Neurology Flashcards Preview

CAP Test Year 3 > Neurology > Flashcards

Flashcards in Neurology Deck (26):
1

What is dystonia?

Sustained abnormal posture caused by persistent contraction of large trunk or limb muscles

2

What is cervical dystonia?

Head turning to one side due to contraction of sternocleidomastoid

3

What is a spasm?

Uncontrolled contraction of a muscle

4

What is blepharospasm?

Twitch or spasm of the eyelid

5

What is hemiballismus?

Uncontrolled flailing of limbs due to structural lesion or metabolic dysfunction of subthalamic nucleus

6

What is the most suitable treatment: 18 y/o female, generalised tonic-clonic seizures, occurred 2 months apart, self-terminating, normal MRI

Lamotrigine

7

Which nerve root is responsible for leg extension, patellar reflex and ankle dorsiflexion?

L4

8

What nerve root forms the biceps reflex?

C5/6

9

What nerve root forms the ankle reflex?

S1

10

What nerve roots form the knee reflex?

L3/4

11

Which factor is least likely to contribute to falls in someone with poor balance and a significant sway?

Carotid sinus hypersensitivity

12

What would be seen in the CSF of an acute bacterial infection?

Cloudy appearance
Low glucose
Increased protein
Neutrophils
No oligoclonal bands

13

In Myaesthenia Gravis, where are the autoantibodies directed?

Postsynaptic ACh receptors

14

Diagnosis: 30 y/o woman with sudden episodes of inability to speak, altered hearing and loss of spatial awareness, lasting 1-2 minutes

Simple partial seizure

15

What is the treatment for simple partial seizures?

Oral lamotrigine or carbamazepine

16

Which area of the brain is responsible for receptive aphasia?

Wernicke's area

17

Which ares of the brain is responsible for expressive aphasia?

Brocca's area

18

Which area of the brain is responsible for nominal aphasia?

Angular gyrus

19

Which area of the brain is affected first in Alzeimer's disease?

Nucleus basalis of Meynert

20

Which drug inhibits the action of acetylcholinesterase?

Galantamine

21

What is the mechanism of action of lamotrigine?

Blockage of voltage sensitive sodium channels -> reduced release of glutamate

22

What is the mode of inheritance of Wilson's disease?

Autosomal recessive

23

What is the mode of inheritance of Becker's muscular dystrophy?

X linked recessive

24

What is the mode of inheritance and myoclonic epilepsy with ragged red fibres?

Mitochondrial

25

Which drug is used to treat neuroleptic malignant syndrome?

Bromocriptine (dopamine agonist)

26

What kind fo visual loss would be expected with a lateral optic nerve lesion immediately anterior to the chiasma?

Junctional scotoma