Neurological History Taking Flashcards
What is a thunderclap headache indicative of?
Subarachnoid bleed
Which disease is the ice pack test used to test for?
Myasthenia gravis
What are the 6 ADLs?
Eating Bathing Dressing Transferring Toiletting Walking or moving around
What is the name of the test used for rapid assessment of delirium and severe cognitive impairment?
4AT
What are the 4 As in the 4AT test?
Alertness
AMT 4
Attention
Acute change
What questions are asked in the AMT4?
Name
DOB
Place
Year
What are the disadvantages of the Mini Mental State Examination?
Copyright
Cultural bias - asked about WW2 and priminster
What is the Montreal Cognitive Assessment (MOCA) useful for?
Identifying mild levels of cognitive impairment
What are the 5 domains in the Addenbrookes Cognitive Examination (ACE III)?
Attention Memory Verbal fluency Language Visulospatial abilities
What is confabulation?
Presenting false information with great authority and certainty
Seen in Korsakoff’s syndrome and AD
What questions would you ask to screen for PD?
Change in writing
Change in walking
Change in sense of smell
What may be the cause of a fit, faint or funny turn?
Cardiovascular
Endocrine
Neurological
What are the characteristics of a headache from a space occupying lesion?
Worse in the morning and when straining
Name a drug that can cause proximal muscle weakness
Steroids
What is allondynia?
Central pain sensitisation to non-painful stimuli
