Neuro Flashcards Preview

Year 3 EMQ revision > Neuro > Flashcards

Flashcards in Neuro Deck (34)
Loading flashcards...
1
Q

Recurrent spontaneous attacks of vertigo, hearing loss and tinnitus
Vertigo often disabling and associated with vomiting

A

Ménière’s disease

2
Q

Severe vertigo with vomiting but no deafness/tinnitus

Preceded by infection/illness

A

Vestibular neuronitis

3
Q

Recurrent brief attacks of headache around the eye, associated with autonomic symptoms
Last between a few weeks and a few months

A

Cluster headaches

4
Q

Unilateral throbbing headache lasting 6h associated with vomiting and photophobia, with several episodes in the past

A

Migraine

5
Q

Constant aching pain around the right eye radiating to the forehead
Reduced vision in the eye, which is red and congested with a dilated pupil

A

Acute glaucoma

6
Q

Bilateral proximal muscle weakness in legs and dysphagia
Purple rash on cheeksIn severe disease, can be respiratory muscle weakness and also cardiac involvement
CK elevated

A

Polymyositis

7
Q

What nerve is affected?

Inability to dorsiflex foot after blow to the side of knee

A

Common perineal nerve

8
Q

What nerve is affected?

Sensory loss over medial one and a half fingers

A

Median nerve

9
Q

What nerve is affected?

Winged scapula and inability to raise arm above the horizontal

A

Long thoracic nerve

10
Q

Abnormal movements

Wild flinging of right arm and right leg

A

Hemiballismus

11
Q

Abnormal movements

Grimacing, involuntary chewing, long-treatment with antipsychotic medication

A

Tardive dyskinesia

12
Q

Abnormal movements

Past-pointing in someone being investigated for unsteady gait

A

Dysmetria

13
Q

Stiff spastic tongue
Brisk jaw reflex
Emotional outburst

A

Pseudobulbar palsy

14
Q

Loss of pain and temperature sensation over the trunk and arms with intact vibration sense

A

Syringomyelia

15
Q

Coffee-coloured patches (café-au-lait spots)

Presence of Lisch nodules

A

Neurofibromatosis (type I)

16
Q

Cause of gait

Drop foot
High-stepping gait
After hip replacement

A

Sciatic nerve injury

17
Q

Cause of gait

Presents after stroke
Stiff right leg that drags forward in an arc

A

Spastic gait

18
Q

A 21-year-old student presents with hyperventilation, tachycardia and light-headedness and is brought to A&E after ‘blacking out’

A

Anxiety attack

19
Q

Site of neurological lesion

Right-handed woman noted to ignore stimuli on left side of her body

A

Right parietal lobe

20
Q

What anti-epileptic medication is responsible for the side effects?

Acne
Increased hair growth
‘Cerebellar syndrome’

A

Phenytoin

21
Q

What anti-epileptic medication is responsible for the side effects?

Tremor
Drowsiness
Thinning hair
Mildly raised liver enzyme levels

A

Sodium valproate

22
Q

Treatment for headache

Headache
Painful red congested eye
Dilated non-responsive pupil

A

Acetazolamide (carbonic anhydrase inhibitor)

23
Q

Treatment for headache

Headache has lasted a few weeks
Pain in mouth during meals and scalp is tender on palpation

A

Prednisolone(Treatment of temporal/giant cell arteritis)

24
Q

Treatment for headache

Trigeminal neuralgia

A

Carbamazepine

25
Q

Treatment of Parkinson’s

Improvement of tremor in Parkinson’s patient on treatment with levodopa

A

Benzhexol (muscarinic ACh receptor antagonist)

26
Q

Treatment of Parkinson’s

Control of vomiting in patient being treated for Parkinson’s

A

Domperidone (blocks dopamine receptors peripherally)

27
Q

Treatment of Parkinson’s

Parkinson’s patient cannot tolerate levodopa-based therapy

A

Bromocriptine

28
Q

Left-sided facial palsy and vertigo
Impaired hearing on left side
Vesicular rash around external auditory meatus
Caused by Herpes zoster infection of the geniculate ganglion

A

Ramsay Hunt syndrome

29
Q

Convex haematoma on CT

A

Extradural haemorrhage

30
Q

Crescent shaped haematoma on CT

A

Subdural haemorrhage

31
Q

Blood along sulk and fissure

A

Subarachnoid haemorrhage

32
Q

Asymmetrical pupils

Affected pupil is larger and has decreased pupillary reflex

A

Holmes-Adie pupil

33
Q

Bilateral small pupils

Do not react to light

A

Argyll Robertson pupil

34
Q

Relative afferent defect

A

Gunn’s pupil