Neurology — Flashcards

Flashcard 611: What is the next step in primary care if a patient presents with a TIA > 7 days ago? _____

Answer: Referral for specialist assessment by stroke physician within 7 days

Flashcard 612: _____ pain is often associated with hyperalgesia

Answer: Neuropathic

Flashcard 613: _____ is a disorder affecting CNV causing severe unilateral pain

Answer: Trigeminal neuralgia

Flashcard 614: The breakthrough dose of morphine is _____ of the daily background dose

Answer: 1/6th

Flashcard 615: What is the first-line management for trigeminal neuralgia? _____

Answer: Carbamazepine

Flashcard 616: 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 617: A 14 year old is hit by a baseball bat on R head. He loses consciousness for a few minutes, but recovers promptly & continues to play. 1hr later he is found unconscious with a R fixed dilated pupil. What is the most likely diagnosis? _____

Answer: Acute extradural haematoma; R side

Flashcard 618: What is the 1st line pharmacological management of agitation in palliative patients in the terminal phase? _____

Answer: Midazolam

Flashcard 619: What are the clinical signs of opioid toxicity? _____

Answer: Myoclonus, pin-point pupils, hallucinations, respiratory depression

Flashcard 620: Stroke involving the _____ can cause medial midbrain (Weber) syndrome

Answer: posterior cerebral artery