Quiz: End module exam 2023

1) Regarding basilar artery the followings are true except:

A A. Union of two vertebral arteries. B B. Begins at lower border of the pons. C . C. Ends by dividing into two posterior cerebral arteries: D E. Gives postero-inferior cerebellar artery.

1) Regarding basilar artery the followings are true except:

A A. Union of two vertebral arteries. B B. Begins at lower border of the pons. C . C. Ends by dividing into two posterior cerebral arteries: D E. Gives postero-inferior cerebellar artery.

2) A patient who opens his eyes in response to pain, makes no verbal response, but withdraws from pain has a Glasgow Coma Score:

A A. 3 B B. 5 C C. 7 D D. 11

3) Acute onset of headache, in patient word: "worst headache of my life" is typical of:

A A. Intracerebral hemorrhage. B B. Subarachnoid hemorrhage C C. Cerebellar hemorrhage D D. Temporal arteritis

4) The organism most frequently identified in brain abscesses is:

A A. Bacteroides B B. Candida C C. Citrobacter D D. Microaerophilic Streptococcus

5) The most sensitive method for detecting carpal tunnel syndrome is:

A A. Needle examination of the abductor pollicis brevis B B . Needle examination of the first and second lumbricals C C. Motor amplitude of the median nerve D D. Palmar sensory conduction time of the median nerve

Infarction on CT brain examination appears:

A A. Isodense B B. Hyperdense C D. A&B D E. None of the above

8) Mass effect on CT brain is seen mainly in cases of:

A A. Congenital anomalies B B. Small Infarctions C C. Large brain tumors D D. Small hemorrhage

9) The upper motor neuron impairment produces the following change of muscles tone:

A A. Flaccidity B B. Spasticity C C. "cog wheel" rigidity D D. Myoclonia

10) The following symptoms may occur in optic nerve damage Except:

A A. Blindness B B. Scotoma C C. Depressed pupil reaction D D. Exophthalmos

11) The cerebellar function test may produce any of the following except:

A A. positive Romberg's test B B. positive finger to nose test C C. Ataxia D E. positive Rinne & Weber test

12) Which of the following is common symptom associated with raised intracranial pressure?

A A. Abdominal pain B B. Morning headache C C. Deafness D D. AtaxiA

13) Picture of psychomotor epilepsy includes the followings except:

A A. Aura B B. Absence C C. Automatism D D. Tonic phase

14) Picture of Bacterial meningitis includes the following except:

A A. High grade fever B B. Neck stiffness C C. Headache D E. TB bacilli in CSF

15) Lower motor neuron lesion manifestations include the following except:

A A. Hypotonia B B. Wasting C C. Fasciculations D E. Clonus.

15) Lower motor neuron lesion manifestations include the following except:

A A. Hypotonia B B. Wasting C C. Fasciculations D E. Clonus.

16) The best treatment of absence epilepsy is:

A A. Sodium valproate B B. Carbamazepine C C. Phenytoin D D. Magnesium Sulfate

17) Regarding herpes simplex encephalitis diagnostic tools all of the following are true except:

A A. Brain MRI B B. EEG C C. CSF examination D D. CBC

18) The common presentation of Multiple sclerosis (MS) include the following except:

A A. Inter nuclear ophthalmoplegia B B. L’hermitte sign C C. Paraparesis with sensory leve D D. optic neuritis

19) A glove-&-stocking pattern of sensory disturbance usually develops with disease in: :

A A. peripheral nerves B B. the spinal cord C C. the brainstem D D. the thalamus

20) Lesions of the internal capsule result in A. Ipsilateral Monoplegia.

A A. Contralateral Monoplegia. B B. Ipsilateral Hamiplegia C C. Contralateral Hemiplegia. D D. Quadriplegia

21) A tumor that is sometimes found in people with myasthenia gravis is known as:

A A. Sertoli cell tumor B B. Teratoma C C. Thymoma D E. Pheochromocytoma

22) Brown-Sequard syndrome develops with the following damage of the spinal cord:

A a) Complete transversal B b) Anterior horns C c) Half transversal D d) Posterior horns

23) The laboratory findings of CSF in bacterial meningitis are:

A A. Normal glucose and elevated proteins. B B. Increased glucose and decreased proteins. . C . C. Decreased glucose and elevated proteiN D . D. Decreased glucose and normal proteins

24) A 4-year-old child presents with ataxia, lethargy and recurrent vomiting. What is the most appropriate investigation?

A A. CT/MRI brain. B B. Liver function tests. . . C . C. Septic screen. D D. X-ray abdomen.s

25) Which of the following is not a cause of mental retardation:

A A. Brain anomalies. B B. TORCHS infection. C C. Chromosomal abnormalities. D E. E Marasmus

26) About 12 days after a mild upper respiratory infection, a 12- year-old boy complains of weakness in his lower extremities. Over several days, the weakness progresses to include his trunk. On physical examination, he has the weakness described and no lower extremity deep tendon reflexes, muscle atrophy, or pain. Spinal fluid studies are notable for elevated protein only. *Which of the following is the most likely diagnosis in this patient?

A A. Bell palsy B B. Muscular dystrophy C C. Guillain-Barré syndrome D D. Charcot-Marie-Tooth disease

26) About 12 days after a mild upper respiratory infection, a 12- year-old boy complains of weakness in his lower extremities. Over several days, the weakness progresses to include his trunk. On physical examination, he has the weakness described and no lower extremity deep tendon reflexes, muscle atrophy, or pain. Spinal fluid studies are notable for elevated protein only. *Which of the following is the most likely diagnosis in this patient?

A A. Bell palsy B B. Muscular dystrophy C C. Guillain-Barré syndrome D D. Charcot-Marie-Tooth disease

27) The most common cause of congenital hydrocephalus is:

A A. Dandy walker syndrome B B. Aqueductal Stenosis C C. Arnold chiari malformation typell D D. Congenital TORSH infection

28) Macrocephaly means:

A a) Head Circumference below -2 SD for age sex and nutritional status. B b) Head Circumference above -2 SD for age sex and nutritional status. C c) Head Circumference below 2 SD for age sex and nutritional status. D d) Head Circumference above+ 2 SD for age sex and nutritional status

29) Male patient 3 years old presented to Emergency Room with Generalized tonic clonic convulsion, the best step for management

A A. Ask for MRI brain B B. Ask for neuropediatric consultation C C. maintain patent air way D 0

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