Neurology

Question 1

Sleep deprivation and young?

Answer 1

Juvenile myoclonic epilepsy

Question 2

Long term prophylaxis of cluster headaches?

Answer 2

Verapamil

Question 3

Don’t use triptans if patient has what?

Answer 3

History of CVD

Question 4

Homonymous quadrantopias memry device?

Answer 4

PITS
Parietal-Inferior
Temporal- Superior

Question 5

Defective downward gaze and vertical diplopia nerve?

Answer 5

CN IV

Question 6

Fracture most likely to damage a nerve resulting wrist drop. Name nerve and fracture?

Answer 6

Radial nerve
Fracture of shaft of humerus

Question 7

What medication would cause this:
Peripheral neuropathy + lymphadenopathy + bleeding gums?

Answer 7

Phenytoin

Question 8

Pathology of amaurosis fugax and which side/artery is affected?

Answer 8

An atherosclerotic internal carotid artery
Left side symptoms = left side pathology

Question 9

What anti-emetic can predispose patients to prolonged QT interval and increased risk of polymorphic VT?

Answer 9

Ondansetron (5HT3 antagonists)

Question 10

If someone can’t adduct their fingers what nerve is affected?

Answer 10

Ulnar nerve

Question 11

If someone can’t extend their fingers what nerve is affected?

Answer 11

Radial nerve

Question 12

NICE Guideline for neuropathic pain 1st line treatment?

Answer 12

Pregablin

Question 13

Absence seizures treatment?

Answer 13

Ethosuximide

Question 14

Absent corneal reflex = what is most likely?

Answer 14

Acoustic neuroma

Question 15

Which commonly used anaesthetic agent are patients with MG resitsant to?

Answer 15

Suxamethonium

Question 16

Antiplatelet for TIA?

Answer 16

Clopidogrel

Question 17

Antiplatelet for ischaemic stroke?

Answer 17

Clopidogrel

Question 18

Preferred nutrition method in MND?

Answer 18

PEG

Question 19

When should TPN be used?

Answer 19

When patient has no functioning GI tract or disorder requiring complete bowel rest

Question 20

Driving following single TIA?

Answer 20

Can start driving after a month - no need to tell the DVLAers

Question 21

Gait ataxia is caused by a lesion where?

Answer 21

Cerebellar vermis lesion

Question 22

Features of Wernicke’s encephalopathy?

Answer 22

CAN OPEN
-Confusion
-Ataxia
-Nystagmus
-Ophthamoplegia
-Peripheral
-Neuropathy

Question 23

WHta blood measurememt can differentiate between seizure and pseudoseizure?

Answer 23

Prolactin

Question 24

Sus TIA in patient and you want to scan them. What method of scan will you use?

Answer 24

MRI brain with diffusion -weighted imaging

Question 25

Dilated, fixed pupil?

Answer 25

Oculomotor CNIII

Question 26

Which organism is very assoc with Guillean Barre?

Answer 26

Campylobacter Jejuni

Question 27

Thumb and index finger sensation affected?

Answer 27

C6
(Make a 6 with finger and thumb to help you remeber lol)

Question 28

Vision worse going down stairs what nerve you thinking about?

Answer 28

CN IV palsy

Question 29

Where is the problem in the brain if someone has Wernicke’s aphasia?

Answer 29

Left superior temporal gyrus

Question 30

What % stenosis of carotid artery should you have for a carotid endarterecyomy?

Answer 30

70%

Question 31

Ipsilateral horner’s + contralateral sensory loss + cerebellar signs?

Answer 31

PICA lesion

Question 32

Isolated high protein in CSF = what?

Answer 32

Guillain-Barre syndrome

Question 33

Location of lesion in painful third nerve palsy?

Answer 33

Posterior communicating artery aneurysm

Question 34

Treatment for essential tremor?

Answer 34

Propanolol

Question 35

What sensations are conveyed in the dorsal column?

Answer 35

Fine touch
Proprioception
Vibration