Flashcards in SBAs: neurology Deck (30)
Recall the mnemonic for and the signs of cerebellar dysfunction
Which classification system is used to classify stroke severity?
Which classification system is used to classify TIA severity?
Recall the elements of the ABCD2 score
Age (+1 for >60)
BP (+1 for SBP>140/DBP>90)
Clinical features (up to +2)
Duration (+1 for 10-59 minutes, +2 for >60 mins)
Which ABCD2 score requires admission?
Using the surgical sieve, suggest some causes of seizure
Vascular: haemorrhage, ischaemic event
Iatrogenic: drug toxicity
Trauma: head injury
Metabolic: electrolyte imbalance, drug withdrawal
Infective: meningitis, encephalitis
What is used for the prophylaxis of migraine?
Beta-blockers or low dose amitryptiline (5mg0
Which medication is used for acute presentation of migraines?
Recall the symptoms of Pick's disease
Increased aggression, sexual disinhibition, memory loss
Which lobe is most commonly first affected in Alzheimer's disease?
In which sort of dementia is a step-wise functional decline characteristic?
In which sort of dementia is a fluctuating functional decline characteristic?
Which type of dementia commonly shows features of Parkinson's disease?
How is lewy-body dementia treated?
Which lobe is affected in Pick's disease?
What are Pick bodies composed of?
Name 2 conditions that predispose to Berry aneurysms
Polycystic kidney disease
Recall mild and severe treatment options for multiple sclerosis in the acute phase
Mild: oral prednisolone
Severe: IV methyl prednisolone
Recall 2 options for disease-modifying drugs in multiple sclerosis
Which sort of headache tends to happen at the same time each day?
What is the main medical management option for cluster headache?
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
What is the main complication of myasthaenia gravis to be aware of?
Aspiration pneumonia (due to dysphagia)
Recall 4 features of myasthaenia gravis
Fatigability of muscles
Which cancer are myasthaenia gravis patients particularly at risk of developing, and how is this managed?
All MG patients undergo thynectomy
Recall the medical management of myasthaenia gravis
1. Anti-choline esterase (pyridostigmine)
2. Immunosuppressant (use steroid)
Which skin disease can result in a low IQ?
Neurofibromatosis type 1
On which chromosome is the abnormality in neurofibromatosis?
Recall 2 signs of neurofibromatosis
1. Cafe au lait spots
2. Lisch nodules in the eye