Neurology

Question 1

Gait ataxia and hypotonia will be seen in a patient with a lesion in the

Answer 1

Rostral vermis

Question 2

Manifestation of vermian lesion:

Answer 2

a. Dysarthria
b. Scanning speech
c. Nystagmus
d. All

d. All

Question 3

Manifestation of cerebellar dysfunction

Answer 3

a. Hypotonia
b. Decomposition of movement
c. Mild aesthenia
d. All

d. All

Question 4

Test for arm dystaxia

Answer 4

a. Wrist tapping test
b​. Arm pulling test
c. Thigh patting test
d. all

d. All

Question 5

True in a patient with cerebellar hemisphere infarct in the right:

Answer 5

a. Nystagmus
b. Limb ataxia
C. Dysmetria
d. all

d. All

Question 6

Superficial sensation routinely examined

Answer 6

pain

Question 7

Manifestation of polyneuropathy

Answer 7

a. Symetrical distal weakness

b. Areflexia

Question 8

From medial to lateral (CTLS) segmented arrangement of fibers in the spinal cord is seen in the

Answer 8

b. Lateral cortico spinal

Question 9

TRUE during testing of sensory function,

Answer 9

a. Usually done with patient’s eyes closed
b. Should compare cornified vs. Non cornified areas
c. Should examine symmetrical dermatomal area
d. All

ALL

Question 10

Pinsandneedlessensation

Answer 10

Paresthesia

Question 11

Bicepsreflexissubserved

Answer 11

C5-c6

Question 12

Variationsofbabinski

Answer 12

Hoffman’s

Question 13

Examinationofmotorfunction

Answer 13

a. Look for involuntary movements
b. Look for coordinated performance of
motor acts
c. Inspect muscle size
d. all

ALL

Question 14

spastic gait

Answer 14

Narrow base of support

Leg externally rotated at the hip

Question 15

Upper motor neuron paralysis:

Answer 15

a. Muscles affected in groups
b. Rigidity
c. Babinski
d. All

ALL

Question 16

Fundoscopy

Answer 16

Cranial nerve from the supratentorial

Question 17

Nystagmus

Answer 17

Cranial nerve from the midbrain

Question 18

Say EGG

Answer 18

Cranial nerve from the medulla

Question 19

Open mouth

Answer 19

Cranial nerve from the pons

Question 20

Corneal blink reflex

Answer 20

Cranial nerve from the pons

Question 21

A stoke patient can open his eyes, moans and flexes on painful stimulation has a Glasgow coma scale of:

Answer 21

C. 10/15

Question 22

The main objective of doing deep tendon reflex is to:

Answer 22

A. Differentiate whether the lesion is UMN or LMN

Question 23

Babinski is not seen in:
A. Frontal lobe tumor 
B. Brainstem stroke
C. Spinal cord compression
D. Diabetic neuropathy

Answer 23

D

Question 24

A high stepped, slapping gate is usually secondary to:

Answer 24

B. Posterior column

lesion

Question 25

Paralysis of upward gaze is usually secondary to:

Answer 25

C. Pineal Lesion

Question 26

Not a feature of metabolic encephalopathy A. Pupils are equal and reactive B. Severe mental status alteration c. Common occurrence of movement abnormality d. Presence of lateralizing sign

Answer 26

D

Question 27

Fatigue with exercise is usually seen in:

Answer 27

Neuromuscular function disorder

Question 28

A unilateral, dilated, non – reactive pupil in a comatose pate will indicate:

Answer 28

Temporal bone herniation

Question 29

A patient complaining of weakness that he can only move his extremities against gravity is graded as:

Answer 29

3/5

Question 30

Mentalstatusexaminationisatestfortheintegrityof:

Answer 30

Cerebral cortex

Question 31

An optic chiasm lesion would cause:

Answer 31

Bitemporal Hemianopsia

Question 32

``` Lesion in the cavernous sinus would involve the following cranial nerves, except: A. CNIII B. CNIV C. CNV D.CNVI ```

Answer 32

C

Question 33

Weakness of knee extension is caused by a lesion of:

Answer 33

A. Femoral nerve

Question 34

Features of upper motor neuron, except: A. Spastic B. (+) Babinski C. Atrophy

Answer 34

C

Question 35

Foot drop is secondary to a lesion in the:

Answer 35

Peroneal nerve

Question 36

The first cranial nerve to be affected by increased intracranial pressure is:

Answer 36

. CNVI

Question 37

``` Signs of peripheral nerve lesion, except: A. Atrophy B. Fasciculations C. Spasticity D. Hyporeflexia ```

Answer 37

C

Question 38

``` Neurologic examination in a comatose patient includes the following, except: A. Fundoscopy B. Pupillary light reflex C. Mental status examination D. Cerebellar examination ```

Answer 38

D

Question 39

Signs and symptoms of myopathy includes the following, except: A. Proximal weakness B. Atrophy C. Hyperreflexia

Answer 39

C

Question 40

The most reliable sign of UMN lesion:

Answer 40

C. (+) Babinski

Question 41

Presence of cheery red spots seen in the retina by fundoscopy is seen in:

Answer 41

A. Tay Sach’s disease

Question 42

Presence of café au lait spots seen in fundoscopy is secondary to

Answer 42

Von Recklinghausen’s disease

Question 43

``` Ataxia is seen in the following lesions, except: A. Dorsal column B. Cerebellum C. Spinocerebellar tract D. none ```

Answer 43

D

Question 44

``` Movement disorder associated with basal ganglia lesions, except: A. Dysmetria B. dystonia C. Bradykinesia D. Tremor ```

Answer 44

A

Question 45

In the lesion of the superior orbital fissure the following are true, except: A. Weakness of the lateral movement of the eye B. Weakness of the medial movement of the eye C. Weakness of the superior and inferior movement of the eye D. None of the above

Answer 45

D

Question 46

Neurologic examination is mandatory if the patient complains of: 1. Loss of consciousness 2. Weakness 3. Urinary incontinence 4. Dementia

Answer 46

all

Question 47

27. Sensory examination includes the following: 1. Crude touch 2. Position 3. Vibration 4. Temperature

Answer 47

all

Question 48

Bitemporal hemianopsia is secondary to:

Answer 48

Pituitary adenoma | Uncal herniation

Question 49

The appearance of the following reflexes would indicate frontal lobe lesion: 1. Palmomental 2. Sucking 3. Grasp 4. Babinski

Answer 49

all

Question 50

Babinski could be present if you have lesions of the: 1. Supratentorial 2. Posterior fossa 3. Spinal 4. Anterior horn cell

Answer 50

1,2,3

Question 51

Neurologic examination in a comatose patient includes: 1. Light reflex 2. Fundoscopy 3. Mental status 4. Cerebellar exam

Answer 51

1,2,3

Question 52

Retinal hemorrhage could be seen in: 1. Optic neuritis 2. Malignant hypertension 3. Cerebral infarction 4. Raptured aneurysm

Answer 52

2,4

Question 53

Mental status examination includes: 1. Level of consciousness 2. Memory 3. Mood 4. Position

Answer 53

1,3

Question 54

Fundoscopy is valuable if you are entering: 1. Increased intracranial pressure 2. Demyelinating disorder 3. Raptures aneurysm 4. Cerebral infarction

Answer 54

1,3

Question 55

Signs and symptoms of myopathy 1. Absent sensory changes 2. Proximal weakness 3. Atriphy 4. Hyporeflexia

Answer 55

2,4

Question 56

Movement disorders associated with basal ganglia lesion 1. Athetosis 2. Ballismus 3. Parkinson’s diseas 4. Dystonia

Answer 56

1,2,3

Question 57

Small, pinpoint pupils are associated with: 1. Amphetamines overdose 2. Opiate overdose 3. Uncal herniation 4. Pontine lesion

Answer 57

2,4

Question 58

Large, dilated pupils are associated with: 1. Cocaine use 2. Heroine use 3. Opiate overdose 4. Amphetamine overdose

Answer 58

4

Question 59

Horner’s syndrome: 1. Miosis 2. Ptosis 3. Facial anhydrosis 4. Dilated pupils

Answer 59

all

Question 60

Melkensson syndrome

Answer 60

Scrotal tongue

Question 61

Phonation

Answer 61

CN 9

Question 62

Numbness of the face

Answer 62

CN 7

Question 63

Visual acuity

Answer 63

CN 2

Question 64

Clenching of teeth

Answer 64

CN 5

Question 65

Shoulder shrug

Answer 65

CN 11

Question 66

Tongue atrophy

Answer 66

CN 12

Question 67

Convergence

Answer 67

CN 3

Question 68

Pupillary light reflex

Answer 68

CN II – III

Question 69

Corneal reflex

Answer 69

CN V – VII

Question 70

Gag reflex

Answer 70

CN IX – X