Neurology Flashcards

1
Q

Thunderclap headache

A

Subarachnoid haemorrhage

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2
Q

Xanthochromic lumbar puncture

A

Subarachnoid haemorrhage

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3
Q

Lucid period after head trauma (often followed by sudden collapse or deterioration)

A

Extra-Dural haemorrhage

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4
Q

Cogwheel rigidity

A

Parkinson’s

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5
Q

“Woody texture” muscle swelling

A

Duchenne or Becker MD

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6
Q

Raised CK

A

Muscular dystrophy

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7
Q

Toe walker or positive gower’s sign

A

Muscular dystrophy

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8
Q

“Mask like” expression

A

Parkinson’s

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9
Q

Fluctuating cognitive deficit

A

Lewy body dementia or delirium

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10
Q

R.E.M. Disturbance (late at night)

A

Lewy body dementia or PD

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11
Q

Vivid visual hallucinations, usually non-threatening and of children

A

Lewy body dementia

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12
Q

Acute onset fluctuating cognitive disturbance

A

Delirium

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13
Q

Personality/behaviour changes then dementia

A

Fronto-temporal dementia (Pick’s disease)

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14
Q

Memory & personality problems in someone with CVS disease

A

Vascular dementia

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15
Q

Pain on loud noise

A

Facial nerve palsy

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16
Q

Stepwise deterioration

A

Vascular dementia

17
Q

Painful third nerve palsy

A

Aneurysm

18
Q

Myalgia
Myositis
Myoglobulinaemia/uria

A

Rhabdomyolysis

DIC and renal failure

19
Q

Inflammatory myopathy with poor response to steroids

A

Inclusion body myositis

20
Q

Weakness
Frontal balding
Cataracts
Ptosis

A

Myotonic dystrophy

21
Q

Leg symptoms

Midline shift

A

Falcons herniation

22
Q

Back pain worse on coughing

A

Slipped disc

23
Q

Headache worse on coughing

A

Posterior fossa issue

24
Q

BL sciatica
Male sexual dysfunction
+/- bowel and bladder symptoms

A

Cauda equina syndrome

25
Q

Pleocytosis on CSF - rule out?

A

Bacterial meningitis

26
Q

1st line migraine prophylaxis

A

Propanolol
Topiramate
Amitryptilline

27
Q

2nd line migraine prophylaxis

A
Valproate 
Pizotifen 
Gabapentin 
Pregabalin 
(Try new drug after 4 months)
28
Q

Waiter’s tip

A

Injury to upper brachial plexus - Erb’s palsy

29
Q

Claw hand

A

Injury to lower brachial plexus - Klumpke’s palsy

30
Q

Positive simmond’s test

A

Achilles’ tendon rupture

31
Q

Anti-acetylcholine (nicotinic) receptor antibody

A

Myaesthenia gravis

32
Q

Purely motor symptoms with ocular sparing

A

Motor neurone disease

33
Q

Raccoon/panda eyes

A

Anterior cranial fossa fracture