Neurology

Question 1

Thunderclap headache

Answer 1

Subarachnoid haemorrhage

Question 2

Xanthochromic lumbar puncture

Answer 2

Subarachnoid haemorrhage

Question 3

Lucid period after head trauma (often followed by sudden collapse or deterioration)

Answer 3

Extra-Dural haemorrhage

Question 4

Cogwheel rigidity

Answer 4

Parkinson’s

Question 5

“Woody texture” muscle swelling

Answer 5

Duchenne or Becker MD

Question 6

Raised CK

Answer 6

Muscular dystrophy

Question 7

Toe walker or positive gower’s sign

Answer 7

Muscular dystrophy

Question 8

“Mask like” expression

Answer 8

Parkinson’s

Question 9

Fluctuating cognitive deficit

Answer 9

Lewy body dementia or delirium

Question 10

R.E.M. Disturbance (late at night)

Answer 10

Lewy body dementia or PD

Question 11

Vivid visual hallucinations, usually non-threatening and of children

Answer 11

Lewy body dementia

Question 12

Acute onset fluctuating cognitive disturbance

Answer 12

Delirium

Question 13

Personality/behaviour changes then dementia

Answer 13

Fronto-temporal dementia (Pick’s disease)

Question 14

Memory & personality problems in someone with CVS disease

Answer 14

Vascular dementia

Question 15

Pain on loud noise

Answer 15

Facial nerve palsy

Question 16

Stepwise deterioration

Answer 16

Vascular dementia

Question 17

Painful third nerve palsy

Answer 17

Aneurysm

Question 18

Myalgia
Myositis
Myoglobulinaemia/uria

Answer 18

Rhabdomyolysis

DIC and renal failure

Question 19

Inflammatory myopathy with poor response to steroids

Answer 19

Inclusion body myositis

Question 20

Weakness
Frontal balding
Cataracts
Ptosis

Answer 20

Myotonic dystrophy

Question 21

Leg symptoms

Midline shift

Answer 21

Falcons 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
Male sexual dysfunction
+/- bowel and bladder symptoms

Answer 24

Cauda equina syndrome

Question 25

Pleocytosis on CSF - rule out?

Answer 25

Bacterial meningitis

Question 26

1st line migraine prophylaxis

Answer 26

Propanolol Topiramate Amitryptilline

Question 27

2nd line migraine prophylaxis

Answer 27

``` Valproate Pizotifen Gabapentin Pregabalin (Try new drug after 4 months) ```

Question 28

Waiter's tip

Answer 28

Injury to upper brachial plexus - Erb's palsy

Question 29

Claw hand

Answer 29

Injury to lower brachial plexus - Klumpke's palsy

Question 30

Positive simmond's test

Answer 30

Achilles' tendon rupture

Question 31

Anti-acetylcholine (nicotinic) receptor antibody

Answer 31

Myaesthenia gravis

Question 32

Purely motor symptoms with ocular sparing

Answer 32

Motor neurone disease

Question 33

Raccoon/panda eyes

Answer 33

Anterior cranial fossa fracture