Neuro Buzzwords

Question 1

Patients presents with thunderclap headache?

Answer 1

SAH

Question 2

LP has a xanthrocrhomic tap what condition has occurred?

Answer 2

SAH

Question 3

Patient had a lucid period after suffering a head trauma (often with a sudden collapse) What has happened?

Answer 3

extradural haemorrhage

Question 4

Patient has cogwheel rigidity has a sign on examination, what condition do you suspect?

Answer 4

Parkinsons Disease

Question 5

Raised CK

Answer 5

MD

Question 6

Toe Walker or positive gower’s sign

Answer 6

Muscular dystrophy

Question 7

Patient has a “Mask-Like” expression

Answer 7

Parkinson’s

Question 8

“Fluctuating” cognitive deficit could be what?

Answer 8

Lewy Body dementia or delerium

Question 9

REM Disturbance could be a sign of what conditions?

Answer 9

Lewy body dementia or Parkinson’s

Question 10

“Woody texture” leg swelling is a sign of what?

Answer 10

Duchenne or Becker MD

Question 11

Vivid visual hallucinations normally of children & not threatening is a sign of what?

Answer 11

Lewy body dementia

Question 12

“acute onset” cognitive disturbance that fluctuates indicates what?

Answer 12

Delirium

Question 13

Personality/behaviour changes followed by dementia is a sign of what?

Answer 13

Frontotemporal dementia (Pick’s disease)

Question 14

Memory & personality problem in someone with a history of cardiovascular disease makes you concerned about what condition?

Answer 14

Vascular dementia

Question 15

What dementia has stepwise detoriation?

Answer 15

Vascular dementia

Question 16

Pain on a loud noise indicates what?

Answer 16

Facial nerve palsy

Question 17

A painful 3rd nerve palsy indicates what?

Answer 17

Aneurysm

Question 18

Myalgia, myositis, myoglobulimaenia/uria indicates what?

Answer 18

Rhabdo (–> DIC & Renal failure)

Question 19

Inflammatory myopathy with a poor response to steroids indicates what?

Answer 19

Inclusion body myositis

Question 20

Weakness, frontal balding, cataracts & ptosis indicates what condition?

Answer 20

Myotonic dystrophy (onset 30s, +ve FHx)

Question 21

Leg symptoms + midline shift indicate what kind of herniation?

Answer 21

Falcine herniation

Question 22

Backpain worse on coughing indicates what?

Answer 22

Slipped disk

Question 23

Headache worse on coughing indicates what?

Answer 23

Posterior fossa issue (Raised ICP)

Question 24

BL sciatic & male sexual dysfunction indicates what?

Answer 24

Cauda Equina

Question 25

Pleocytosis on CSF

Answer 25

Rules out bacterial mengitis

Question 26

1st line migraine prophylaxis?

Answer 26

Propranolol, topiramate or amitriptyline

Question 27

Injury to the upper brachial plexus causes what?

Answer 27

Erb's palsy (waiters tip)

Question 28

Injury to the lower brachial plexus causes what?

Answer 28

Klumpke's palsy (claw hand)

Question 29

+ve Simmond's test indicates what?

Answer 29

Achilles tendon rupture