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Medicine AMK knowledge > Neuro > Flashcards

Neuro Flashcards

1
Q

What is the management for acute migraine attacks?

A

Triptan + NSAID OR
Triptan + paracetamol

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2
Q

What is the management for migraine prophylaxis?

A

topiramate or propanalol

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3
Q

What is the management for acute cluster headache attacks?

A

100% oxygen and sub cut triptan

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4
Q

What is the management for cluster headache prophylaxis?

A

Verapamil

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5
Q

What are the associated effects of a lesion in the Anterior cerebral artery (ACA)?

A

Contralateral hemiparesis and sensory loss

Lower extremity > upper

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6
Q

What are the associated effects of a lesion in the middle cerebral artery (MCA)?

A

Contralateral hemiparesis and sensory loss

Upper extremity > lower

Contralateral homonymous hemianopia

Aphasia

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7
Q

What are the associated effects of a lesion in the posterior cerebral artery (PCA)?

A

Contralateral homonymous hemianopia with macular sparing

Visual agnosia (can’t recognise objects by sight)

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8
Q

What are the signs of Weber’s syndrome?

A

Ipsilateral CN III palsy (down and out, ptosis, fixed dilated pupil)

Contralateral weakness of upper and lower extremity

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9
Q

What are the signs of an infarct in the posterior inferior cerebellar artery - PICA
eg lateral medullary syndrome, wallenberg syndrome

A

Ipsilateral: facial pain and temperature loss

Contralateral: limb/ torso pain and temperature loss

Ataxia, nystagmus

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10
Q

What are the signs of retinal/ ophthalmic artery occlusion?

A

Amaurosis fugax (transient visual loss)

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11
Q

What are the signs of basilar artery occlusion?

A

‘Locked in’ syndrome

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12
Q

What signs are associated with a lacunar stroke?

A

Present with either isolated hemiparesis, hemisensory loss or hemiparesis with limb ataxia

Strong association with hypertension

Common sites include basal ganglia, thalamus and internal capsule.

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13
Q

How are generalised tonic clonic seizures managed?

A

Males: sodium valproate
Females: levetiracetam or lamotrigine

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14
Q

How are focal seizures managed?

A

First line: levetiracetam or lamotrigine
Second line: carbamazepine

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15
Q

How are absence seizures managed? (petit mal)

A

First line: ethosuximide
Second line: Males - sodium valproate, Females - levetiracetam or lamotrigine

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16
Q

How are myoclonic seizure managed?

A

Males: sodium valproate
Females: levetiracetam

17
Q

How are tonic/ atonic seizures managed?

A

Males: sodium valproate
Females: lamotrigine

Medicine AMK knowledge (23 decks)

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