neuro

Question 1

parkinsons tx

Answer 1

levodopa and carbidopa

Question 2

avoid these drugs in parkinsons

Answer 2

haloperidol and metroclopramide

Question 3

tx and moa: MND

Answer 3

riluzole (anti-glutamine)

Question 4

tx for spasticity

Answer 4

baclofen

Question 5

tx myasthenia gravis

Answer 5

pyridostigmine (anti-cholinesterse - reduces ACh breakdown) ie long acting acetylcholinesterase inhibitor

Question 6

myasthenia gravis acute relapse tx

Answer 6

prednisolone

Question 7

lambert eaton myasthenic syndrome tx

Answer 7

3,4-diaminopyrodine IV

Question 8

MS relapse tx

Answer 8

iv steroids (methylprednisolone)

Question 9

encephalitis tx

Answer 9

aciclovir

Question 10

meningitis tx

Answer 10

cefriaxone

Question 11

meningitis tx (penicillin allergy)

Answer 11

chloramphenicol and vancomycin

Question 12

meningitis tx (>60 or immunocompromised)

Answer 12

add amoxicillin (or if allergic add co-trimoxazole)

Question 13

pneumococcal meningitis tx

Answer 13

stop abx and give dexamethasone before abx

Question 14

viral meningitis tx

Answer 14

supportive

Question 15

contact prophylaxis meningitis

Answer 15

rifampicin

Question 16

migraine relief tx

Answer 16

nsaids and paracetamol

Question 17

migraine prophylaxis tx

Answer 17

topiramate
propranolol for child bearing age women

Question 18

focal seizure tx

Answer 18

carbamazepine

Question 19

absence seizure tx

Answer 19

ethosuzamide

Question 20

myoclonic seizure tx

Answer 20

valproate
or
levetiracetam

Question 21

atonic seizure tx

Answer 21

valproate

Question 22

guillian barre tx

Answer 22

iv immunoglobulins
plasmaphoresis

Question 23

status epileptics tx

Answer 23

IV lorazepam x2
then phenytoin

Question 24

restless leg syndrome tx

Answer 24

dopamine agonist - pramipexole

Question 25

dystonia tx

Answer 25

im anticholinergic - procyclidine

Question 26

tension headache tx

Answer 26

acute paracetamol/nsaids

Question 27

cluster headache tx

Answer 27

acute high flow O2 or subcutaenous triptans

Question 28

cluster headache prophylaxis tx

Answer 28

verapamil or topiramate

Question 29

trigeminal neuralgia tx

Answer 29

carbamazepine

Question 30

temporal arthritis tx

Answer 30

steroids (prednisolone)

Question 31

bells palsy tx

Answer 31

prednisolone and eye lubricants but after 72hr give nothing

Question 32

narcolepsy tx

Answer 32

stimulants - modafinil

Question 33

ischaemic stroke tx

Answer 33

<4.5hr - thrombolysis and thrombectomy >4.5hr - aspirin and thrombectomy

Question 34

secondary prevention ischaemic stroke tx

Answer 34

clopidogrel 2nd line aspirin and dipyridamole

Question 35

AF stroke prevention tx

Answer 35

DOAC

Question 36

TIA tx

Answer 36

clopidogrel

Question 37

SAH tx

Answer 37

nimodipine (CCB)

Question 38

reduce ICP tx

Answer 38

mannitol (osmotic diuretics) or acetazolamide (carbonic anhydrase inhibitor)

Question 39

cerebral oedema tx

Answer 39

dexamethasone

Question 40

subdural tx

Answer 40

burr hole

Question 41

insomnia tx

Answer 41

zopiclone

Question 42

Idiopathic intracranial hypertension tx

Answer 42

wt loss reduce CSF - azetazolamide (carbonic anhydrase)

Question 43

essential tremor tx

Answer 43

beta blocker propranolol and primidone

Question 44

vascular dementia tx

Answer 44

cholinesterase inhibitors eg donepezil

Question 45

frontotemporal dementia tx

Answer 45

trazadone (tricyclic)

Question 46

parkinsons tremor tx

Answer 46

clozapine

Question 47

alcohol withdrawal tx

Answer 47

chlordiazepoxide (but if they have hepatic failure - lorazepam)

Question 48

wernicke tx

Answer 48

iv thiamine (b1)

Question 49

acute dystonia tx

Answer 49

procyclidine

Question 50

akathisia tx

Answer 50

propranolol or a benzo