The phrase "doth off top of head" refers to something that is said or done spontaneously without much preparation. Some synonyms for this phrase could include "speaking off the cuff," "thinking on one's feet," "improvising," or "winging it." These phrases all convey a sense of spontaneity and quick thinking. Other synonyms could include "ad-libbing," "freestyling," "making it up as you go along," or "flying by the seat of one's pants." While all of these phrases have slightly different connotations, they all convey the same idea of acting without much prior planning or thought.