P year‎ > ‎Neurology‎ > ‎

12.11.14 MCQ questions

  • Things I got wrong
  • Severe, frequent migraine - Paracetamol not working
    • Amitriptyline
  • Brain tumors look a bit like haemorrhage on CT
    • But they have OEDEMA around them
  • Numbness in R leg, spreading to both legs and arms over 4 days, with UMN signs
    • Acute MS
  • Sudden onset N+V with severe headache; Gets better; CT normal
    • Do an LP
    • Not sure why
  • Drug-induced tremor and rigidity in L arm?
    • Metoclopramide (dopamine antagonist)
    • Not carbamazepine (stabilizes the inactivated state of Voltage-gated sodium channels)
  • Acute endocrine dysfunction following TBI?
    • SIADH
  • Feature suggesting generalised seizure
    • Tongue-biting > Urinary incontinence
  • 64 year-old smoker, gradually progressive tremor, worse when using hands, worse on left
    • Essential tremor
  • Thrombolysis of acute ischaemic stroke
    • Alteplase ONLY
    • No anti-platelets or heparin

Other notes

  • Cerebral salt-wasting syndrome (CSWS)
    • Rare endocrine condition featuring hyponatremia and dehydration in response to trauma/injury or the presence of brain tumors
  • DLB
    • Ffluctuating cognition with great variations in attention and alertness from day to day and hour to hour
    • Recurrent visual hallucinations
    • Motor features of Parkinson's
  • Parkinson's plus (with extra features)
    • Multiple system atrophy
    • Progressive supranuclear palsy
    • Corticobasal degeneration
    • Dementia with Lewy bodies?
  • Synucleinopathies vs tauopathies