High yield neuro

Question 1

How is a tension headache described

Answer 1

Tight band pain

Question 2

How is new daily persistent headache diagnosed

Answer 2

Diagnosis of exclusion

Question 3

How is neuralgia pain described

Answer 3

Burning/stabbing pain

Question 4

What is the commonest cause of trigeminal neuralgia

Answer 4

Vascular compression

Question 5

What is 1st line cranial nerve neuralgia treatment

Answer 5

Carbamazepine

Question 6

What is SUNCT/SUNA

Answer 6

Essentially opthalmic neuralgia

Question 7

What is 1st line treatment for SUNCT/SUNA

Answer 7

Lamotrigine

Question 8

What is the abortive treatment of cluster headaches

Answer 8

Triptans i.e. sumatriptan
Oxygen

Question 9

What drugs are given to prevent cluster headaches

Answer 9

Verapamil
Lithium
Gabapentin
Melatonin

Question 10

What is the criteria for migraines to be considered chronic

Answer 10

> = 15 headaches per month
=8 of which are migraines
For >3 months

Question 11

What is the acute treatment of migraines

Answer 11

Aspirin/NSAIDs
Triptans

Question 12

What is prophylactic treatment of migraines

Answer 12

Propanolol, candesartan
Anti-epileptics
Amitriptyline

Question 13

What is hemicrania continua

Answer 13

Episodic strictly unilateral headache

Question 14

How are hemicrania headaches treated

Answer 14

Indomethacin (complete response)

Question 15

What is a partial seizure

Answer 15

Only affects 1 hemisphere or lobe

Question 16

What is a simple partial seizure

Answer 16

Patient stays conscious

Question 17

What is a complex partial seizure

Answer 17

Patient loses consciousness

Question 18

What is a generalised seizure

Answer 18

Affects the whole brain

Question 19

What is a tonic-clonic seizure

Answer 19

Body goes rigid, followed by convulsions

Question 20

What is 1st line treatment for status epilepticus

Answer 20

Lorezepam

Question 21

What is the treatment for epilepsy seizures

Answer 21

Lamotrigine

Question 22

Who should sodium valproate not be given to

Answer 22

Women of childbearing age

Question 23

Which lobe is affected in a focal seizure with loss of awareness

Answer 23

Temporal lobe

Question 24

Which type of seizure is often purely nocturnal, alert and has facial/limb spreading jerking

Answer 24

Frontal lobe seizure

Question 25

What are features of temporal lobe seizure

Answer 25

Deja Vu Rising epigastric sensation Hallucinations Automatisms i.e. lip smacking, fidgeting..

Question 26

Neglect of one side suggests a lesion to which area of the brain

Answer 26

Parietal lobe

Question 27

In a lumbar puncture for suspected SAH what is the sign you look for

Answer 27

Xanthochromia

Question 28

What do you do if you can't administer anti-epileptics IV

Answer 28

Administer it buccaly

Question 29

How is myaesthenia gravis treated

Answer 29

Pyridostigmine

Question 30

How is lewy body dementia treated

Answer 30

Rivastigmine

Question 31

What differentiates peroneal nerve palsy vs L5 radiculopathy

Answer 31

Peroneal nerve palsy: Can evert foot L5 radiculopathy: Can't evert foot

Question 32

Which sign is often seen in new variant CJD

Answer 32

Pulvinar sign