsing remitting

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18
Q

Signs of bulbar onset MND

A

Tongue fasciculations

Hypophonia

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19
Q

Which cranial nerves can acoustic neuromas affect

A

5,7,8

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20
Q

Absolute congrats to thrombolysis you don’t know

4

A

LP 7 days ago
Stroke in last 3 months
Uncontrolled htn
Pregnancy

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21
Q

Secondary prevention stroke, second choice if clop contrindicated

A

Dipyramidomole

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22
Q

What is used to prevent ms relapses

A

Beta interferon

23
Q

First line for oscillating visual fields in MS

A

Gabapentin

24
Q

Main side effects of phenytoin

4

A

Gingival hyperplasia (bleeding)
Peripheral neuropathy
Megalobladtic anaemia
Osteomalacia

25
Q

Pneumonic for hemianopias

A

PITS

26
Q

First line for trig emu all neuralgia

A

Carbamazepine

27
Q

P450 inhibitor valproate?

A

Yes

28
Q

Bilateral acoustic neuromas associated with what condition?

A

NF TYPE 2

29
Q

Eye down and out, what palsy

A

3rd nerve

30
Q

Which anti emetic in pd

A

Domperidone

31
Q

Migraine prophylaxis if asthmatic

A

Topirimate

32
Q

Features of neuromalignant syndrome

A

Within 10 days of treatment
Pyrexia
Rigidity
Tachycardia

33
Q

Surgery for cds

A

Cervical decompression

34
Q

Which dermatologist does palm of hand

A

C7

35
Q

Hoffman’s sign?

A

Flicking the middle finger causes flexion of the thumb in DCM

36
Q

Adhesive capsulitis causes limited int or ext shoulder rotation?

A

External

37
Q

Which chromosome is huntingtons

A

4

38
Q

Features of lewy body

A

Hallucinations

Movement problems

39
Q

Contraindication to triptan

A

IHD

40
Q

What is capgras syndrome

A

Believing your friend has been replaced by an identical looking imposter

41
Q

First line generalised seizures

A

Valproate

42
Q

Second line generalised seizures

A

Lamotrigine and carbamazepine

43
Q

First line partial seizures

A

Carbamazepine

44
Q

First mine absence seizures

2

A

Valproate or ethosuxamide

45
Q

1st line myoclonus seizure

A

Valproate

46
Q

1st line focal seizure

2

A

Carbamazepine or lamotrigine

47
Q

Oxygen is the main treatment of what headache

A

Cluster

48
Q

Which migraine prophylaxis causes teratogenicity

A

Topirimate

49
Q

Peak incidence of MG

A

20-30 women

60-70 men

50
Q

Holmes adie pupil?

A

Dilated pupils

Loss of deep tendon reflexes

51
Q

Argyll robertson pupil features

A

Bilaterally small constricted pupils

Do not accommodate

52
Q

What is uhthoffs phenomenon in MS

A

Symptoms worsen in heat

53
Q

Achilles’ tendon teflex is which root

A

S1-2

54
Q

Plantar reflect what root

A

S1-2

medicine (14 decks)

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