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Prof Gharib Fawi Mohamed. MCQ in neurology. Hyperactive tendon reflexes are often an indication of damage to the (A) spinal cord (B) peripheral nerve (C) cerebellum (D) Tendon stretch receptors (E) Muscles.
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Prof Gharib Fawi Mohamed MCQ in neurology
Hyperactive tendon reflexes are often an indication of damage to the (A) spinal cord (B) peripheral nerve (C) cerebellum (D) Tendon stretch receptors (E) Muscles
A glove-and-stocking pattern with sensation of pins and needles over the hands and the feet usually develops with disease In (A) peripheral nerves (B) the brachial plexus (C) the spinal cord (D) the brainstem (E) the thalamus
In chorea the lesion mostly found in (A) Subthalamus (B) Putamen (C) Caudate nucleus (D) Cerebral cortex
One of the following is manifestation of C5 radiculopathy (A) Weakness of hand grip muscles (B) Weakness of deltoid muscle (C) Lost triceps reflex (D) Radicular sensory loss over ulnar side of the forarm
All of the following agents are used in management of myathenia gravis EXCPT • Anticholinesrerase • Anticonvulsants • Prednisolone • Plasma exchange
All of the following cause paraplegia with sensory level EXCPT • Fracture dislocation of dorsal spine • Transverse myelitis • Pott’s disease • Hereditary spastic paraplegia
In a case of acute-subacute flaccid paraplegia ,causes may be expet • Transverse myelitis • Anterior spinal artery occlusion • GuillianBarre syndrome • Hereditary spastic paraplegia
All the following are features of extra-pyramidal paraplegia expet: • A. painful onset • B. asymmetric presentation • C. late sensory level • D. bilateral positive babinski sign • E. early retention of urine
In brain stem stroke the following are present except: A.Ipsilateral hemiplegia and contralateral CR nerves affection B. Ipsilateral hemiplegia and ipsilateral CR nerves affection C. Contralateral hemiplegia and Ipsilateral CR nerves affection D. Contralateral hemiplegia and contralateral CR nerves affection
In the emergency room with arrival of hemiplegic pt(CVA) the 1st investigation • - ECG • - Skull x ray • - CT brain • - Eccocardiography • - Carotid doppler
In ischemic stroke pt we can use r-tpa within • 24 hrs of onset • 12 hrs of onset • 2-4 hrs of onset • The 1st 2 days
72-year-old woman has the abrupt onset of right face and hand weakness, disturbed speech production, and a right homonymous hemianopsia. This is most likely attributable to occlusion of which of the following arteries? • a. Left middle cerebral artery • b. Left anterior cerebral artery • c. Left vertebrobasilar artery • d. Right middle cerebral artery • e. Left posterior inferior cerebellar artery (PICA)
In status epilpeticus the following are false except: • Frequent fits (2-4 / day) • Conscious level is clear • Continuous fits with no recovery of consciousness for at least (5-30 min) • Maximum dose of oral carbamazepine is needed
All of the following are causes of convulsions EXCPT • Hypernatremia • Stroke • Head injury • Freidreich ataxia
Patients complaining of trouble getting out of low seats and getting off toilets often have (A) poor fine finger movements (B) poor rapid alternating movements (C) distal muscle weakness (D) proximal muscle weakness
Dysdiadochokinesia is an impairment of (A) successive finger movement (B) heel to toe walking (C) rapid alternating movement (D) tremor suppression (E) conjugate eye movements
Features of Brwon –Sequard syndrome are all of the following EXCEPT (A) Ipsilateral pyramidal features (B) Contralateral deep sensory loss (B) Contralateral superficial sensory loss (D) Associated with hemisection of the cord
All the following muscles are affected in Bell’s palsy EXCPT • Masseter muscle • Frontalis muscle • Orbicularis occuli muscle • Orbicularis oris
Syncope is characterized by all of the following EXCPT • Tongue bitting at the side • Transient impairment of consciousness • Associated with pallor • Occur in upright position
The following agents can be used in management of typical absence epilepsy EXCEPT: • Valproate • Carbamazepine • Lamotrigine • Ethusuximide
One of the following used as alternative to antiepileptic drugs • Plasma pharesis • Physiotherapy • Steroids • Ketogenic diet
Patient complaining of transverse double vision often have • facial nerve palsy • Abducens nerve palsy • Trochlear nerve palsy • Trigeminal nerve palsy
Right Spastic hemiplegia usually indicates damage to the (A) left posterior column (B) right spinothalamic tract (C) left corticospinal tract (D) right corticospinal tract
Risk factors for cerebral infarction include all the following EXCEPT • hypothyroidism • hypercholesterolemia • atrial fibrillation • hypertension • smoking
Rapid intravenous infusion of phenytoin can do (A) Cardiac arrhythmias (B) Respiratory depression (e) Allergic reactions (D) postural hypotension (E) amaurosis fugax
Generalized absence attacks characteristically exhibit all the following EXCEPT (A) three per second spike-and-wave complexes (B) loss of postural tone (C) staring spells (D) onset during childhood (E) good response to ethosuximide therapy
All the following are characteristic of migraine headache EXCEPT (A) familial occurrence (B) unilateral pattern (C) throbbing pain (D) periodic pattern (E) worsening with age
Sydenham chorea is a reversible chorea that develops as a consequence of (A) hereditary degeneration of the caudate (B) rheumatic fever (C) posttraumatic degeneration of the substantia nigra (D) subacute bacterial endocarditis (E) Binswanger disease
The most common cause of dementia in the general population is (A) epilepsy (B) vascular disease (C) Alzheimer disease (D) Parkinson disease (E) head trauma
Pseudodementia in the elderly is most commonly caused by (A) depression (B) drug intoxication (C) viral infection (D) cerebral ischemia (E) hypoxia
Chorea gravidarum only occurs In (A) newborns (B) depressed men (C) pregnant women (D) Adolescent girls (E) Adolescent boys
With Friedreich disease all of the following signs usually appear EXCEPT (A) hyporeflexia (B) Truncal ataxia (C) limb ataxia (D) impaired positional sense (E) sphincter disturbance
the following are early manifestations of idiopathic Parkinsonism EXCEPT (A) dementia (B) monotonous speech (C) Tremors (D) Bradykinesia (E) Rigidity
.In the person with Parkinson’ s disease, the tremor that is evident when a limb is at rest changes in what way when the patient falls asleep? • a. It becomes more rapid • b. Its amplitude increases • c. It generalizes to limbs that were uninvolved when the patient was awake • d. It disappears • e. It transforms into choreiform movements
all of the following are useful in management of Parkinson’s disease EXCEPT (A)L-dopa/cabidopa combination (B) chlorpromazine (C) amantadine (D) Benztropine (E) bromocriptine
The neuron most specifically diseased in amyotrophic lateral sclerosis are (A) sensory (B) autonomic (C) sympathetic (D) parasympathetic (E) motor
The most obvious site of disease in myasthenia gravis is the (A) anterior horn cell (B) neuromuscular junction (C) sensory ganglion (D) parasympathetic ganglia (E) sympathetic chain
The most common manifestation of muscle weakness with myasthenia gravis is (A) diaphragmatic weakness (B) wrist drop (C) ocular muscle weakness (D) Foot drop
Duchenne dystrophy is a sex linked disorder involving the gene responsible for the synthesis of (A) glucose-6-phosphatasc (B) hexosaminidase B (e) myosin (D) dystrophin
With Duchenne dystrophy, pseudohypertrophy (A) does not occur (B) occur very late (C) usually seen in calf muscles (D) is limited to the thigh muscles
A 42-year-old woman is being evaluated for gait difficulties. On examination, she is found that her ability to walk along a straight line touching the heel of one foot to the toe of the other is impaired. This finding is most common with which of the following? • a. Cerebellar dysfunction • b. Parietal lobe damage • c. Temporal lobe damage • d. Ocular motor disturbances • e. Dysesthesias in the feet
Atrophy of 1st dorsal interosseous muscles indicate damage to spinal roots • C5 and C6 • C6 and C7 • C7 and C8 • C8 and T1 • T1 and T2
Compression of the C8 spinal root is easily confused with damage to which nerve (A) ulnar (B) Axillary (C) Median (D) Radial (E) Long thoracic
The most common cause of foot drop is compression of which of the following nerves ? (A) Sciatic (B) Common peroneal (C) Radial (D) Sural (E) Obturator
All of the following may cause a foot drop and steppage gait EXCEPT (A) Charcot-Marie Tooth disease (B) poliomyelitis (C) progressive spinal muscular atrophy (D) L5 spinal root compression (E) Hepatolenticular degeneration