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