Extra: to review

Question 1

DIFFERENCE BETWEEN BROCA’S APHASIA and WERNICKE’S APHASIA

Answer 1

BROCA’S

• aware of word drop
• frontal lobe dmg
• weakn/paralysis one side of body

WERNICKE’S

• fluent + meaningless; UNAWARE
• superior temporal dmg
• nil paralysis

Question 2

Cluster headache tx and prophylaxis

Answer 2

TRIPTANS AND HIGH O2

+Verapamil
+ Lithium
+ Prednisolone

Question 3

Migraine tx and prophylaxis

Answer 3

TRIPTANS

+ Propanolol
+ Topiramate

Question 4

Trigeminal Neuralgia tx

Answer 4

CARBAMEZAPINE (avoid the cold air, get in the car!)

Question 5

GCArteritis definitive dx and tx

Answer 5

temp. art. biopsy

> STEROIDS

Question 6

Focal Epilepsy Tx

Answer 6

foCaL V

> Carbamez
Lamotrigine
Valporate

Question 7

Generalised Epilepsy Tx

Answer 7

Valporate
> Lamotrigine
> Carb
> Levetiracetam

Question 8

Tx of Absence Epilepsy

Answer 8

Ethoosuximide

sfx: drowsiness, dizziness, tired, stomach upset

Question 9

Most medial homunuculus

Answer 9

1. genitals
2. feet, toes
3. lower limb etc.

Question 10

Most lateral homunculus

Answer 10

progress from neck upper limb to face
with tongue most lateral (motor - precentral)
and tongue then pharynx (somatosens - postcentral gyrus)

Question 11

Features of Right Parietal dysnfc./lesion

Answer 11

CONTRALATERAL NEGLECT
DRESSING APRAXIA
CONSTRUCTIONAL APRAXIA
LOSS IN FAMILIAR ENVIRONMENT

Question 12

Most significant sfx of levodopa

Answer 12

dyskinesia

Question 13

Pathognomic Signs of L5 Radiculopathy

Answer 13

Foot drop

Impaired foot inversion + eversion

Question 14

What is Pyridostigmine

Answer 14

ACh inhibitor used in MG

Question 15

Bulbar Palsy

Answer 15

IX-XIIthus tongue, speech, swallow, loss of gag reflex observed

*LMN

Question 16

Significance of Common Peroneal N Palsy

Answer 16

Similar to L5 radiculopathy so

• foot droop
• but foot inversion PRESENT

Question 17

Significance of L4 Radiculopathy

Answer 17

Weak absent patellar reflex

+ Sciattica pain