Neurology

Question 1

What neurology is seen in primary care?

Answer 1

• Headache
• Epilepsy
• Cerebrovascular disease
• Neuropathies
• Vertebral disorders
• Neuroinfections
• Alzheimer’s and other dementias
• Parkinson’s

Question 2

Describe the clinical picture of polyneuropathies

Answer 2

• Symmetrical
• Glove and stocking distribution
• LMN findings

Question 3

What are the causes of polyneuropathies?

Answer 3

• Diabetes
• Alcohol
• Nutritional
• Genetic
• Drugs
• Rheumatoid arthritis
• Uraemia
• Malignancy

Question 4

What is the treatment for polyneuropathies?

Answer 4

• Reverse cause (if possible)

- Symptomatic

Question 5

Describe the clinical picture of mononeuropathies

Answer 5

• CTS (carpel tunnel syndrome= median nerve)
• Ulnar neuropathy (ulnar groove at elbow)
• Common peroneal (foot drop)
• Bell’s palsy

Question 6

What are the causes of mononeuropathies?

Answer 6

• Entrapment
• Vascular (vasculitis)
• Inflammatory/ infectious

Question 7

What is the treatment for mononeuropathies?

Answer 7

• Supportive
• Surgical
• Drugs

Question 8

Describe spinal disorders

Answer 8

-'Soft tissue' pain
=spondylosis (overgrowth of cartilage between vertebral bodies)
=herniated/ bulging/ degenerated disc
-Radiculopathy
=compression of nerve roots
-Myelopathy
=compression of cord

Question 9

How do we treat spinal disorders?

Answer 9

-Conservatively
-Analgesia
-Physiotherapy
=core musculature for additional support

Question 10

Describe the clinical picture of CNS infections

Answer 10

• Meningitis

- Encephalitis

Question 11

What are the causes of CNS infections?

Answer 11

• Viral/ Bacterial
• Sterile
• Viral
• Autoimmune
• Paraneoplastic

Question 12

What is the treatment for CNS infections?

Answer 12

• Antibiotics
• Antivirals
• Immunosuppression
• Oncological