Neurology — Flashcards

Flashcard 591: The _____ supplies the lateral pons

Answer: anterior inferior cerebellar artery (AICA)

Flashcard 592: What is the next step in primary care if a patient presents with a TIA < 7 days ago? _____

Answer: Aspirin 300mg + referral for urgent assessment by stroke physician within 24 hours

Flashcard 593: _____ syndrome presents with - Quadraplegia - Preservation of vertical eye movements & blinking

Answer: Locked in

Flashcard 594: What is the next step(s) if carbamazepine is ineffective or contraindicated in trigeminal neuralgia?\n_____

Answer: Secondary medications (e.g., Lamotrigine, Baclofen) or Surgical referral (e.g., MVD)

Extra: Second-line agents include Lamotrigine, Baclofen, and Gabapentin. If medical therapy is ineffective, the definitive surgical treatment is Microvascular Decompression (MVD) or stereotactic radiosurgery (Gamma Knife).

Flashcard 595: When can analgesic adjuvants be used in palliative pain management? _____

Answer: WHENEVER - no need to climb the analgesia ladder first

Flashcard 596: Stroke involving the _____ can cause medial midbrain (Weber) syndrome

Answer: posterior cerebral artery

Flashcard 597: _____ haematoma is due to a rupture of the middle meningeal artery in 75%* of cases

Answer: Extradural

Flashcard 598: What are the 3 key concepts of pain relief in palliative care? 1. _____ 2. By the mouth (Give analgesia orally where possible) 3. By the ladder (Follow the WHO analgesic ladder)

Answer: By the clock (Give analgesia on a regular basis)

Flashcard 599: _____ syndrome presents with - Horner's syndrome - Contralateral loss of pain & temperature sensation in torso/limbs - Ipsilateral loss of pain & temperature sensation in face - CN X palsy (dysphagia)

Answer: Lateral medullary (Wallenberg)

Flashcard 600: Stroke involving the _____ can cause locked-in syndrome

Answer: basilar artery