Neurology — Flashcards

Flashcard 51: _____ is a variation of Guillian-Bare Syndrome

Answer: Miller Fisher syndrome

Flashcard 52: Main investigation for Guillain-Barre syndrome is _____

Answer: Lumbar Puncture

Flashcard 53: _____ is a serious adverse effect of Sodium Valproate, characterised by elevated serum ammonia levels

Answer: Hyperammonemic Encephalopathy

Flashcard 54: Carotid endarterectomy is performed on the _____ side to the symptoms.

Answer: ipsilateral

Extra: Carotid symptoms (like amaurosis fugax or hemiparesis) are caused by emboli or hypoperfusion from the ipsilateral carotid artery. Therefore, surgery (CEA) or stenting is performed on the side corresponding to the symptoms. Revascularization for asymptomatic disease is also performed on the side with significant stenosis.

Flashcard 55: First-line treatment of neuropathic pain includes\n_____

Answer: Amitriptyline, Duloxetine, Gabapentin, Pregabalin

Flashcard 56: Sodium valproate can cause _____ where regrowth might be curly

Answer: alopecia

Flashcard 57: Verbal Response in GCS scores for: _____ 4 - Confused 3 - Words 2 - Sounds 1 - None

Answer: 5 - Orientated

Flashcard 58: Lateral Medullary (Walleburg's Syndrome) PICA occlusion, can cause Horner's Syndrome due to _____

Answer: damage of the descending sympathetic nerve fibres

Flashcard 59: 2nd Line Antiplatelet therapy in TIA and Ischemic Stroke: _____

Answer: Aspirin (lifelong) & Dipyridamole (lifelong)

Extra: 1st line: Clopidogrel (75mg daily) 2nd line: Aspirin + MR Dipyridamole 3rd line: MR Dipyridamole alone (if aspirin is also contraindicated) Note: Dual antiplatelet therapy (DAPT) with Aspirin and Clopidogrel is typically used short-term (21-90 days) in the acute phase of minor stroke/high-risk TIA before switching to monotherapy.

Flashcard 60: What Neurological Differentials could cause Falls? 2

Answer: • Stroke • Peripheral Neuropathy