Neurology

Question 1

First line post herpectic neuralgia

Answer 1

Amitryptilline

Question 2

Treatment of migraine prophylaxis

Answer 2

Propranolol or topirimate

Question 3

Acute treatment of migraine

Answer 3

Nsaid or oral triptan

Question 4

Wien should migraine prophylaxis be given

Answer 4

If people get 2 or more attack’s a month

Question 5

First line for essential tremor?

Answer 5

Propranolol

Question 6

Most common psychiatric problem in Parkinson’s?

Answer 6

Depression

Question 7

Signs of MND

4

Answer 7

Fasiculations
Mixed LMN and UMN signs
Lack of sensory signs
Wasting of the small hand muscles

Question 8

Migraine with aura, name of blurry flashing lights

Answer 8

Scintillating scotoma

Question 9

LMN forehead sparing or wasting?

Answer 9

Wasting

Question 10

Other symptoms of Bell’s palsy except for facial droop

Answer 10

Dry mouth
Eyelid drooping
Hyperacusis

Question 11

Treatment of Bell’s palsy

Answer 11

Pred 1mg/kg for 10 days and eye care

Question 12

Other finding in acoustic neuromas

Answer 12

Loss of corneal reflex

Question 13

Who are cluster headaches common in

3

Answer 13

Men
Smokerss
Drinkers

Question 14

How often and long do cluster headaches last for

Answer 14

Twice daily for 4-12 weeks

Question 15

Associated symptoms with cluster headaches

4

Answer 15

Eye red, lacrimation, lid swelling nasal stuffiness

Question 16

What is empty sella syndrome and what are the features?

3 features

Answer 16

Regression of the pituitary

Headaches
HTN
Rhinorrhoea

Question 17

Commonest cause of MS

Answer 17

Relapsing remitting

Question 18

Signs of bulbar onset MND

Answer 18

Tongue fasciculations

Hypophonia

Question 19

Which cranial nerves can acoustic neuromas affect

Answer 19

5,7,8

Question 20

Absolute congrats to thrombolysis you don’t know

4

Answer 20

LP 7 days ago
Stroke in last 3 months
Uncontrolled htn
Pregnancy

Question 21

Secondary prevention stroke, second choice if clop contrindicated

Answer 21

Dipyramidomole

Question 22

What is used to prevent ms relapses

Answer 22

Beta interferon

Question 23

First line for oscillating visual fields in MS

Answer 23

Gabapentin

Question 24

Main side effects of phenytoin

4

Answer 24

Gingival hyperplasia (bleeding)
Peripheral neuropathy
Megalobladtic anaemia
Osteomalacia

Question 25

Pneumonic for hemianopias

Answer 25

PITS

Question 26

First line for trig emu all neuralgia

Answer 26

Carbamazepine

Question 27

P450 inhibitor valproate?

Answer 27

Yes

Question 28

Bilateral acoustic neuromas associated with what condition?

Answer 28

NF TYPE 2

Question 29

Eye down and out, what palsy

Answer 29

3rd nerve

Question 30

Which anti emetic in pd

Answer 30

Domperidone

Question 31

Migraine prophylaxis if asthmatic

Answer 31

Topirimate

Question 32

Features of neuromalignant syndrome

Answer 32

Within 10 days of treatment Pyrexia Rigidity Tachycardia

Question 33

Surgery for cds

Answer 33

Cervical decompression

Question 34

Which dermatologist does palm of hand

Answer 34

C7

Question 35

Hoffman’s sign?

Answer 35

Flicking the middle finger causes flexion of the thumb in DCM

Question 36

Adhesive capsulitis causes limited int or ext shoulder rotation?

Answer 36

External

Question 37

Which chromosome is huntingtons

Answer 37

4

Question 38

Features of lewy body

Answer 38

Hallucinations | Movement problems

Question 39

Contraindication to triptan

Answer 39

IHD

Question 40

What is capgras syndrome

Answer 40

Believing your friend has been replaced by an identical looking imposter

Question 41

First line generalised seizures

Answer 41

Valproate

Question 42

Second line generalised seizures

Answer 42

Lamotrigine and carbamazepine

Question 43

First line partial seizures

Answer 43

Carbamazepine

Question 44

First mine absence seizures | 2

Answer 44

Valproate or ethosuxamide

Question 45

1st line myoclonus seizure

Answer 45

Valproate

Question 46

1st line focal seizure | 2

Answer 46

Carbamazepine or lamotrigine

Question 47

Oxygen is the main treatment of what headache

Answer 47

Cluster

Question 48

Which migraine prophylaxis causes teratogenicity

Answer 48

Topirimate

Question 49

Peak incidence of MG

Answer 49

20-30 women | 60-70 men

Question 50

Holmes adie pupil?

Answer 50

Dilated pupils | Loss of deep tendon reflexes

Question 51

Argyll robertson pupil features

Answer 51

Bilaterally small constricted pupils | Do not accommodate

Question 52

What is uhthoffs phenomenon in MS

Answer 52

Symptoms worsen in heat

Question 53

Achilles’ tendon teflex is which root

Answer 53

S1-2

Question 54

Plantar reflect what root

Answer 54

S1-2