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How Good at Neurology are you? – Questions
  1. Paul Goldsmith*,
  2. Graham Lennox*,
  3. Julian Ray
  1. *Departments of Neurology and
  2. Neurophysiology, Addenbrooke’s Hospital, Cambridge, UK. Email: paul-goldsmith{at}cantab.net

    Abstract

    1. Consider the following case.

    The following brain scans were taken on a young male with somnolence and irritability. What is the diagnosis ?

    2. With regards to Susac’s syndrome, are the following statements true or false:

    1. It is due to an inflammatory micro-angiopathy.

    2. It is a monophasic illness.

    3. High frequency hearing loss is typical.

    4. Hyperfluorescence of retinal arterioles is seen on fluorescein angiography.

    5. Oligoclonal bands are usually seen in the CSF.

    3. Please read the following:

    The local family doctor arranged an ambulance for this man when he found him drowsy and cyanosed. In the ambulance he was intubated. A central line was inserted because of poor peripheral venous access. On arrival at hospital he had fixed, dilated pupils, but he did flex to pain.

    An immediate attempt at extubation failed, so he was admitted to intensive care and started on cefotaxime and metronidazole

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