Neurology

Question 1

Thunderclap headache?

Answer 1

Subarachnoid harmorrhage

Question 2

Xanthochromic lumbar puncture?

Answer 2

Subarachnoid haemorrage

Question 3

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

Answer 3

Extradural haemorrhage

Question 4

Cogwheel rigidity?

Answer 4

Parkinon’s (spasticity over rigidity)

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 gowers sign?

Answer 7

Muscular dystrophy

Question 8

Mask-like expression?

Answer 8

Parkinson’s

Question 9

Fluctuating cognitive deficit?

Answer 9

Lewi body dementia or parkinson disease

Question 10

REM disturbance?

Answer 10

Lewi body dementia or parkinson disease

Question 11

Vivid visual hallucinations normally of children and not threatening?

Answer 11

Lewi body dementia

Question 12

“Acute onset” cognitive disturbance that fluctuates?

Answer 12

Delirium

Question 13

Personality/ behaviour changes and then dementia?

Answer 13

Frontotemporal dementia (Pick’s disease)

Question 14

Memory and personality problems in someone with a history of CV disease?

Answer 14

Vascular dementia

Question 15

Pain on loud noise?

Answer 15

Facial nerve palsy

Question 16

Painful third nerve palsy?

Answer 16

Aneurysm

Question 17

Myalgia and myositis and myoglobulinaemia/uria?

Answer 17

Rhabdomyolysis

Question 18

Inflammatory myopathy with poor response to steroids?

Answer 18

Inclusion body myositis

Question 19

Weakness + frontal balding + cataracts + ptosis?

Answer 19

Myotonic dystrophy

Question 20

Leg symptoms + midline shift?

Answer 20

Falcine herniation

Question 21

Back pain worse on coughing?

Answer 21

Slipped disk

Question 22

Headache worse on coughing?

Answer 22

Posterior fossa issue

Question 23

Sciatica + male sexual dysfunction?

Answer 23

Cauda equina syndrome

Question 24

Pleocytosis on CSF?

Answer 24

Rules out bacterial menignitis

Question 25

Migraine prophylaxis 1st line? (3)

Answer 25

Propranolol, topirmate or amitryptyline

Question 26

Migraine prophylaxis 2nd line? (4)

Answer 26

Valproate, pizotifen, gabapentin, pregabalin

Question 27

Injury to upper brachial plexus?

Answer 27

Erb's palsy (waiters tip)

Question 28

Injury to lower brachial plexus?

Answer 28

Klumpke's palsy (claw hand)

Question 29

Positive simmond's test?

Answer 29

Achilles tendon rupture

Question 30

Purely motor symptoms (UMN and LMN) with ocular sparing?

Answer 30

Motor neurone disease