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Neuro Flashcards

(63 cards)

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1
Q

Cushings triad

A

Mannitol

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2
Q

Abcess

A

Ceftriaxone + Metronidazole

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3
Q

Delayed ischaemic neurological deficit

A

Triple H therapy i.e.
Nimodipine
Increased fluid intake

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4
Q

Trigeminal neuralgia

A

Carbamazepine

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5
Q

Migraine - acute

A

Lie still dark room

oral triptan and/or NSAID + anti-emetic

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6
Q

Tension type headache - refractory

A

Amitriptyline

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7
Q

Cluster-acute

A

High flow O2 + SC sumitriptan

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8
Q

Cluster- prophylaxis

A

Verapamil

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9
Q

Paroxysmal hemicrania

A

Indomethacin

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10
Q

SUNCT

A

Lamotrigene

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11
Q

IIH

A

Wt loss

Acetazolamide

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12
Q

GBS

A

IV immunoglobulins

Plasma exchange

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13
Q

McArdles disease

A

Stop exercise in presence of pain

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14
Q

Myasthenia gravis

A

Pyridostigmine
Corticosteroids (prednisolone)
Thymectomy

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15
Q

Myasthenia crisis

A

Plasmapheresis

IV immunoglobulins

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16
Q

Lambert- Eaton Myasthenia syndrome

A

3,4- diaminopyridine (Amifampridine)
Immunosupression?
IV immunoglobulins?

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17
Q

Stroke (not haemorrhagic)

A

Antiplatelets e.g. clopidogrel

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18
Q

Stroke -Cardioembolic

A

Anticoagulants e.g. warfarin

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19
Q

Severely stenosed carotid artery

A

Carotid endarterectomy

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20
Q

Stroke-acute

A

Thrombolysis with altepase

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21
Q

Lumbar disc herniation

A

Conservative (physio, analgesia)

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22
Q

Cauda equina syndrome

A

Immediate spinal MRI

Emergency decompression

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23
Q

Lumbar spine stenosis

A

Conservative treatment first

Decompression surgery electively

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24
Q

Failed back syndrome

A 
Anti-inflammatory
Physio
Behavioural therapy
TENS
Antidepressants
Spinal cord stimulation
Intrathecal pump
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25
Neonatal meningitis - group B strep
Intrapartum antibiotics for the mother Benzylpenicillin Gentamicin
26
Neonatal meningitis- E coli
Cefotaxime | Gentamicin
27
Neonatal meningitis- Listeria monocytognes
Amoxicillin and gentamicin
28
General bacterial meningitis
Secure airway and high flow O2 IV ceftriaxone + Dexamethasone Listeria? + amoxicillin Travel? + Vancomycin
29
Bacterial meningitis- close contact prophylaxis
``` Ciprofloxacin (single dose) OR Rifampicin (4 doses) ```
30
Viral meningitis
Self-limiting | Severe --> IV acyclovir
31
Encephalitis
Acyclovir
32
Hydrocephalus
VP shunt
33
Syringomyelia
Posterior fossa decompression shunt
34
TIA or Ischaemic stroke
CT scan 2wk aspirin Then 2wk clopidogrel/warfarin
35
Post stroke
LMWH
36
Haemorrhagic stroke
STOP anti platelet/anticoagulant MRI 6-8wks post (if young)
37
Tonic-clonic
Sodium valproate (or Lamotrigine)
38
Absence
Sodium Valporate | or Ethosuximide
39
Myoclonic
Sodium Valporate
40
Focal
Carbamazepine | Lamotrigine
41
Unclassified fit
Sodium Valporate
42
Status epilepticus- community
Midazolam (rectal/buccal)
43
Status epilepticus-hospital
IV lorazepam or phenobarbital/phenytoin
44
Non-epileptic seizures
Comorbid anxiety/depression | CBT
45
Wilsons disease
Penicillamine
46
Multiple sclerosis-relapse for mild,mod,severe
Mild- symtom Moderate-Prednisolone Severe-IV methylprednisolone
47
Multiple Sclerosis-Disease modifying
Tecfidera - RR | Ocrelizumab- Primary progressive
48
Multiple sclerosis- spasticity
Physio Occupational therapy oral baclofen/gabapentin bot toxin
49
Multiple sclerosis- sensory
``` Anticonvulsant Antidepressant TENS machine Acupuncture Lignocaine ```
50
Multiple sclerosis- fatigue
Amantidine | +/- modefinil
51
Multiple sclerosis- bladder
Physio Catheterisation Anticholinergic drugs Desmopressin
52
Motor neurone disease
Riluzole
53
Lewy body dementia
Cholinesterase inhibitor
54
Parkinsons
Levodopa
55
Essential tremor
AlcohLOL
56
Dystonia
Levodopa
57
Huntingtons
Tetrabenazine
58
Sydenham's chorea
self-limiting
59
Tourettes
Risperidone | Clonidine if pre-exisitng ADHD
60
Restless leg syndrome
PRAMIPEXOLE
61
Complex regional pain syndrome
Physiotherapy | Amitriptyline
62
Migraine -prophylaxis
gabapentin
63
Painful diabetic neuropathy
Pregabalin

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