Neurology — Flashcards

Flashcard 121: What would indicate that Sodium valproate is the best choice of drug in male seizures?

Answer: Rhythmic jerking of the limbs (Generalized Tonic-Clonic Seizure)

Flashcard 122: What is the best description of a stroke with: - Unilateral hemiparesis and/or hemisensory loss of the face, arm & leg - homonymous hemianopia - higher cognitive dysfunction e.g. dysphasia

Answer: Total Anterior Circulation Infarcts [Total = All 3 above criteria met]

Flashcard 123: What is the first-line investigation in all patients with features suggestive of SAH?

Answer: • Urgent CT head without contrast

Flashcard 124: What is the diagnosis of severe hypertension, flushing and sweating above the level of injury?

Answer: • Autonomic Dysreflexia

Flashcard 125: What is the correct definitive management of patients presenting with an acute ischaemic stroke who present within 4.5 hours?

Answer: IV Thrombolysis (e.g., Alteplase) +/- Mechanical Thrombectomy (if LVO)

Extra: - IV Thrombolysis window: up to 4.5 hours. - Mechanical Thrombectomy window: usually up to 6 hours for Large Vessel Occlusion (LVO), up to 24 hours in selected cases (DAWN/DEFUSE-3 criteria).

Flashcard 126: What does Progressive Peripheral Polyneuropathy with hyporeflexia suggest?

Answer: • Guillain-Barre Syndrome

Flashcard 127: What is the acute management of optic neuritis? _____

Answer: IV methylprednisolone

Flashcard 128: On examination optic neuritis can present with _____ with the swinging flashlight test

Answer: relative afferent pupillary defect (RAPD)

Flashcard 129: Relative afferent pupillary defect (RAPD) is also referred to as _____ Pupil

Answer: Marcus Gunn

Flashcard 130: What imaging is done for a patient presenting with optic neuritis? _____

Answer: IV contrast MRI