MSRA: Misc

Question 1

What is the management of neuropathic pain?

Answer 1

Monotherapy
Try for three months, if no benefit then switch to another agent
Options include: Amitriptyline, Duloxetine, Pregabalin, Gabapentin

Question 2

Which vessels are affected in a subdural haematoma?

Answer 2

Bridging veins

Question 3

Which vessels are affected in an extradural haematoma?

Answer 3

Middle meningeal artery

Question 4

What is meant by Gower’s sign?

Answer 4

Seen in Duchenne Muscular Dystrophy
Use of arms to stand from squat position

Question 5

What is meant by Cataplexy?

Answer 5

Sudden and transient loss of muscle tone associated with strong emotion e.g laughter
It can lead to LOC

Question 6

What is the most common symptom of vitamin B6 excess?

Answer 6

Pure sensory neuropathy

Question 7

Which opioid can be used in neuropathic pain if all other agents have failed?

Answer 7

Tramadol

Question 8

What is the inheritance pattern of Huntington’s disease?

Answer 8

Autosomal dominant
Chromosome 4

Question 9

What are the key features of Lambert Eaton syndrome?

Answer 9

Repeated muscle contraction leads to increased muscle strength
Hyporeflexia

Question 10

What are the key features of Charcot-Marie-Tooth?

Answer 10

History of frequent ankle sprain injuries
Foot drop
Distal muscle weakness and atrophy