Past Papers

Question 1

Which muscle causes foot drop?

Answer 1

Tibialis anterior

Question 2

Nerve supply for brachioradialis

Answer 2

Radial nerve C6

Question 3

MRI findings in MS

Answer 3

bright areas (enhancing lesions) that indicate areas of active inflammation.
“Dawson fingers” too

Question 4

What do we find in CSF analysis in MS patient?

Answer 4

Oligoclonal bands

Question 5

No.1 meds for essential tremors?

Answer 5

Propranolol ( contraindications for asthma)
Primidone

Question 6

How to diagnose essential tremors?

Answer 6

Hands and head
Responds to alcohol
Familial
High frequency low amplitude

Question 7

Which anti seizure drug has weight loss as a side effect ??

Answer 7

Topiramate
Zonisamide

Question 8

Which drug is contraindicated in Juvenile myoclonic epilepsy?

Answer 8

Carbamazepine

Question 9

1st line drug for cluster headache?

Answer 9

Verapamil

Question 10

M/c viral infxn in viral encephalitis?

Answer 10

Herpes Simplex Virus -1

Question 11

When to intubate a comatosed patient?

Answer 11

1.if patient cannot protect the airway(gurgling sounds, pooling secretions, increased work of breathing)
2.ineffective respiratory drive and poor oxygenation
3. Pt with major facial injury

Question 12

Antidote for opiod

Answer 12

Naloxone

Question 13

Antidote for benzodiazepine

Answer 13

Flumazenil

Question 14

What to do with comatosed pt?

Answer 14

1. 50 ml 50% glucose
2. Thiamine( for alcohol intoxication)

Question 15

Purpric rash is specific to :

Answer 15

Meningococcus

Question 16

Characters of CSF in bacterial meningitis

Answer 16

Neutrophils
Low glucose
High protein ( >59 mg/dl)

Question 17

Which bacterial infection we use steroids in?

Answer 17

Dexamethasone in pneumococcal meningitis

Question 18

Tx for bacterial meningitis:

Answer 18

1. Ceftriaxone/ cefotaxime
2. Vancomycin
3. Ampicillin +/- gentamicin if Listeria suspected

Question 19

Viral meningitis CSF character:

Answer 19

1. Normal glucose
2. High protein
3. Lymphocytes

Question 20

M/C viruses that cause meningitis:

Answer 20

1. Enteroviruses
2. HSV

Question 21

M/c cause for encephalitis?

Answer 21

HSV

Question 22

I’m presenting features of encephalitis:

Answer 22

1. Fever
   2.disorientation
   3.aphasia
   4.behavioral disturbances

Question 23

MRI findings in encephalitis?

Answer 23

Asymmetrical BILATERAL abnormalities

Question 24

Which type of cells produce Mylein sheath in :
1. CNS
2. PNS

Answer 24

1. Oligodendrocytes
2. Schwan cells

Question 25

Nerve responsible gor shoulder abduction?

Answer 25

Axillary

Question 26

Nerve responsible gor shoulder adduction?

Answer 26

Dorsal scapular nerve C5

Question 27

Which anti epileptic drug causes tremor?

Answer 27

Valproic acid

Question 28

What is the diagnosis of a case with
1. Signs of vasculitis
2. Genital/ oral ulcers
3. Arthritis
4. Uveitis
5. Papulopustular lesion
6. Pathergy reaction

Answer 28

Behçet disease

Question 29

Damage to which region causes hemiballismus?

Answer 29

Subthalmic neucleus

Question 30

What plaques we find in Alzheimer’s disease autopsy?

Answer 30

Amyloid plaques

Question 31

Migraine Tx:

Answer 31

Triptans and NSAIDS

Question 32

Cluster headache Tx:

Answer 32

1. 100% oxygen (best abortive)
   Then Triptans

Question 33

Which part of the basal ganglia is degenerated in Huntington’s disease?

Answer 33

Caudate

Question 34

Which disease causes increased albumin and low cells in CSF( albumincytological dissociation)?

Answer 34

Güllian barré