Neurology

Question 1

thunderclap headache

Answer 1

SAH (cf. PCKD)

Question 2

xanthochromic lumber puncture

fresh blood

Answer 2

SAH

traumatic tap

Question 3

lucid period after head trauma usually followed by sudden collapse or deterioration

Answer 3

extradural haemorrhage

Question 4

cogwheel rigidity

Answer 4

parksinons (spasticity over rigidity)

Question 5

woody texture muscle swelling

Answer 5

DMD or BMD

Question 6

raised CK

Answer 6

MD

Question 7

toe walking or positive gowers sign

Answer 7

muscular dystrophy

Question 8

mask like expression

Answer 8

parkinsons

Question 9

fluctuating cognitive deficit

Answer 9

lewy body or delirium

Question 10

REM disturbance

Answer 10

lewy body or PD

Question 11

vivid hallucinations of normally children and not threatening

Answer 11

lewy body

Question 12

acute onset cognitive disturbance that fluctuates

Answer 12

delirium

Question 13

personality/behaviour change and then dementia

Answer 13

frontotemporal dementia (Picks disease)

Question 14

memory and personality problems in someone with a history of cvd disease

Answer 14

vascular dementia

Question 15

step wise deterioration

Answer 15

vascular dementia

Question 16

pain on loud noise

Answer 16

facial nerve palsy

Question 17

painful third nerve palsy

Answer 17

aneurysm

Question 18

myalgia and myositis and mygllobinaemia/uria

Answer 18

rhadbo (DIC and renal failure)

Question 19

inflam myopathy with poor response to steroids

Answer 19

inclusion body myosisit

Question 20

weakness and frontal balding and cataracts and ptosis

Answer 20

myotonic dystrophy (onset 30d with FH)

Question 21

leg symptoms and midline shift

Answer 21

falcine herniation

Question 22

back pain worse on coughing

Answer 22

slipped disc

Question 23

headache worse on coughing

Answer 23

posterior fossa issue

Question 24

BL sciatica and male sexual dysfunction

Answer 24

cauda equina

Question 25

pleocytosis on CSF

Answer 25

rules out bacterial meningitis

Question 26

migraine prophylaxis treatment

Answer 26

1st line propanolol/topiramate /amitriptylline 2nd line valproate/ pizotifen/ gabapentin/ pregabalin if one drug doesn't work by 3m try another

Question 27

what upper brachial plexus injury is more common

Answer 27

erbs palsy (waiters tip) - associated with shoulder dystocia I

Question 28

lower brachial plexus injury

Answer 28

klumpkes - claw hand

Question 29

positive simmonds test

Answer 29

achilles tendon rupture