Neurology — Flashcards

Flashcard 131: What is the first-line investigation in all patients with features suggestive of SAH?

Answer: • Urgent CT head without contrast

Flashcard 132: 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 133: What is the diagnosis of severe hypertension, flushing and sweating above the level of injury?

Answer: • Autonomic Dysreflexia

Flashcard 134: 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 135: _____ presents with monocular subacute visual loss with painful eye movements.

Answer: Optic neuritis

Flashcard 136: _____ is inflammation of the optic nerve

Answer: Optic neuritis

Flashcard 137: On examination optic neuritis can present with _____ with the swinging flashlight test

Answer: relative afferent pupillary defect (RAPD)

Flashcard 138: On examination optic neuritis can present with _____ desaturation

Answer: red

Flashcard 139: Relative afferent pupillary defect (RAPD) is also referred to as _____ Pupil

Answer: Marcus Gunn

Flashcard 140: What is the acute management of optic neuritis? _____

Answer: IV methylprednisolone