Neurology Treatments

Question 1

acoustic neuroma

Answer 1

surgery
radio surgery

Question 2

bacterial meningitis with non-blanching rash

Answer 2

hospital
benzylpenicillin

Question 3

bells palsy

Answer 3

corticosteroids
aciclovir
surgical decompression

Question 4

ischaemic stroke

Answer 4

alteplase
aspirin
thrombectomy with thrombolysis

Question 5

cervical spondylosis

Answer 5

supportive

Question 6

cluster headache

Answer 6

O2
sumatriptan
verapamil
sodium valproate and topiramate

Question 7

alzheimers

Answer 7

cholinesterase inhibitors
memantine

Question 8

vascular dementia

Answer 8

lifestyle

Question 9

Lewy body dementia

Answer 9

cholinesterase inhibitors
avoid anti-psychotics

Question 10

frontotemporal dementia

Answer 10

supportive

Question 11

huntingtons

Answer 11

supportive

Question 12

normal pressure hydrocephalus

Answer 12

shunting

Question 13

encephalitis

Answer 13

antibiotic cover for meningitis
broad spectrum antibiotics
supportive

Question 14

epidural haematoma

Answer 14

reverse anticoagulation
anti-epileptic
mannitol
if open skull- prophylaxis
surgery

Question 15

tonic-clonic seizure

Answer 15

sodium valproate
carbamazepine
lamotrigine

Question 16

focal seizure

Answer 16

carbamazepine
lamotrigine

Question 17

absence seizure

Answer 17

ethosuximide

Question 18

GCA

Answer 18

high dose corticosteroids
methotrexate
low dose aspirin

Question 19

Gillian-barre syndrome

Answer 19

IV Ig
plasma exchange
supportive

Question 20

Horner syndrome

Answer 20

treat underlying cause

Question 21

hydrocephalus

Answer 21

external ventricular drain
VP shunt
third ventriculostomy

Question 22

Lambart-Eaton myasthenic syndrome

Answer 22

treat underlying cause
3,4-diaminopyridine

Question 23

migraine

Answer 23

analgesia
sumatriptan
anti-emetic

Question 24

MND

Answer 24

riluzole
symptomatic- hyoscine, baclofen, diazepam, phenytoin
NSAIDS

Question 25

MS

Answer 25

1st line: glatirimer acetate 2nd line: teriflunomide, dimethyl fumarate 3rd line: ocrelizumab AHSCT

Question 26

myasthenia graves

Answer 26

cholinesterase inhibitor corticodsteroids plasmapheresis IV Ig rituximab

Question 27

toxoplasmosis in HIV

Answer 27

pyrimethamine sulfadiazine folinic acid for bone marrow suppression

Question 28

cryptococcal meningitis in HIV

Answer 28

combination anti fungal therapy

Question 29

neurosyphilis

Answer 29

IM Penicillin oral probenecid

Question 30

CMV retinitis

Answer 30

IV ganciclovir IV valganciclovir

Question 31

meningitis

Answer 31

ceftriaxone dexamethasone

Question 32

meningitis + encephalitis

Answer 32

IV aciclovir Add Amoxicillin IV 2g 4 hourly if ≥ 60 years or immunocompromised

Question 33

CN III palsy

Answer 33

watchful waiting diplopia- patch one eye treat underlying cause NSAIDS berry aneurysm ??

Question 34

parkinsons

Answer 34

levodopa dopamine agonist

Question 35

myoclonus

Answer 35

clonezapam sodium valproate

Question 36

subarachnoid haemorrhage

Answer 36

fluid resuscitation inotropes vasopressors nimodipine clip/coil

Question 37

Tourette syndrome

Answer 37

haloperidol sulpiride clonidine

Question 38

TIA

Answer 38

aspirin for 2 weeks then clopidogrel lifestyle

Question 39

viral meningitis

Answer 39

supportive IV aciclovir

Question 40

wernickes encephalopathy

Answer 40

thiamine alcohol- PO Benzodiazapines oral thiamine

Question 41

Wilsons disease

Answer 41

avoid copper containing foods penicillamine liver transplant