Neuro Revision Night MCQ Flashcards
which of the following is associated with an increased incidence of multiple sclerosis?
A. latitude of patients home country B. high dietary cassava C. hypercalcaemia D. fungal toe nail infection E. exposure to vinyl chloride
A. latitude of patient’s home country
cassava is associated with a multi-nodular goitre as they contain thiocyanate
gabby sustains a hockey stick injury. she is initially dazed but rapidly recovers and continues with the match. 30 minutes later she collapses and the paramedics report her GCS as E2V3M3. what injury has she most likely sustained?
a. acute subdural haemorrhage
b. chronic subdural haemorrage
c. acute extradural haemorrage
d. cerebral contusion
e. ruptured cerebral aneurysm
C. acute extradural haemorrhage
there is a lucid interval
‘The other Andy’ (ex-alcoholic) is living in a nursing home and it is noticed he has a steady deterioration in memory over 3 days. CT head shows an isodense convex mass between the right frontotemporal cortex and the skull. what is this lesion?
a. meningioma
b. chronic subdural haematoma
c. Alzheimer’s amyloid plaque
d. Frontotemporal dementia
e. Choroid plexus cyst
B. chronic subdural haematoma
Ibby is performing poorly in school. the teachers complain of recurring episodes of daydreaming lasting for several seconds, from which he cannot be aroused. the boy denies these. what is the most likely cause?
a. leukaemia
b. attention deficit hyperactivity disorder (ADHD)
c. narcolepsy
d. cataplexy
e. absence seizures
E. absence seizures
Niall has a witnessed episode of becoming unresponsive, picking at his clothes and lip smacking. his face started twitching followed by his left arm and leg and then entire body. the whole episode lasts 5 minutes. he can remember picking at his clothes, but feeling dreamlike cannot remember the lip smacking. what is this called?
a. simple partial seizure
b. complex partial seizure
c. complex partial seizure with secondary generalization
d. generalised tonic-clonic seizure
e. dissociative (functional) seizure(pesudoseizure)
complex partial seizure with secondary generalization
Liam suffers an anterior circulation ischaemic stroke. the biggest modifiable risk factor for ischaemic stroke is:
a. hypertension
b. hypercholesterolaemia
c. smoking
d. obesity
e. diabetic control
hypertension
Matt presents to his GP with a 1 month history of breast swelling, tenderness and recently, occasional lactation. Pregnancy test is negative, but thyroid function tests show a low TSH and low free T3/T4. which blood test should his GP next undertake?
a. serum LH/FSH
b. serum vasopressin
c. lumbar puncture
d. digital rectal exam for bants
e. urinary catecholamines
f. serum prolactin
serum prolactin - may be caused by a prolactinoma
taste sensation for the posterior third of the tongue is transmitted to the brain by which nerve?
a. CN V
b. CN VII
c. CN IX
d. CN X
e. CN XII
CN IX - the glossopharyngeal nerve. make sure you know the number of the nerves
Eaton-Lambert Myasthenia Syndrome (LEMS) is characterised by what?
a. anti-acetylcholine receptor antibodies
b. Anti-voltage-gated-calcium-channel receptor antibodies (anti VGC)
c. anti-acetylcholinesterase antibodies
d. positive tensilon test
e. sensory disturbance
b. anti-voltage-gated-calcium-channel receptor antibodies
which of the following is not a sign of an upper motor neurone deficit?
a. weakness
b. tremor
c. spasticity
d. hyper-reflexia
e. clasp-knife rigidity
tremor
- this is an extra-pyramidal sign such as in parkinsons which affects the substantia nigra (part of the basal ganglia that is aka the extra-pyramidal system of the body)
which of the following drugs can be used to terminate tonic-clonic seizures?
a. dihydrocodeine
b. duloxetine
c. percacets
d. dantrolene
e. diclofenac
f. diazepam
f. diazepam
which of the following is a sign of cerebellar lesion?
a. shuffling gait
b. high-stepping gait
c. stamping gait
d. wide-based gait
e. antalgic gait
D. wide based gait
a shuffling gait is characteristic of parkinson’s
a high stepping gait is the result of a foot drop (peroneal nerve in mononeuritis diabetes)
stamping gait is due to a peripheral proprioceptive defect
an antalgic gait is due to pain
horner’s syndrome results from injury to which of the following structures:
a. axillary nerve
b. brachial plexus
c. parotid gland
d. cervical sympathetic ganglion
e. occulo-motor nerve
D. cervical sympathetic ganglion
which of the following conditions is associated with oligoclonal immunoglobulin bands on cerebrospinal fluid
electrophoresis?
a. multiple sclerosis
b. meningitis
c. stroke
d. intracranial abscess
e. arachnoiditis
a. multiple sclerosis
paul is admitted following a seizure. he opens his eyes to voice but is confused asking nursing staff why they are in his house and pushes you away when you attempt to take blood. he is unable to follow simple instructions.
what is his Glasgow coma score?
a. E2V3M6
b. E3V3M5
c. E3V4M5
d E3V5M5
e. E4V5M4
E3V4M5
