NEUROLOGY

1. What common organisms may give rise to meningitis in an adult African? Describe the symptoms, signs and laboratory diagnosis of meningitis. How would you treat an adult patient with a purulent cerebrop-spinal fluid? What complications may be associated with meningitis in the adult?

2. What organisms cause meningitis? Describe the clinical features, iinvestigations and treatment of the disease.

3. List the rsk factors for cerebrovascular diseases. How would a manage 60 year old Nigerian who presented with thromboti cerebrovascular accident?

4. Compare and contrast the clinical features and management of severe tetanus and status epilepticus.

5. Classify seizure disorders. Outline the management of a 20 year old female patient with epilepsy.

6. List 5 common causes of spinal cord compression. How would you investigate and treat a 65-year old farmer with this condition?

7. Discuss the aetiology, investigation and management od a 40-year old Nigerian woman presenting with recurrent blackouts.

8. Discuss the possible causes of severe headache in a young woman of 30 years. How would you manage ONE of the conditions you have mentioned.

9. List the differential diagnosis of headache and neck stiffness. How will you manage a 35 year-old male patient with this presentation?

10. Describe the use of imaging in the management of neurologic disease.

11. Describe the neurological signs that you would expect to find in a. Frontal lobe abscess b. Paralysis of the 5th cranial nerve c. Parietal glioma d. Viral encephalitis e. Carvenous sinus thrombosis f. Cerebello-pontine angle tumour g. Conus medullaris lesion h. Epidural abscess i. Migraine headache

12. Discuss the signs you would expect to find in a patient with a. Cerebellar lesions (1/5)

13. What treatment would you give a patient with a. Subarachnoid haemorrhage b. Severe tetanus c. Pneumococcal meningitis d. Left-sided hemiplegia and a blood pressure of 220/160.

14. Write short notes ( about 250 words)on the following a. Tensilon test b. Lumbar puncture c. Automatism d. Dominant cerebral hemisphere e. Glassgow coma scale f. Complications of tetanus ( 120 words) g. Distinguidhing features between pyogenic, tuberculoid and viral meningitis. h. The significance of examination of fundi in medica pratice.

o. Write short notes on each of the following ( 100 words) a. Myasthenia gravis b. Lumbar puncture c. Parkinosonism d. Ptosis e. Proprioception f. Tremor of both hands g. Migraine h. Proptosis p. What is the connecting link between a. Short stature and suprasellar calcification b. Bilateral ptosis and superior mediastinal mass ( Myasthenia gravis, thymoma) c. Bradycardia and a rising blood pressure in a comatose patient. ( Cushings reflex) d. Epilepsy and Swollen gums ( phenytoin) e. Vessicles in the external auditory meatus and infranuclear facial palsy

f. Fever and left hemiplegia