Neurology — Flashcards

Flashcard 51: _____ should be used for localised neuropathic pain e.g. post-herpetic neuralgia

Answer: Topical Capsacin

Flashcard 52: There may be a history of _____ in Guillian-Bare syndrome

Answer: gastroenteritis

Flashcard 53: Neuromuscular blocking drugs (NMBDs) such as _____ can exacerbate Myasthenia Gravis (MG) as they further impair neuromuscular transmission.

Answer: Suxamethonium

Flashcard 54: _____ is a variation of Guillian-Bare Syndrome

Answer: Miller Fisher syndrome

Flashcard 55: Nerve conduction studies in Guillain-Barre syndrome may show _____

Answer: decreased motor nerve conduction velocity

Flashcard 56: _____ is a serious adverse effect of Sodium Valproate, characterised by elevated serum ammonia levels

Answer: Hyperammonemic Encephalopathy

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

Answer: 5 - Orientated

Flashcard 58: Sodium Valproate should not be started for the first time in males or females younger than _____ years, unless two specialists agree there is no other effective treatment.

Answer: 55

Extra: According to latest MHRA guidelines, valproate must not be started in new patients (male or female) younger than 55 years unless two specialists agree that there is no other effective or tolerated treatment.

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