MLA - Neurology

Question 1

Which area of the brain is affected in dyskinetic cerebal palsy?

Answer 1

Basal ganglia and substantia nigra

Question 2

What feature of the hands is seen in syringomyelia?

Answer 2

Loss of temperature sensation

Question 3

What is the initial treatment of SAH caused by an aneurysm?

Answer 3

Nimodipine - Prevents vasospasm

Question 4

Which type of childhood epilepsy is characterised by partial seizures at night?

Answer 4

Benign rolandic epilepsy

Question 5

First line management of tonic seizures in females?

Answer 5

Lamotrigine

Question 6

Findings on examination of third nerve palsy

Answer 6

Ptosis + dilated pupil

Question 7

What type of epilepsy begins distally and clonic movements travel proximal?

Answer 7

Frontal lobe seizures -> Jacksonian movement

Question 8

Type of tremor seen in Parkinsons disease?

Answer 8

Unilateral tremor which improves with voluntary movements

Question 9

What antibiotics are used in brain abscesses?

Answer 9

IV ceftriaxone and metronidazole

Question 10

First line treatment of focal seizures?

Answer 10

Lamotrigene or levetiracetam

Question 11

Which nerve palsy can be caused by raised ICP?

Answer 11

Third nerve palsy
Due to uncalled herniation

Question 12

What is the distribution of symptoms seen in syringomyelia?

Answer 12

Cape like

Question 13

What type of stroke is characterised by ipsilateral CNIII palsy and contralateral hemiparesis?

Answer 13

Weber syndrome (Ventral midbrain stroke)

Question 14

What kind of visual defect is seen with a temporal lobe lesion?

Answer 14

Contralateral superior quandranopia

Question 15

What kind of visual defect is seen with a parietal lobe lesion?

Answer 15

Contralateral inferior quadranopia

Question 16

Which blood result can differentiate between a seizure and pseudo seizure?

Answer 16

Prolactin

Question 17

Which area of the brain causes Wernike’s aphasia?

Answer 17

Superior temporal gyrus

Question 18

Which area of the brain causes Broca’s aphasia?

Answer 18

Inferior frontal gyrus

Question 19

What are the symptoms seen in anterior inferior cerebellar stroke?

Answer 19

Sudden vertigo and vomiting
Ipsilateral facial paralysis and deafness

Question 20

Which type of dural haemorrhage has the ‘lucid interval’?

Answer 20

Extradural haemorrhage
- Initially unconscious, regains, looses again rapidly

Question 21

First line treatment of trigeminal neuralgia?

Answer 21

Carbamazepine

Question 22

When can a patient be considered ‘seizure free’?
How to you reduce medications?

Answer 22

> 2 years with no seizures
Taper down medication over 2-3 months

Question 23

Which part of the brain does HSV encephalitis affect?

Answer 23

Temporal lobe changes

Question 24

How long do bouts of cluster headaches tend to last?

Answer 24

4 - 12 weeks

Question 25

What scoring system can be used to quantify the disability in activities of daily living?

Answer 25

Barthel index

Question 26

First line management of abscence seizures?

Answer 26

Ethosuximide

Question 27

First line treatment for essential tremor?

Answer 27

Propranolol

Question 28

Strongest risk factor for developing Bell's palsy?

Answer 28

Pregnancy

Question 29

Where in the brain does ondansetron act?

Answer 29

Medulla oblongata

Question 30

What are the CT findings of a chronic subdural haemorrhage?

Answer 30

Hypotenuse, crescenteric collection which is NOT limited by suture lines

Question 31

When should a CT be done if there is a loss of conciousness with a fall, but NO vomiting?

Answer 31

CT head within 8hrs

Question 32

Which type of brain bleed gives fluctuating confusion/conciousness?

Answer 32

Subdural haematoma

Question 33

Investigation of choice for guillian barre?

Answer 33

Lumbar puncture - Normal WBC - Increased protein

Question 34

What deficit patterns would you expect to see in subacute degeneration of the spine?

Answer 34

Loss of proprioception and vibration sensation Muscle weakness Hyperreflexia

Question 35

Which area of the brain is affected in conductive aphasia?

Answer 35

Arcuate fasciculus