Neurology — Flashcards

Flashcard 91: What should all patients with Bell's palsy be given within 72 hours of onset?

Answer: • Oral Prednisolone

Flashcard 92: What does Rinne's Test Positive mean?

Answer: • Air conduction > Bone conduction • Indicated normal or sensorineural hearing loss, not conductive

Flashcard 93: What is the next step in management after administering Prednisiolone in Bell's Palsy?

Answer: • Prescribe artificial tears • Eye taping at night

Flashcard 94: What are the first-line drugs for the treatment of focal (partial) seizures?

Answer: Carbamazepine, Levetiracetam, or Lamotrigine

Extra: According to most guidelines (e.g., NICE, ILAE), Levetiracetam and Lamotrigine are often preferred due to better side effect profiles, but Carbamazepine remains a classic first-line choice for focal-onset seizures.

Flashcard 95: What can optic neuritis be a feature of?

Answer: • Multiple sclerosis

Flashcard 96: Why is a decarboxylase inhibitor given with levodopa?

Answer: • To reduce peripheral side-effects *by preventing peripheral conversion of levodopa to dopamine

Flashcard 97: Besides Horner’s syndrome, what other signs can Pancoast tumours present with?

Answer: Shoulder pain and upper limb neurological signs

Flashcard 98: A patient taking antipsychotic medication presents with - hyperthermia, muscle rigidity, autonomic instability, altered mental state, diagnosis?

Answer: • Neuroleptic Malignant Sydrome

Flashcard 99: What medication should be offered for patients with newly diagnosed Parkinson's who have motor symptoms affecting their quality of life?

Answer: • Levodopa

Flashcard 100: What is the long term antiplatelet therapy in TIA?

Answer: • clopidogrel