1-25 LT Quiz

Question 1

Radiological features of highly cancerous cerebral gliomas:

Answer 1

Accumulates contrast material in the form of an incomplete ring

Question 2

Communicating hydrocephalus cannot be cause by:

Answer 2

Fracture of the cribriform plate (anterior skull trauma)

Question 3

How is encephalitis caused by herpes simplex 1 virus diagnosed?

Answer 3

brain CT changes in the temporal lobes

inflammatory proteins in CSF

viral DNA using the PCR, in CSF

Question 4

A 59-year-old woman suffered a stroke, which later led to spastic paralysis. Which damaged structures are responsible for this type of paralysis?

Answer 4

Inner capsule

Question 5

Increased intracranial pressure results in

Answer 5

Decreased brain perfusion pressure

Question 6

The 53-year-old woman working in garden, intense headache, stopped talking and lost consciousness. ED: wider left pupil, right limb hemiplegia, and sensorimotor aphasia. Tendons - the bones are more direct on the right, Babinski’s positive, there are no signs of irritation of the meninges. Consciousness according to GCS - 11b., BP - 230 / 120mmHg, HR - 105 b/ min. Patient taking new (non-vit. K) anticoagulants for arrhythmias and occasionally Nebiletas for high blood pressure. Diagnosis?

Answer 6

Spontaneous intracerebral hematoma

Question 7

63 y woman unpleasant sensations in her feet that bother her for about 6 months. and began to rise towards the knees. suffering from diabetes for 9 years.

What signs of polyneuropathy could be detected in a neurological examination?

Answer 7

Finger and toes reduction in the vibration sensation

Question 8

What are the risk factors for pneumococcal meningitis?

Answer 8

1. skull fractures
2. functional or anatomical asplenia
3. alcoholism

Question 9

functions of the cerebellum

Answer 9

muscle tone, muscle synergy, movement control

Question 10

Focal dystonia is suspected in the presence of:

Answer 10

1.Involuntary turning of the head to the right and tilting toward the left shoulder; symptoms increase with stress, while walking or
standing; it improves when touching cheek or neck, or while leaning against a backrest
2.Bilateral involuntary spasmodic closing of the eyelids

Question 11

What features define sensory aphasia?

Answer 11

Preserved spontaneous speech, impaired comprehension, impaired repetition

Question 12

Neurotransmitter imbalances cause extrapyramidal syndromes

Answer 12

Acetylcholine and dopamine

Question 13

First-line medications for cerebral palsy:

Answer 13

Osmodiuretics

Question 14

Diabetic polyneuropathy rehabilitation measures

Answer 14

physiotherapy, occupational therapy, application of orthopedic
footwear

Question 15

What physiotherapy measures are not appropriate for

decreased muscle tone?

Answer 15

muscle stretching exercises

Question 16

What are the symptoms of peripheral-type paralysis?

Answer 16

1. Possible muscle atrophy
2. Weakened or disappeared deep tendons reflexes
3. Decreased muscle tone

Question 17

features of ataxia caused by spinal cord damage

Answer 17

Ataxia ipsilateral to lesion
increases with eyes closed
impairment of deep sensation below level of lesion

Question 18

Diseases can spread through unpasteurized milk or its products?

Answer 18

Listeriosis

Tick-borne encephalitis

Question 19

A 35-year-old driver has noticed that his 5 finger gets numb after keeping his right elbow flexed for a prolonged period.
likely diagnosis?

Answer 19

Ulnar neuropathy – elbow tunnel syndrome

Question 20

Which study in CNS tumor diagnosis is the least informative

Answer 20

Magnetic resonance angiography (MRA)

Question 21

Hydrocephalus manifests with urinary incontinence, cognitive function impairment and walking difficulties?

Answer 21

Normal pressure

Question 22

Spinal cord injury, when only the senses remain below the level of neurological damage is ASIA classification

Answer 22

ASIA B

Question 23

Which of the following is characteristic to lesion of CNS only

Answer 23

Hemiparesis

Question 24

For treatment of bacterial meningitis dexamethasone is given

Answer 24

4 days
0.15 mg / kg intravenously 4 times daily
Starting before or in combination with the first dose of antibiotic

Question 25

Most common accompanying symptoms of focal cervical dystonia?

Answer 25

1. A tremor to keep the head and neck in the midline
2. Neck and shoulder girdle muscle pain, shoulder asymmetry (one above the other)
3. Cervical muscle hypertrophy