UNDF Mock Neuro CBE

Question 1

Answer 1

Question 2

Answer 2

Question 3

Answer 3

1. Hemiparesis
2. Hemisensory loss
3. Homonymous hemianiopa

(0.5 marks each to a CCP Total 1.5 marks)

Question 4

Answer 4

Question 5

Answer 5

• Best eye response - 4 - eyes open spontaneously
• Best verbal response - 2 - incomprehensible sounds
• Best motor response - 4 - withdrawal from pain
• E4V2M4 = Total 10

(0.5 marks for each point and 0.5 marks for total and writing it in the proper format)

Question 6

Answer 6

1. FBP - Polycythaemia/thrombocythaema can cause stroke, anaemia → less oxygen carrying capacity (1 mark)
2. INR/APPT/platelet count - causes of haemorrhage (1 mark)
3. Non-contrast CT head - tumour, thrombosis or haemorrhage (1 mark)
4. ECG - atrial fibrillation (1 mark)
5. Lipids/BSL-risk factors (1 mark)

(1 mark each to a max of 4 CCP marks)

Question 7

Analyse the ECG shown describing:

• Teh name of each measurement
• The measurement obtained in this ECG
• The axis as normal, or left or right axis deviation
• Any abnormalities present

(5 marks)

The horizontal axis is 25 mm/sec and vertical axis is 10 mm/mV.

Answer 7

Question 8

Describe the lesion in his CT head (shown) stating its nature, anatomical location and interpretation (2 marks).

Answer 8

• Left (0.5 marks)
• Intracerebral haemorrhage (1 mark)
• Parietal or temporal lobe/ basal ganglia (0.5 marks)
• Irregularly shaped, reasonably well demarcated radio-opaque/hyperdense area (0.5 marks)

(Total 2 marks CCP)