106-130

Question 1

Abducens nerve is

Answer 1

A motor nerve innervating the lateral rectus muscle, responsible for moving the eye outward

Question 2

67-year-old cognitive impairment, urinary incontinence, walking difficulties

Answer 2

Normal pressure hydrocephalus

Question 3

TENS in acute pain

Answer 3

pulse duration 50 m, frequency 250 Hz, pulse intensity easily perceptible

Question 4

Patient presents with inability to close the right eye and tearing, flattened right nasolabial fold, tendency for downward drift of the left arm
and leg (Barre’s sign) and positive Babinski reflex on the left. Lesion of what location could be suspected?

Answer 4

Right side of brainstem

Question 5

A 78-year-old woman. with hand tremor, more prominent in the right hand and mild rigidity and slowing of the rapid alternating movements.
Medication?

Answer 5

carbidopa-levodopa

Question 6

A 52-year-old male, 6-month history of rigidity in his right limbs, resting tremor in the right (and occasionally left)
hand and changed handwriting, mood disturbances and nightmares. His father had bilateral hand tremor. Pathogenesis?

Answer 6

Parkinson’s disease; disorder of dopamine metabolism

Question 7

Prescribe prophylaxis for meningococcal infections after close contact in adults?

Answer 7

Ciprofloxacin 500 mg orally one time

Question 8

Treatment in the early stages of prolonged seizure

syndrome:

Answer 8

Diazepam 10-20 mg i/v or per rectum

Question 9

Period during which the most intense recovery of motor function is
expected in stroke patients

Answer 9

1 year

Question 10

Syndrome is characterized by pain, movement and sensory impairment in the
legs with sexual dysfunction?

Answer 10

Cauda equina

Question 11

Recognizing a coin in one’s pocket only by touching it, requires intact

Answer 11

Dorsal columns of spinal cord

Question 12

20-year-old male student complains that his left foot has become numb and “catches” while walking. This has been going on for several
weeks. Before this happened, he had been working abroad picking strawberries for 2 months.
Diagnosis?

Answer 12

Common peroneal nerve neuropathy – compression over the fibular head

Question 13

Concussion is characterized by:

Answer 13

Amnesia

Question 14

25-year-old woman. The patellar reflexes are
checked. In which segment of the spinal cord do the nerve roots begin to form n. femoral and participating patellar reflex?

Answer 14

L2-L3

Question 15

25-year old male complains of sudden weakness of his right foot that he noticed today while walking. He feels no pain. For the last
several days he has been preparing his car for repainting, which involved a lot of bending and squatting. Diagnosis?

Answer 15

Peroneal neuropathy

Question 16

25-year-old woman, progressive gait disturbance past 9 months, spastic

paraparesis. Five years ago had an episode of impaired vision which completely resolved within 4
months. Diagnosis?

Answer 16

Multiple sclerosis

Question 17

24-year-old pregnant, difficulty speaking: unable to say anything, repeat simple phrases or write,
could comprehend and follow commands perfectly. In 5 days time the patient was already able to say some simple words. Which language disorder?

Answer 17

Broca’s (motor) aphasia

Question 18

45-year-old woman: shaking of both hands and head, gets worse when she is stressed, especially in public
places. Recently having difficulties in eating, getting dressed, her handwriting has changed. The patient’s grandmother
also had shaking hands and head. On examination: “no-no” tremor of the head, tremor of the outstretched hands, normal muscle tone.
What disease would you suspect?

Answer 18

Essential tremor

Question 19

Non-medicated measures to reduce muscle spasticity in stroke patients

Answer 19

Thermal treatments (stretching) and positional

Question 20

Thrombosis of the left medial cerebral artery can manifest with all the following symptoms, EXCEPT:

Answer 20

impaired coordination on the right

Question 21

29-year-old female, paroxysmal headache that makes her unable to work. What confirms the diagnosis of migraine?

Answer 21

Throbbing right-sided headache that gets worse gradually

Question 22

What types of lesions can cause absent or diminished tendon reflexes?

Answer 22

Spinal root

Peripheral nerve

Question 23

Features of nystagmus of peripheral origin?

Answer 23

Horizontal or torsional, often unilateral or more pronounced to one side, of higher amplitude, direction of nystagmus not affected
by gaze direction

Question 24

72-year-old male, asymmetric rigidity, bradykinesia and tremor 2 years ago. Symptoms progressing very slowly, but patient already prescribed carbidopa and L-dopa. What is the role of the carbidopa?

Answer 24

Dopamine decarboxylase inhibitor

Question 25

68-year-old male sudden weakness in left limbs, unclear speech and, according to his wife, inadequate behavior: attempting to leave for work and refusing to go to hospital despite the paralysis. When called by his name, he would turn to the other side and talk with his face turned away. Symptoms are characteristic to:

Answer 25

Acute cerebrovascular accident presenting with neglect and anosognosia