Neuro buzzwords

Question 1

Thunderclap headache

Answer 1

Subarachnoid haemorrhage

Question 2

Xanhochromic LP

Answer 2

Subarachnoid haemorrhage

Question 3

Fresh blood in CSF

Answer 3

Traumatic tap

Question 4

Lucid period after head trauma followed by collapse

Answer 4

Extradural haemorrhage

Question 5

Cogwheel rigidity

Answer 5

PD

Question 6

“Woody texture” muscle swelling

Answer 6

Duchenne or Becker MD

Question 7

Raised CK

Answer 7

Muscular dystrophy

Question 8

oe walker or positive Gowers sign

Answer 8

Muscular dystrophy

Question 9

“Mask-like” expression

Answer 9

Parkinson’s

Question 10

“Fluctuating” cognitive deficit

Answer 10

LB Dementia or Delirium

Question 11

REM disturbance (later in night)

Answer 11

LB dementia or Parkinson’s

Question 12

Vivid visual hallucinations normally of children and not threatening

Answer 12

Lewy Body Dementia

Question 13

“Acute onset” cognitive disturbance that fluctuates

Answer 13

Delirium

Question 14

Personality/behaviour changes then dementia

Answer 14

Frontotemporal dementia (Pick’s disease)

Question 15

Stepwise deterioration

Answer 15

Vascular dementia

Question 16

Pain on loud noise

Answer 16

Facial nerve palsy

Question 17

Painful third nerve palsy

Answer 17

Posterior communicating artery anuerysm

Question 18

Myalgia + myositis +microglobuniaemia/uria

Answer 18

Rhabdomyolysis

Question 19

Inflammatory myopathy with poor response to steroids

Answer 19

Inclusion body myositis

Question 20

Weakness + frontal balding + cataracts + ptosis

Answer 20

Myotonic dystrophy (onset 30’s with family history)

Question 21

Leg symptoms + mdline shift

Answer 21

Falcine erniation

Question 22

Back pain worse on coughing

Answer 22

Slipped disc

Question 23

Headache worse on coughing

Answer 23

Posterior fosa issue

Question 24

BL sciaticia + male sexual dysfunction +/- bowel and bladder symptoms

Answer 24

Cauda equina

Question 25

Pleocytosis on CSF

Answer 25

Rule out bacterial meningitis

Question 26

1st line migraine prophylaxis

Answer 26

Propranolol, topiramate or amitryptiline

Question 27

2nd line migraine prophylaxi

Answer 27

Valpoate | Pizotifen

Question 28

How long do you try gabapentin/pregabalin for before trying the other if it doesn't work?

Answer 28

4 months

Question 29

What palsy does an injury to the uper brachial plexus cause?

Answer 29

Erb's palsy (waiters tip)

Question 30

What tends to cause Erb's palsy?

Answer 30

Shoulder dystocia

Question 31

What palsy is caused by an injury to the lower brachial plexus?

Answer 31

Klumpke's palsy (claw hand)

Question 32

What ca cause Klumpke's palsy?

Answer 32

Pulling injury | Sleep on bar stool

Question 33

What does apositive Simmond's test indicate?

Answer 33

Achilles endonrupture

Question 34

WHat are anti-ACh antibodies present in?

Answer 34

Myaesthenia gravis

Question 35

Pure motor symptoms (UMN and LMN) with ocular sparing

Answer 35

MND

Question 36

How does cervical myelopathy present in the clinic?

Answer 36

High stepping gait | Romberg;s positive

Question 37

"Raccoon" or "Panda" eyes

Answer 37

Fracture of anterior cranial fossa

Question 38

"Battle sign" behind ears

Answer 38

Frcture of middle cranial fossa - mastoid process of the temporal bone

Question 39

Diarrhoea + progressive ascending weakness

Answer 39

Guillain-Barre