Neurological Flashcards

1
Q

No insight into visual loss

A

Cortical blindness (Anton-Babinski syndrome)

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2
Q

Neuropathy + heart failure

A

Wet beriberi

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3
Q

Absent gag reflex + tongue wasting and fasciculations + nasal speech

A

Bulbar palsy

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4
Q

Loss of buttock sensation + urinary incontinence

A

Cauda equina syndrome

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5
Q

Inverted champagne bottle legs

A

Charcot-Marie-Tooth syndrome

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6
Q

Lucid interval before rapid decline in consciousness

A

Extradural haemorrhage

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7
Q

URTI followed by distal limb weakness + sensory loss + type II respiratory failure

A

Guillain-Barré syndrome

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8
Q

Parkinsonism + autonomic changes

A

Multisystem atrophy

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9
Q

IgG antibodies to ACh receptors

A

Myasthenia gravis

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10
Q

Anterior mediastinal tumour

A

Thymoma (myasthenia gravis)

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11
Q

Café-au-lait spots

A

Type I neurofibromatosis

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12
Q

Lisch nodules

A

Type I neurofibromatosis

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13
Q

Axillary/inguinal freckling

A

Type I neurofibromatosis

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14
Q

Bilateral acoustic neuromas

A

Type II neurofibromatosis

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15
Q

Cognitive impairment + gait dyspraxia + urinary incontinence

A

Normal pressure hydrocephalus

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16
Q

Ventricular dilatation with involutional changes on CT head

A

Normal pressure hydrocephalus

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17
Q

Pale discs on fundoscopy

A

Optic atrophy

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18
Q

LMN lesion of CN IX, X and XII

A

Bulbar palsy

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19
Q

UMN lesion of CN IX, X and XII

A

Pseudobulbar palsy

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20
Q

Increased gag reflex and jaw jerk + spastic tongue + Donald Duck speech

A

Pseudobulbar palsy

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21
Q

Unilateral facial palsy + pain + vesicles

A

Ramsay Hunt syndrome (herpes zoster)

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22
Q

Vision loss with normal fundoscopy

A

Retrobulbar neuritis

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23
Q

Delay in visual evoked response

A

Retrobulbar neuritis

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24
Q

Stepwise loss of cognitive function

A

Vascular dementia

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25
Senile plaques + neurofibrillary tangles + Tao bodies
Alzheimer's disease
26
Xanthochromia
Subarachnoid haemorrhage
27
Oligoclonal bands + IgG
Multiple sclerosis
28
Chorea + dementia
Huntington's disease
29
Superior quadrantanopia
Temporal lobe lesion
30
Inferior quadrantanopia
Parietal lobe lesion
31
Ophthalmoplegia + ataxia + confusion
Wernicke's encephalopathy
32
Nystagmus/ataxia + intention tremor + dysarthria (scanning/staccato speech)
Multiple sclerosis (Charcot's triad)
33
Pupils that constrict with accommodation but not light
Argyll Robertson pupils
34
3Hz EEG spike
Absence seizure
35
Pseudopalisading necrosis
Glioblastoma multiforme
36
Psammoma bodies + spindle cells
Meningioma
37
Biconvex collection on CT
Extradural haemorrhage
38
S100 stain
Schwannoma
39
Conjugate lateral gaze palsy + horizontal diplopia
Multiple sclerosis (internuclear ophthalmoplegia due to medial longitudinal fasciculus injury)
40
Sleep deprivation
Epilepsy
41
Positive Romberg's test
Peripheral sensory nerve lesion
42
Weakness + Hx of transient unilateral vision loss in young woman
Multiple sclerosis
43
Relative afferent pupillary defect
Multiple sclerosis
44
Blurred vision + impaired colour discrimination
Multiple sclerosis
45
Foot drop + loss of sensation over 1st dorsal web space
Common peroneal nerve lesion
46
Loss of sensation over sole of foot
Tibial nerve lesion
47
Difficulty raising child post-Caesarean pregnancy
High spinal anaesthesia
48
Pleomorphic astrocytes + necrosis
Glioblastoma multiforme
49
Ill-defined lesion expanding corpus callosum and compressing ventricles
Glioblastoma multiforme
50
Expressive/non-fluent dysphasia
Frontal lobe lesion (Broca's area)
51
Receptive/fluent dysphasia
Temporal lobe lesion (Wernicke's area)
52
Jargon speech
Temporal lobe lesion (Wernicke's area)
53
Homonymous hemianopia + receptive/fluent dysphasia
Temporoparietal lobe lesion
54
Contralateral hemiparesis + homonymous hemianopia
PCA stroke
55
Sudden headache + papilloedema + empty delta sign on CT
Sagittal sinus thrombosis
56
Thrombophilia + sudden headache
Sagittal sinus thrombosis
57
Festinating gait
Parkinson's disease
58
Waddling gait
Proximal myopathy
59
Stroke with pupillary constriction
Pontine stroke
60
Alexia without agraphia (can't read but can write)
PCA stroke
61
Hypotension (widened pulse pressure) + bradycardia + irregular respiration
Elevated intracranial pressure (Cushing's triad)
62
Dementia + localised brain atrophy
Pick's disease (type of frontotemporal dementia)
63
Foot drop after hip replacement
Sciatic nerve
64
Fixed, dilated pupil + down-and-out eye
CN III palsy
65
Vertical diplopia on looking down
CN IV palsy
66
Bielschowsky test
CN IV palsy
67
Hallucinations + Parkinsonian symptoms
Lewy body dementia
68
Disinhibition + executive dysfunction + Pick cell/bodies
Frontotemporal dementia
69
Fever + meningism + confusion
Encephalitis
70
Aura + seizure + postictal amnesia
Complex focal seizure
71
Focal seizure without impaired consciousness
Simple focal seizure
72
Automatisms
Focal temporal lobe seizure
73
Déjà/jamais vu
Focal temporal lobe seizure
74
Jacksonian march
Focal frontal lobe seizure
75
Olfactory/gustatory hallucinations
Focal temporal lobe (uncus) seizure
76
Auditory hallucinations
Focal temporal lobe (auditory cortex) seizure
77
Seizure with emotional disturbance (e.g. terror, panic, anger, elation)
Focal temporal lobe (hippocampus) seizure
78
Todd's palsy (transient focal weakness)
Focal frontal lobe seizure
79
Down-and-out eye + headache after head trauma
Extradural haemorrhage
80
Purpuric rash + meningism
Neisseria meningitides
81
Lhermitte sign (electric pain down spine/legs on neck flexion)
Multiple sclerosis
82
Parkinsonism + vertical gaze palsy
Progressive supranuclear palsy
83
High CSF protein + demyelination after infection
Guillain-Barré syndrome
84
Atrophy of caudate and putamen
Huntington's disease