stroke Flashcards

(39 cards)

1
Q

how long after a TIA or stroke do you need to take off driving

A

1 month

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2
Q

do you need to inform the DVLA after single stork oe TIA

A

NO

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3
Q

how long off driving do you need to take for a syncopal episode that was inexplained

A

6 months

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4
Q

how long after explaind syncopal episode do you need before driving

A

4 weeks

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5
Q

2 or more unexplained syncopal episodes driving restrictions

A

12 months off

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6
Q

muscle relaxant of choie in rapid sequence induction

A

sux

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7
Q

features of osteongeneis imperfecta

A

weird teeth
blue scelra
fractures
deafness

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8
Q

what other type of investigation is done in Stroke that doesnt look at brain

A

cartoid US doppler

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9
Q

what arteries are affected in Total anterior circulation stroke

A

middle cerebral artery
anterior cerebral artery

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10
Q

symptoms of a MCA stroke

A

contralat motor and sensory loss
upper>lower
contralat hemonimous hemianopia
aphasia

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11
Q

symptoms of an ACA stroke

A

contral motor and sensory loss
lower> upper

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12
Q

what classification system is used for stroke

A

oxford stroke classification

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13
Q

symptoms of a total anterior circulation stroke

A

all 3 of
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia

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14
Q

what areteries are involved in a partial anteriro circulation storke

A

smaller arteries of anterior circulation e.g. upper or lower division of middle cerebral artery

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15
Q

symptoms of a partial anterior circulation stroke

A

2 of the:
1. unilateral hemiparesis and/or hemisensory loss of the face, arm & leg
2. homonymous hemianopia
3. higher cognitive dysfunction e.g. dysphasia

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16
Q

what is involved in webers syndrome

A

ipsilateral CN III palsy
contralat weakness

17
Q

what sign differentiates between organic and non-organic causes of lower limb weakness

18
Q

onset in pseudo vs normal seizure

A

pseudo is gradual
true seizure is sudden

19
Q

MS investigation

A

MRI with contrast

20
Q

what neuro thing does B12 deficiency cause

A

subacute combined degeneration of the spinal cord

21
Q

what tracts are involved in subacute combnined degenration of the spinal cord

A

DCML , lat corticospinla (limbs) nd spinocerebllar tracts

22
Q

would hypo or hyper refelxia be seen in subacute combined degen of spinal cord

A

hyper refelxia

23
Q

what diet is recommended to children with lennox- gastaut and poorly controlled epilepsy

A

ketogenic diet

24
Q

prophylaxis options for migraine

contraindication for triptans

A

propanolo
topiramate - teratogenic
amitriptyline

history of cerebrovascular disease or ischaemic heart disease

25
history of a chronic subdural haematoma
weeks to months Hx of progressively worsening confusion, neuro deficit or reduced consciousness
26
how do chronic sundurals appear on CT
hypodense in contrast to acute
27
what is amaurosis fugax
a transiet loss of vision in on eye thta returns to normal s
28
what causes amaurosis fugax
retinal/opthalmic ischamia
29
what stroke causes locked in syndrome
basilar artery
30
gold standard for venous sinus thormbosis
MR venogram
31
ptosis + constricted pupil= ptosis + dilated pupil =
1. horners 2. CN III palsy
32
what type of enema is used to check for leaks in a colon anastamosis and why
gastrografin as barium toxic if it leaks
33
what PPI should be used alongisde clopidogrel
lansoprezole
34
features of encephalitis
fever, headache, psychiatric symptoms, seizures, vomiting focal features e.g. aphasia
35
cause of viral encephalitis
HSV -1
36
CFS finsings in encephalitis
ymphocytosis elevetaed protein
37
investigation for encephalitis
LP + PCR for virus MRI
38
what lobes are affected in ecephalitis
inferior frontal and temporal
39
management of viral encepahlitis
IV aciclovir