Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Neurology > MCQs > Flashcards

MCQs Flashcards

1
Q

Teenage male with Tonic clonic seizures since 10 years old s/p meningitis, comes to you with new finger-to-nose abnormalities after going to a house party where there was drinking. What should you be checking for?

A

Phenytoin levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Motor signs in ALS?

A

Upper and Lower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Test to diagnose ALS?

A

EMG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Warfarin Target?

A

2-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

HA treatments: for CLUSTER, MIGRAINE abortive, migraine prophylaxis?

A
  1. Cluster: Prednisone (CCBs, lithium, O2 therapy)
  2. Migraine prophylaxis: Propanolol (anticonvulsants, antidepressants, antihypertensives)
  3. Migraine abortive - Triptans- abortive (NSAIDs) Fentanyl patch Carbamazepine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Homeless man, IVDU, fevers, flat optic discs, CN intact, loud systolic murmurs. What will you find on imaging?

A

Multiple cerebral infarcts because of embolic showers to brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Know the difference between medial, ulnar and radial neuropathy. Know which fingers are affected with each.

A

STUDY THIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

62 year old with L5 radiculopathy?

A

toe/peroneal issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

67 years old with clumsiness R arm, R leg, hypercholesterolemia with hoarseness, palatal droop, decreased pin and temp on the R face, L trunk, L limb?

A

Lesion in the Right lower medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

50 year old with tinnitus/deafness?

A

Lesion at cerebellopontine angle// acoustic neuroma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

35 year old with confusion, wide based gait, not oriented, nystagmus, drinks whiskey. What deficiency does he have?

A

B1 (thiamine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Woman with recent onset of bilateral HA for the past month, when coughs vision dims, no previous HA in life. She is overweight infertile and has swollen optic disc. Whats wrong?

A

Pseudotumor cerebri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How to confirm diagnosis ins 14 Pseudotumor cerebri?

A

CSF opening pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Brittle DM who just got out of a GI surgery is now unresponsive? what is the first thing you should do to treat?

A

Give dextrose. His brittle diabetes made his sugar low//he was probably NPO for procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

75 year old with chronic renal failure, cardiac arrest @ dialysis center now in ICU, sudden lightening jerks every 20 seconds in arm leg and sometimes whole body. What does he have?

A

Myoclonus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Slow rigidity, old man what meds does he need?

A

Carbadopa levadopa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fidgety arms and legs can’t sit still, forgetful, brother with similar issues who committed suicide. What do you see on CT?

A

Caudate issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Staring off, fidgets with shirt buttons, no recollection of events can’t talk. What kind of seizure?

A

Complex partial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dull HA for 3 weeks L homononymous hemianopia with macular sparing is a lesion where?

A

Occipital lobe lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Stroke w/ right lower face and right limb weakness. MRI shows 2 lacunar infarctions in L internal capsule and ventral pons. What do you NOT do to treat?

A

DO NOT give warfarin. DO give ASA, statin, DM control, weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

20 year old with R hemiplegia, L face, L limbs, aphasia, R visual field defect, decreased sensation to pain. What imaging do you need to get?

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

70 year old woman with R knee that gives out, no prior neuro history, atrophy of the R quad muscles, decreased pin and temp on R medial thigh and leg, R reflexes absent. What kind of neuropathy is this?

A

Femoral neuropathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

3 year old boy now having trouble getting up. Had normal developmental and birth milestones. Recently has been running more slowly and waddling with weak hips and shoulders. Normal sensation and reflexes. Very muscular calves. Diagnosis?

A

DMD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

50 yo presenting to ED after falling down stairs. Had a cold one month ago, 3 days ago legs became weak. Lower limbs ⅖ strength, ⅘ in upper limbs. All stretch reflexes are absent. Vibration decreased in both feet. Diagnosis?

A

GBD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

18 year old in MVC two weeks ago. 0/5 strength lower limbs, ⅗ in hands, 5/5 in proximal upper limbs. Reflexes 2+ upper, absent in lower extremities. Sensation absent from clavicles down, decreased sensation in hands. What is going on?

A

Spinal shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

80F in MVC 6 months ago with no injury except spinning sensation when tying shoes and turning over in bed. Positive hallpike maneuver to the left but not to the right. Diagnosis?

A

BPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

76M with poor judgement and forgetfulness. Anhedonia for one year that did not respond to SSRI. Got lost trying to get home last month. No neurologic deficits on exam. Poor short term memory and not able to spell words backwards. MRI showing age related atrophy. Diagnosis?

A

Alzheimers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

81M bedridden from many strokes now experiencing renal failure. Kids say he wouldn’t want to have been kept alive by machines. What to do you?

A

Do not dialyze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Young female w/ ataxia, left eye blindness, spastic legs, and bladder dysfunction?

A

CNS Myelin Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

40 year old quadriplegic for 5 days. With areflexia and tingling numbness in legs?

A

PNS Myelin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

65F with ptosis and diplopia when knitting for over an hour?

A

Postsynaptic NMJ

32
Q

70 with fatigue on stairs, dry mouth, and dizziness. Smokes 2 ppd with 15 lb weight loss. Reflexes are variably present?

A

Presynaptic NMJ

33
Q

42 year old with slurred speech, Left mouth droop on waking up. Normal hearing, sensation, and strength. Diagnosis?

A

Bells Palsy

34
Q

25F lost left eye vision on waking. No fever or trauma. Shine light in left eye, right constricts. Shine light in right eye, both constrict. Right optic disk normal. Left is swollen and blurred. Diagnosis?

A

Optic neuritis

35
Q

Same patient as 37 but one year later. Normal vision. Decreased sensation to pin in right face and arm. Decreased vibration in right hand. ¾ reflexes with right babinski and clonus at right ankle. What is seen on MRI?

A

Several periventricular high signal lesions

36
Q

Patient unconscious after MVC. Rapidly becomes unresponsive to pain with both pupils enlarged and non reactive. What do you do?

A

Hyperventilate

37
Q

Rx IIP?

A

Acetazolamide

38
Q

Old man now showing grasp, such, and snout reflexes suggests dysfunction where?

A

Frontal

39
Q

12 year old with fever, HA, and malaise. CSF = > 1500 wbc, 0 RBC, protein = 100, Glucose = 2. What is next step?

A

Empiric ABX

40
Q

Jabbing, shooting pain in left cheek worse on touching or eating. How to treat?

A

Carbamazepine

41
Q

Right superior homonymous quadrantanopia / “Right superior quadrantic defect.” What is lesion?

A

Left Temporal Glioma

42
Q

Pin and temperature sensations absent from nipple to belly button on A/P chest with normal sensation to vibration. What is the lesion?

A

Syringomyelia

43
Q

Patient has overdosed on drug and is squirming, wriggling, and having spasms. Which med is likely?

A

Carbidopa/L-dopa

44
Q

40F with temp of 41C. Headache, sleepy, confused, speaking nonsense. Normal gait and strength with no meningeal signs. High signal edema with abnormality noted in L. frontotemporal lobe and right temporal lobes. What is diagnosis?

A

HSV encephalitis

45
Q

70 yo receiving radiation for lung cancer. New weakness in left face, arm, and leg. CT shows three ring enhancing lesions with edema. Which med will help?

A

Steroids

46
Q

30 year old male with 4 episodes MS attacks in past year. Which med will decrease frequency and severity of attacks?

A

Beta Interferon

47
Q

Obese male, completely normal neuro exam has recently gotten in 2 bad MVAs. He desats to 70% with shallow breathing while sleeping. What is causing his car accidents?

A

OSA

48
Q

Patient has no grimace, forehead wrinkle, or movement of limbs. No eye movements but pupils react. 2+ reflexes. Can answer by blinking. Where is lesion?

A

Pons

49
Q

Serotonin syndrome vs Neuroleptic Malignant syndrome?

A

Figure out difference

50
Q

Narcolepsy Rx?

A

Modafinil

51
Q

MRI alternative?

A

Myelogram

52
Q

25 y/o man presents to ER. Sudden “Severe pounding and explosion” headache. No medical history. No meds. BP 135/76, Pulse 74 regular, Temp 36.8. Stil neck muscles. CSF tube 1 has a lot of gross blood. CSF tube 4 has much less blood. Interpret the CSF?

A

Traumatic Lumbar Puncture (SAH would show xanthochromia or consistent blood)

53
Q

56 y/o F. Having trouble putting books up on a shelf and combing her hair. Currently on hydrochlorothiazide for hypertension. Weakness in Quads, deltoids, biceps, and hip flexors. Reflexes 2+ throughout. Sensation Normal. What is the diagnosis?

A

Polymyositis

54
Q

Rx Polymyositis?

A

Prednisone

55
Q

60 y/o woman with Anemia. Has trouble walking to the bathroom at night. Spastic lower extremities bilaterally ⅘ weakness and 3+ reflexes bilaterally. Positive babinski. Upper extremities are normal in terms of sensation and strength. Vibration and proprioception are impaired. Normal sensation to pain and temp. What test should we run?

A

B12

56
Q

72 y/o male with recent headache, unsteady gait, and clumsy left hand. CT shows ring-enhancing lesions in the grey-white junction of both hemispheres. Pathology shows adenocarcinoma. What is the most likely source of the metastases?

A

Lung

57
Q

76 y/o female with acute R hemiparesis. R lower face & arm weakness. Follows commands but has “trouble getting words out”. Brief “telegraphed sentences”. Pinprick, proprioception, and stereognosis impaired in right side. Right homonymous hemianopsia. What is the cause?

A

MCA infarct

58
Q

Asymptomatic occlusion of the internal carotid artery would be compensated for by collaterals from which artery?

A

External carrotid

59
Q

45 year old female with recurrence of headache that she felt when she was 18. Pain starts in the temple and then causes nausea. She then lies in a dark room for a while. She had a coronary angioplasty 3 months ago. She has a history of gout and esophageal reflux. She is a 1ppd smoker for 20 years. BP 190/110. Pulse 76. Temp 37. Fundoscopic exam is normal. How would you treat this?

A

Propranolol

60
Q

60 year old male tripping over his left foot. He has midthoracic back pain that does not radiate. History of heart failure. He is taking digoxin, potassium, and furosemide. ⅘ weakness in the left leg and positive babinski. Reflex in the left leg is 3+. Reflexes are 2+ everywhere else. Pain and Temperature are decreased in right lower extremity up to the midchest. Proprioception and vibration are gone in the left foot. What kind of lesion is this?

A

Brown Sequard

61
Q

73 year old female collapses in the mall. She is resuscitated, brought to an ICU, and then intubated. ECG shows sinus rhythm. She is on pressors that bring her BP to 100/70. Pupillary reflexes are sluggish. No response to commands or pain. Weeks later, she gradually starts to open and close her eyes in response to pain. Now she can converse and follow commands but she has a severe memory deficit. She can’t remember 3 items after 3 minutes. What bilateral structure was impaired?

A

Hippocampus

62
Q

40 year old male with weakness in the left hand for 2 weeks. He is generally healthy with no pain or meds. ⅘ weakness in the left dorsal and ventral interossei. She also has clawing of the left ring and pinky fingers. Reflexes are 2+. Where is the lesion?

A

Ulnar

63
Q

32 y/o male with progressive painless weakness. 0/5 weakness in both lower extremities. 3-⅘ weakness in the upper limbs. Feet are numb. Patient has slurred speech and is dyspneic. Patient is also dysphagic. All reflexes are negative. What kind of nutrition should we use for this patient?

A

IV TPN

64
Q

Patient feels an electrical sensation shooting down her spine when she tilts her chin to her chest. What is the name of this phenomenon?

A

Lhermitte’s Sign

65
Q

Sloppy writing. Hands show tremor when both arms are extended. Tremor with right hand when drawing a circle and doing “finger-nose” movements. Where is the lesion?

A

No known location

66
Q

Right eye pain with drooping of the right eyelid. Right eye can only abduct normally. Pupils equal and reactive to light. Left eye muscles are normal. Where is the lesion?

A

Oculomotor nerve

67
Q

23 year old female. History of double vision and unsteady gait. Hemodynamically stable. Lower extremities are spastic with ⅖ weakness. Positive babinski bilaterally. Upper extremities are normal. Left nystagmus. Abnormal MRI of the spinal cord (hyperintensities?). How would you treat this?`

A

IV Methylprednisolone

68
Q

81 y/o male. Collapsed during a stress test. Resuscitated after 45 minutes. Patient is unresponsive with unresponsive pupils. MRA shows extracranial blood flow. Patient has absent gag, corneal, and oculovestibular reflexes. What is the diagnosis for this patient?

A

Brain death

69
Q

Patient shows slurred speech. History of 2 MI’s with an implanted pacemaker. Right lower face and right limbs are weak. Sensation and language are normal. Which test is contraindicated in this patient?

A

MRI

70
Q

Patient has an abdominal aortic aneurysm with abdominal pain. Legs are paralyzed. Pain and temperature are absent. Vibration and proprioception are normal. What is the diagnosis?

A

Anterior Spinal Artery Syndrome

71
Q

Acute right bell’s palsy. No trauma. What other symptom should we expect?

A

Hyperacusis

72
Q

S/p squamous cell carcinoma resection in the right neck with ptosis of the right eyelid and right miosis. Where is the lesion?

A

Cervical Sympathetic Ganglion

73
Q

50 y/o female. Random non-rhythmic leg jerks at night that wake her husband. Diagnosis?

A

Restless Leg

74
Q

What do you call it when arms and hands are extended and flapping of the hands occurs?`

A

Asterixis

75
Q

Pregnant patient shows anterolateral thigh numbness. Reflexes and strength in the legs are normal. What nerve is impaired?

A

Lateral femoral cutaneous nerve

Neurology (37 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions