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Year 3 St Peter's Hospital Tutorials > SBAs: neurology > Flashcards

Flashcards in SBAs: neurology Deck (30)
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1

Recall the mnemonic for and the signs of cerebellar dysfunction

DANISH
Dysdiachokinesis
Ataxia
Nystagmus
Intention tremor
Slurred speech
Hypotonia

2

Which classification system is used to classify stroke severity?

Oxford-Bamford

3

Which classification system is used to classify TIA severity?

ABCD2 score

4

Recall the elements of the ABCD2 score

Age (+1 for >60)
BP (+1 for SBP>140/DBP>90)
Clinical features (up to +2)
Diabetes (+1)
Duration (+1 for 10-59 minutes, +2 for >60 mins)

5

Which ABCD2 score requires admission?

>4

6

Using the surgical sieve, suggest some causes of seizure

Vascular: haemorrhage, ischaemic event
Iatrogenic: drug toxicity
Trauma: head injury
Autoimmune: ?
Metabolic: electrolyte imbalance, drug withdrawal
Infective: meningitis, encephalitis
Neoplastic: SOL

7

What is used for the prophylaxis of migraine?

Beta-blockers or low dose amitryptiline (5mg0

8

Which medication is used for acute presentation of migraines?

Sumotriptan

9

Recall the symptoms of Pick's disease

Increased aggression, sexual disinhibition, memory loss

10

Which lobe is most commonly first affected in Alzheimer's disease?

Temporal lobe

11

In which sort of dementia is a step-wise functional decline characteristic?

Vascular

12

In which sort of dementia is a fluctuating functional decline characteristic?

Lewy-body demenia

13

Which type of dementia commonly shows features of Parkinson's disease?

Lewy-body

14

How is lewy-body dementia treated?

Choline-esterases

15

Which lobe is affected in Pick's disease?

Frontotemporal lobe

16

What are Pick bodies composed of?

Tau protein

17

Name 2 conditions that predispose to Berry aneurysms

Polycystic kidney disease
Marfan's

18

Recall mild and severe treatment options for multiple sclerosis in the acute phase

Mild: oral prednisolone
Severe: IV methyl prednisolone

19

Recall 2 options for disease-modifying drugs in multiple sclerosis

Interferon beta
Monoclonal antibodies

20

Which sort of headache tends to happen at the same time each day?

Cluster

21

What is the main medical management option for cluster headache?

Verapamil

22

What can be seen on examination of a stroke patient to tell whether a stroke has involved the brainstem or not

If it has involved the brainstem then there will be unilateral mouth drooping

23

What is the main complication of myasthaenia gravis to be aware of?

Aspiration pneumonia (due to dysphagia)

24

Recall 4 features of myasthaenia gravis

Fatigability of muscles
Ptosis
Diplopia
Dysphagia

25

Which cancer are myasthaenia gravis patients particularly at risk of developing, and how is this managed?

Thynoma
All MG patients undergo thynectomy

26

Recall the medical management of myasthaenia gravis

1. Anti-choline esterase (pyridostigmine)
2. Immunosuppressant (use steroid)

27

Which skin disease can result in a low IQ?

Neurofibromatosis type 1

28

On which chromosome is the abnormality in neurofibromatosis?

17

29

Recall 2 signs of neurofibromatosis

1. Cafe au lait spots
2. Lisch nodules in the eye

30

What sort of tumour are neurofibromatosis type 2 patients particularly at risk of getting?

Acoustic neuroma