Explore MCQs Flashcards

1
Q

A 35-year-old man presents to the ER with weakness in his legs. He states that he was unable to move this morning. He had recovered from flu several days ago. On examination, there is an absence of reflexes in his legs bilaterally. Which of the following lab findings is most likely seen in his condition?
A. Elevated leucocytes in the CSF and demyelinating features on nerve conduction studies
B. Elevated lymphocytes in the CSF and demyelinating features on nerve conduction studies
C. Elevated protein in the CSF and normal findings on nerve conduction studies
D. Elevated protein in the CSF and demyelinating features on nerve conduction studies
E. Decreased protein in the CSF and demyelinating features on nerve conduction studies

A

Elevated protein in the CSF and demyelinating features on nerve conduction studies

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2
Q

A 50-year-old African American man with a long-standing history of type 2 diabetes mellitus and hypertension presents to your office with numbness and weakness in his legs. What is the most likely diagnosis?
Uremic neuropathy
Porphyric neuropathy
Metabolic neuropathy
Critical illness neuropathy
Vitamin B6 deficiency

A

Metabolic neuropathy

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3
Q

A 35-year-old woman presents to your office with weakness and numbness in her legs. She never had a medical check-up and complains that she develops a rash all over her body when exposed to the sun. What is the most likely diagnosis?
Vitamin B12 deficiency
Acute intermittent porphyric polyneuropathy
Uremic polyneuropathy
Thyroid disease
Diabetic neuropathy

A

Acute intermittent porphyric

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4
Q

Which of the following is true regarding diabetic neuropathy?
Proximal and asymmetric
Involvement of small fibers only
Involvement of large fibers only
Neuropathic pain not prominent
Distal and symmetric

A

Distal and symmetric

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5
Q

Which of the following is NOT common in diabetic neuropathy?
Compression neuropathy
Mononeuropathy
Polyradiculopathy
Acute axonal polyneuropathy
Neuromyelitis optica

A

Neuromyelitis optica

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6
Q

What is the most common infectious neuropathy in the world?
Lyme disease
HIV
Herpes
Leprosy
CMV

A

Leprosy

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7
Q

Which of the following is NOT a chronic type of demyelinating disorder?
Axonal GBS
Vincristine induced
Amyloidosis
Amiodarone induced

A

Axonal GBS

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8
Q

Which of the following is an example of a demyelinating type of neuropathy?
CIDP
Diabetic neuropathy
Alcohol-induced neuropathy
Amyloidosis
CMT2

A

CIDP

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9
Q

Vivid dreams are more likely to occur in which of the following stages?
Stage 4 of non-REM sleep
REM sleep
Stage 3 of non-REM sleep
Stage 2 of non-REM sleep
Stage 1 of non-REM sleep

A

REM sleep

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9
Q

Vivid dreams are more likely to occur in which of the following stages?
Stage 4 of non-REM sleep
REM sleep
Stage 3 of non-REM sleep
Stage 2 of non-REM sleep
Stage 1 of non-REM sleep

A

REM sleep

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10
Q

Which of the following is NOT a feature of delirium?
The sensorium is waxing and waning in patients with delirium.
Potentially reversible
Chronic onset
Disorder of cognition
There are moments of lucidity punctuated by hallucinations in patients with delirium.

A

Chronic onset

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11
Q

Which of the following is done to distinguish quiet delirium from depression?
Abbreviated mental test score
Positive and Negative Syndrome Scale (PANSS)
Mini-Mental Status Examination (MMSE)
Beck Depression Inventory (BDI)
Comprehensive Psychopathological Rating Scale (CPRS)

A

Mini-Mental Status Examination (MMSE)

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