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Quiz:Neurology

From Mediwikis
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1. Headache

  • A Meningitis
  • B Stroke
  • C Migraine
  • D Giant cell Arteritis
  • E Stress Headache
  • F Sub-arachnoid haemorrhage
  1. 19 year old female experiences strong right sided pulsating headache after exercise.
  2. 81 year old male loses vision in his right eye after experiencing sharp pain in the right temporal region.
  3. 31 year old female with gradual onset generalised headache, neck stiffness and general drowsiness.
  4. 24 year old male with episodes of right sided visual aura preceding a throbbing headache which are exacerbated by light.
  5. 21 year old woman with headache which she associates with her recent flu-like symptoms. Her hands feel cold and she appears a tad dusky.
  6. 64 year old male with sudden extreme posterior headache.
  7. 42 year old office manager experiences generalised pressure headaches during the day. Painkillers only help a bit.

Match the presentation to the disease:

A B C D E F
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2. Stroke

  • A Total Anterior Circulation Stroke
  • B Partial Anterior Circulation Stroke
  • C Lacunar Circulation Stroke
  1. Confusion and lack of planning functions, homonymous hemianopia.
  2. Loss of movement on one side of the body, plus ataxia and dysarthria.
  3. Reduced conciousness, homonymous hemianopia, Dysphasia, sensory loss to one side of the body
  4. Sensory loss in some parts of the body, but not all. MMSE scores 21.

Match the presentation to the likely classification of stroke.

A B C
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3. Delirium

  • A Sepsis
  • B Intracranial Infection
  • C Drugs
  • D Alcohol Withdrawal
  • E Vascular
  • F Head Injury
  1. 67 year old female 2 days post hemiarthroplasty, with raised temperature.
  2. 48 year old male becomes delirious 48 hours post-admission for pancreatitis.
  3. 91 year old with a history of repeated falls on the ward.
  4. 76 year old female 12 hours after surgery to remove a tumour from her middle ear.
  5. 52 year old male 12 hours after acute loss of movement on one side of his body.
  6. 21 year old male 12 hours after appendicectomy. He is taking oramorph & prednisalone.
  7. 86 year old male admitted after falls in the community stops passing urine 48 hours after admission.

Match the most likely cause of delirium in patients above.

A B C D E F
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Your score is 0 / 0

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