Quiz: Final 2023

1. Internuclear ophthalmoplegia is caused by damage or dysfunction of which part of the central nervous system (CNS)?

A A. Lateral geniculate nucleus B B. Mammillary bodies C C. Medial longitudinal fasciculus D D. Dorsal columns

2. All of the following drugs are used in treatment of epilepsy except:

A A. Sodium valproate B B. Acetylsalicylic acid C C. Carbamazepine D D. Phenobarbitone

3. The muscular wasting usually develops with disease in:

A A. Upper motor neuron B B. Lower motor neuron C C. Cerebellar D D. Caudate

4. The presence of ataxia suggests damage to any of the following except: A. Cerebellum B. Vagus nerve C. Thalamus D. Posterior column

A A. Cerebellum B B. Vagus nerve C C. Thalamus D D. Posterior column

5. Regarding diagnosis of Dementia all of the following must be present except:

A A. Progressive memory loss B B. Gradual onset C C. Functional impairment D D. History of previous stroke

6. Brown-Sequard syndrome develops with the following damage of the spinal cord:

A A. Complete transversal B B. Posterior horns C C. Anterior horns D E. Half transversal

7. The damage to IX, X & XII cranial nerves produre:

A . A True bulbar palsy B B. Diplopia C C. pseudobulbar palsy D D. Argyle-Robertson syndname

8. Regarding ascending reticular activating system, its concerned with the following function:

A A. Memory B B. Language C C. Arousal D D. Motor control

9. The affection of cerebellar may produce any of the following except:

A A. Nystagmus B B. Ataxia C C. Clonus D D. Dysmetria

10. In initial stage of Parkinson disease the most typical involuntary movement is the following:

A A.Chorea B B.Dystonia C C.Athetosis D E.Tremo

11. The presence of anosmia suggests damage to the following cranial nerve:

A A. II (Optic) B B.1 (OlfactorY) C C. III (Oculomotor) D D. V (Trigeminal)

12. Meningeal syndrome suggests any of the following except:

A A. Neck stiffness B B. Headache C C. Photophobia D D-Babinski response

13. The symptoms of the lower motor neuron lesion include the following except

A A. Muscular spasticity B B. Muscular flaccidity C C. Deep reflexes depressed D D. Muscular wasting

14. Midbrain affection may include the following symptoms EXCEPT:

A A. Oculomotor nerve palsy. B B. Aphasia C C. Ptosis D D. Hemiplegia

15. Picture of herpes simplex encephalitis include the following Except:

A A. Seizure B B. Fever C C. Disturbed consciousness D E. Radicular sensory loss

16. picture of Friedreich’s ataxia, include the following except:

A A. Intention tremors B B. Positive Babinski C C. Lost ankle reflex D E. Seizure

TB meningitis includes the following except:

A A. Neck stiffness B B. Photophobia C C. Fasciculation's in both lower limbs D D. TB toxemia

18. Picture of grand male epilepsy includes the following except:

A A. Prodromal B B. Tonic phase C C. Aura D E. Absence

19. Headache of subarachnoid hemorrhage has the following criteria except:

A A. Worst headache in life B B. Easily responding to analgesics C C. Associated with neck stiffness D D. Increased with sneezing and cough

20. Picture of classic migraine includes the following except:

A A. Prodromal B B. Mild intensity C C. Aura D D. Nausea

21. Treatment of Parkinson's disease include the following except:

A A. Levodopa B B. Dopa agonist C C. Anticholinergic D E. Steroid

22. Cortical hemiplegia manifest by the following except:

A A. Seizure B b. Nystagmus C C. Aphasia D D. Incomplete hemiplegia

23. Picture of Duchene myopathy include the following except

A a. Hypertonia B . Positive Gower's SIGN C C. Call hypertrophy D D. Proximal weakness

24. Precipitancy of micturition can be happen in

A A. Brain stem hemiplegia B B. Peripheral nerve injury C C. Bilateral spinal cord lesion D D. Myopathy

25. Primary trigeminal neuralgia can be treated by the following Except:

A A. Carbamazepine B B. Gabapentin C C. Levodopa D D. Phenol injection

26. Rheumatic chorea manifested by the following except:

A A. Dancing gait B B. Spasticity C C. Hypotonia D D. Scaphoid hands

27. Sensory level sign can be seen in:

A A. Myopathy B B. Peripheral neuropathy C C. Parkinson's disease d. D e. Spinal cord lesion

28. The following symptoms may occur in optic nerve damage EXCEPT:

A A. Blindness B B. Scotoma C C. Depressed pupil reaction D E.Diplopia

29. The upper motor neuron lesion signs are the following EXCEPT:

A A. Muscular spasticity B B. Babinski response positive C C. Pyramidal weakness D D. Muscle wasting

30. Splenium of corpus callosum is supplied by:

A A. Anterior cerebral artery B B. Middle cerebral artery C C. Posterior cerebraL D D. Anterior choroidal artery

31. Followings are branches of vertebral artery except:

A A. Medullary B B. Anterior spinal C C. Posterior spinal D D. Anterior inferior cerebellaL

32. What is the MOST common neurologic sequelae from bacterial meningitis?

A A. Hearing loss B B. Cognitive impairment C C. Recurrent seizures D D. Visual impairment

33. What is the MOST common cause of neonatal seizures?

A A. Vascular events B B. Hypoxic-ischemic encephalopathy C C. Intracranial infections D D. Brain malformations

34. Discontinuation of antiepileptic drugs AEDs is usually indicated when Children are free of seizures for at least

A A. 1 year B B.2 year C C. 3 year D D. 4 year

35-What is the BEST investigation for cases of occult spinal dysraphism?

A A. MRI B B. ultrasonography C C. alpha feto-protein D D. spine x-ray

36. Which of the following is not included as a cause of Microcephaly

A A. Down syndrome B B. Familial C C. Congenital Toxoplasma infection D d. Marasmus

37. Male child 12 years old in ER after motor car accident, on examination no eye opening, no verbal response, no motor response, Glasgow coma scale (GCS) of this patient:

A A.12 B B.11 C C.9 D e.3

38. What is the first-choice long-acting drug in neonatal seizures?

A A. Lorazepam B B. Fosphenytoin C C. Phenobarbital D D. Levetiracetam

39. What is the preferred imaging procedure to detect early cerebral infarcts?

A A. Trans cranial Doppler B B. Cranial CT. C C. Cranial ultrasonography D E. Brain MR

40. Which of the following is not a cause of developmental regression?

A A. Neurodegenerative disease B B. Inborn error of metabolism C C. Duchene muscular dystrophy D D. Rickets

41. Mental developmental delay is considered when IQ:

A A. Less than 85 B B. Less than 80 C C. Less than 70 D D. Less than 40

42. The most common presentation of hydrocephalus in neonates and infancy is:

A A. Headache B B. projectile vomiting C C. Blurring of vision D D. Progressive macrocephaly

43. Tongue fasciculation is observed in:

A A. Spastic quadriplegic cerebral palsy B B. Congenital myopathy C C. Hereditary neuropathy D D. Spinal muscular atrophy

44. Which of the following not a cause of acute flaccid paralysis:

A A. Botulinum toxin ingestion B B. Spastic cerebral palsy C C. Endocrinal myopathy D D. Poliomyelitis

45. Which not included as congenital CNS malformation?

A A. Dandy walker syndrome B B. Amold chairi malformation C C. Encephalocele D E. Neuroblastoma

46. As regard median nerve injury all are true except:

A A. Wasting in thinner muscle B B. Lost sensation of lateral 2/3 of the hand C C. Complete wriest drop D D. positive Phalen test

47. Gait in Parkinson's disease can be the following except

A A. Shuffling gait B B. Short steppage gait C C. Learning forward D e.Circumduction gait

48. Intra cranial hematomas include all except:

A A. intra cerebral B B. intra ventricular C C sub arachnoid D e. sub galeal

49. The most common extra axial tumor is:

A A. Glioma B B. Meningioma C C. Metastasis D D. Lymphoma

50. Mass effect seen mainly in cases of:

A A. Congenital anomalies B B. Big Infarctions C C. Brain tumor D D. B and C.

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