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PNCB Prep: Neurology – Questions & Accurate Answers
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PNCB Prep: Neurology – Questions & Accurate Answers
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PNCB Prep: Neurology – Questions & Accurate AnswersSpastic cerebral palsy is characterized by: Right Ans - - Increased deep
tendon reflexes
- Sustained clonus
A 4yo with a history of myelomeningocele and ventriculoperitoneal shunt
presents to the clinic with a headache, nausea, vomiting, and lethargy. The
most probably diagnosis is: Right Ans - Shunt malfunction
Appropriate education for parents about their child who experienced a febrile
seizure: Right Ans - - Children may experience repeat seizures, particularly
if the first seizure occurred before 1 year of age
- They are NOT at increased risk for epilepsy as adults
- Phenytoin is NOT efficacious as a prophylactic drug
- Phenobarbital is NOT routinely recommended
What is the primary diagnostic tool used in the evaluation of seizure disorder?
Right Ans - Electroencephalogram (EEG)
Upon PE of a 4yo boy, you observe seven cafe au lait spots greater than 5 mm
in diameter. This finding may be indicative of: Right Ans -
Neurofibromatosis
The most common headache in adolescents is: Right Ans - - Tension
headache
OR
- Psychogenic headache
After puberty, characteristics of migraine headache pain include: Right Ans
- - Headache pain restricted to one side of the head
- May switch sides from one headache episode to another
, Indications for suspected brain tumors include: Right Ans - - Morning
headaches
- Vomiting
- Behavioral changes
What 3 signs are scored on the Glasgow Coma Scale? Right Ans - i. Eye
opening
ii. Verbal response
iii. Best upper limb response
A parent called the pediatric clinic to say that their 2yo tripped on the
sidewalk and hit his head on the concrete. Which symptom reported by the
parent would require that their child be seen in the emergency room?
Right Ans - If there was loss of consciousness
The most common and generally least serious type of skull fracture is:
Right Ans - Linear fracture
**Unless it overlies a vascular channel or penetrates an air sinus
The most critical diagnostic step in the child with suspected meningitis is:
Right Ans - Evaluation of CSF via lumbar puncture
In a child with suspected meningitis, the lumbar puncture should be delayed
and a CT scan obtained FIRST, in which circumstance? Right Ans - If there
are signs of increased intracranial pressure
Characteristics of absence seizures include: Right Ans - Appear as altered
awareness and blank stare for a brief period
What is the most common type of brain tumor in children? Right Ans -
Medulloblastoma
Learning disability is defined on the basis of: Right Ans - A discrepancy
between the child's actual and expected achievement
Wechsler scales are a measure of: Right Ans - Childhood intelligence (IQ)
Vineland scales are a measure of: Right Ans - Adaptive behavior
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