passmed knowledge Flashcards

1
Q

Tx of drug induced parkinsons tremor

A

Procyclidine

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2
Q

Which drugs cause IIH?

Name 3 other natural causes

A
COCP
Steroids
Tetracyclines
Vitamin A
Lithium

Female, Overweight, Pregnant

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3
Q

What anaesthetic agent are MG patients resistant to

A

Suxamethonium

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4
Q

Name 4 side effects of sodium valproate

A

Alopecia
Weight Gain
Hepatitis
Teratogenicity

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5
Q

Anti emetic of choice in parkinsons?

A

Domperidone

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6
Q

Where does ondansetron work?

A

Medulla Oblongata

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7
Q

Mx of restless legs syndrome

A

Ropinirole

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8
Q

Subdural haemorrhage vein?

A

bridging veins between cortex and venous sinus

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9
Q

When can Anti epilieptic drugs be stopped and over what period of time

A

> 2 years seizure free

over 2-3 months

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10
Q

Biggest side effect of carbamezapine

A

SJS

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11
Q

What drug is contraindicated in MG patients because of the risk of respiratory depression/Myaesthenic crisis

A

Beta Blocklers

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12
Q

Mx of IIH

A

Acetazolamide

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13
Q

Encephalitis and Temporal Lobe Changes?

A

HSV is the cause

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14
Q

Management of a myaesthenic crisis

A

IVIG and Plasmaphoresis

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15
Q

Mx of neuroleptic malignant syndrome

A

Stop Antipsychotic
IV Fluids
Dantrolene
Bromocriptine

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16
Q

Which diet is helpful for epilepsy in children

17
Q

Cluster headache tyype symptoms managed with indomethacin?

A

Paroxysmal Hemicrania

18
Q

What investigation should be considered before starting phenytoin and why?

A

Cardiac Monitoring

Pro arrythmogenic affectt

19
Q

Which muscles are spared in MND

A

Ocular Muscles

20
Q

headache worse when lying down?

Headache worse when upright?

21
Q

MND mx

A

Riluzole

Nightly BiPAP

22
Q

What is the difference between normal GBS and the miller fischer variant

A

Symptoms start proximally in Miller Fischer as opposed to distally.

23
Q

What is cataplexy

A

Loss of muscle tone due to strong emotions

24
Q

Benign Rolandic Seizures

A

Seizures in children, commonly with paraesthesia “fizzy” feeling around the mouth when waking up

25
Infantile Spasm (west syndrome)
Babies in first few months Flexing of head and neck and outstretch of arms Mental Handicap Hypsarrythmia on EEG
26
Petit mal absence seizures in children
4-8 yrs 30 sec episodes eeg. 3hz symmetrical
27
Lennox Gastaut Syndrome
``` Extension of infantile spasms Onset 1-5 yrs Absences, falls jerks, Mental Handicap Slow Spike on EEG ```
28
Juvenile Myoclonic Epipepsy
Teens Generalized seizures in morning or lack of sleep Daytime absences Sudden shock like myoclonic seizures
29
Mx of brain abscess
Ceftriaxone and Metronidazole
30
Extra dural haemorrhage site, common fracture cause?
Middle meningeal artery, fracture of the pterion
31
What are the 6 tests to confirm brain death?
``` Pupillary Reflex Corneal Reflex Oculovestibular Reflex Cough Reflex Absent Response to Supraortbital Pressure No spontaneous resp effort ```