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Flashcards in Exam 5 Deck (20):
1

Severe unilateral pain + lacrimation

Cluster headache

2

Management of cluster headache
a) acute
b) prophylactic

a) 100% oxygen, triptan (nasal or subcut)
b) verapamil, prednisolone

3

Treatment for migraine:
a) abortive
b) prophylactic

a) triptan + simple analgesia
b) propanolol, pizotifen, TCA

4

Pain in trigeminal distribution, unilateral, triggered by light touch

Trigeminal neurlagia

5

Throbbing temple pain + jaw claudication + visual loss

Temporal arteritis

6

Features suggesting raised ICP (4)

Worse in the morning and with coughing/bending
Visual disturbance
Papilloedema
Abducens palsy

7

Treatment of raised ICP (2)

Treat the cause
Mannitol IV

8

Intense unilateral eye pain + mid-dilated pupil

Acute angle closure glaucoma

9

Treatment of acute angle closure glaucoma

Miosis with pilocarpine

10

Commonest cause of a stroke in young people

Carotid or vertebral artery dissection

11

Key features in a seizure history?

BEFORE- what was happening, prodrome?
DURING- aura, onset, duration, loss of consciousness, tongue biting, incontinence
AFTER- recovery, any residual weakness

12

Main classification of seizures

Partial (with a focal onset- 2/3 go on to become generalized)
Generalised

13

Seizures:

a) loss of consciousness, limbs stiffen and then jerk
b) brief pauses of around 10 seconds,usually present in childhood
c) seizures provoked by fever in otherwise healthy children; usually brief and tonic/tonic-clonic
d) generalised seizure with brief, rapid muscle jerks
e) focal features + DISTURBANCE OF CONSCIOUSNESS/AWARENESS


a) tonic-clonic seizures
b) absence seizures
c) febrile convulsions
d) myoclonic seizures
e) complex partial seizures

14

First-line prophylactic treatment for
a) generalised seizures
b) partial seizures
c) absence seizures

a) sodium valproate
b) carbamezapine
c) sodium valproate, ethosixumide

15

What is lamotrigine used for in seizure prophylaxis?

2nd line for tonic-clonic, myoclonic, partial seizures

16

Management of status (3)

Airway and breathing
Lorazepam/diazepam
Second line- phenytoin, valproate

17

Definition of status epilepticus?

Seizures lasting more than 30 mins, or repeated seizures without intervening consciousness

18

Side-effects of sodium valproate (5)

Teratogenic-neural tube defects, avoid in pregnancy
Alopecia
Weight gain
Fatigue
Nausea

19

How does sodium valproate work?

Increases GABA activity

20

What dose of folic acid should women taking AEDs be given in pregnancy?

5mg per day starting well before pregnancy