Exam (elaborations)
Neurology practice questions
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practice questions- systems based approach(NEUROLOGY)
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Neurology1) For the management of an acute delirium 5) When examining a patient with a working
acquired in the hospital, which one of the diagnosis of Bell's palsy what is most
following options would be least important too rule out?
appropriate? a) A brainstem lesion
a) Treating the underlying cause b) An idiopathic cause
b) Promptly increasing antibiotic coverage c) An Ebstein-Barr virus infection
c) Antipsychotic medication as needed d) Diabetes mellitus
melitus mononeuropathy
d) Avoiding foley catheters and physical e) Parotid gland pathology
restraints
e) Providing the patient with a well-lit room
6) Which medication would you expect to
worsen the common symptoms of
2) When differentiating between seizure and Parkinson's Disease?
syncope, which of the following is important a) Bromocriptine
to consider? b) Benztropine
a) Onset c) Lithium
b) EEG d) Amantadine
c) Autonomic features e) Haldol
d) Urinary incontinence
e) All of the above
7) Which of the following interventions would
benefit any patient suffering from
3) In the early stages of Alzheimer's disease myasthenia gravis?
what is the most common deficit to be a) Thymectomy
expected? b) Acetylcholinesterase inhibitors
a) Major depression c) Edrophonium
b) Parkinsonism d) Only a and b
c) Psychosis e) All of a, b, and c
d) Memory impairment for newly acquired
information
e) Memory impairment for events prior to 8) A 30-year old hairdresser is experiencing a
the onset of degeneration headache as you, a medical student about
to graduate, are sitting in the leather chair.
Which of the following questions would be
4) A patient that has just suffered a stroke finds least useful in assessing her complaint?
it difficult to utter words in either English or a) Is there a family history of similar
his native Portuguese. He is not pointing to headaches?
the ceiling when prompted with the aid of a b) Does the pain seem to come from
translator, nor does he respond when asked behind one eye?
to repeat a word he had just managed to c) Did your headache develop suddenly
speak out. In an otherwise functional and unexpectedly?
individual, these deficits can be most likely d) Are you having trouble or discomfort
due to this type of aphasia: chewing gum and/or talking during the
a) Broca's non-fluent aphasia headache?
b) Global non-fluent aphasia e) At What time of day is the headache at
c) Anomic fluent aphasia its worst?
d) Wernicke's fluent aphasia
e) Conduction fluent aphasia
, 9) When investigating for the cause of a stroke 13) A 25 year-old man is admitted with a history
which one of the following is most likely to suggesting seizures. Which of the following
yield abnormal findings? would not support this diagnosis?
a) An echocardiogram a) Urinary incontinence
b) An EEG b) The sound of voices preceding events
c) An electrocardiogram c) Drowsiness and weakness following the
d) A biopsy from a large artery event
e) A CT of all the long bones d) Rarely occur when recumbent
e) None of the above
10) A 74 year-old, right-handed man presents
with a past medical history of hypertension 14) Which of the following would not be
and dyslipidemia for 30 years. He is a expected in a right-sided Brown-Séquard
retired banker who recently has had trouble syndrome?
calculating his restaurant bill. He also a) Right-sided hemiparesis
notices that his writing has deteriorated. On b) Right-sided decreased proprioception
physical exam, he has difficulty naming his c) Left-sided decreased sensitivity to
fingers and is confused with distinguishing pinprick
left from right. The lesion is most likely in d) Left-sided decreased vibration sense
which part of the brain? e) None of the above
a) Right parietal
b) Left parietal
c) Left temporal 15) Which of the following is true of Myasthenia
d) Right temporal Gravis?
e) Frontal a) In patients older than 60, thymic
hyperplasia is a common etiology
b) Often associated with thyroid disease
11) Which of the following pair of CNS lesions c) Antibodies that are produced against
and corresponding visual field defects is acetylcholinesterase
incorrect? d) Associated with small cell lung
a) Temporal lobe tumour – superior carcinoma
quadrantanopia
b) Frontal lobe tumour – altitudinal field
defect
c) Pituitary tumour – bitemporal
hemianopsia
d) Occipital lobe tumour – homonomous
hemianopsia
e) Multiple Sclerosis – central scotoma
12) A 63 year-old woman develops intermittent
dizziness. Examination discloses diminished
corneal reflex and mild hearing loss in the
right ear. The most likely diagnosis is:
a) Cerebellopontine angle tumour
b) Benign paroxysmal positional vertigo
c) Lateral medullary syndrome
d) Méniére disease
e) None of the above
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