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1

bells palsy: UMN or LMN

LMN

2

bels palsy nerve

CN7

3

what is ramsay-hunt syndrome

varicella voster facial palsy

4

UMN lesion & facial palsy

forehead spared = TIA/stroke/MS

5

bels palsy & forehead

forehead spared (LMN)

6

symptoms of brown-squad syndrome

- ipsilateral spastic paraparesis
- contralateral pain/temp loss and no platter reflex

7

Ramsay hunt treatment

prenisolone

8

drug that often leads to delirium

anticholinergics

9

Delirium treatment

treat cause, dark quiet side room, haloperidol/lorazapam/antipsychitics if required

10

MMSE score for dementia

<24/30

11

alzheimers treatment (non severe)

donepezil

12

severe alzheimers treatment

memantine

13

fluctuating confusion, parkinsonism and hallucinations

lewy body dementia

14

drugs to avoid in lewy body

anti-psychotics and anti parkinsonian

15

treatment for lewy body

ACE - rivastigmine

16

generalised seizure treatment

sodium valproate

17

what typeof seizure must you Not give carbamazepine

absence

18

focal seizure treatment

carbamazepine

19

driving and seizures: first seizure

6 months off

20

driving and seizures: epilepsy

1 year off that must be seizure free

21

folic acid and sodium valproate

5mg folic acid when trying to conceive

22

problem when starting anti epileptic drugs

increased risk of suicidal thoughts

23

risk that needs to be explained to those with epilepsy

sudden unexplained death in epilepsy

24

essential tremor treatment

propanolol

25

what condition might you SIADH in

Guillain-Barre
**hyponatremia: not due to low sodium but due to it being diluted in high plasma volume**

26

Guillain-Barre treatment

IV immunoglobulin/plasma exchange/methylprednisolone

27

complication of Guillain-Barre

respiratory failure

28

Guillain-Barre investigations might show what

nerve conduction studies show demyelination
- SIADH
- high CSF protein
- ECG (blocks)
- spirometry changes

29

severe pulsatile unilateral headache

migraine

30

who don't you give sumatriptan to

if cardiovascular risk