Quiz: Formative 2024

Trophic changes appear early in

A a) Hemiplegia B b) Parkinsonism C c) Poliomyelitis D d) Cerebellar ataxia

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

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

All of the following can cause macrocephaly except

A a) Hydrocephalus B b) Achondroplasia C c) $ Down D d) Megalencephal

A 38-year-old female presents with muscle fatigue that is worse by the end of the day. She reports to have her head "drops.” She also states to sees "double” when watching TV, or reading for a prolonged period of time. On physical examination, ptosis is produced when asking the patient to look at the ceiling without blinking. Pupillary function is intact. On repetitive nerve stimulation, the amplitude of the compound muscle action potential progressively declines. Which of the following is most likely the diagnosis?

A a) Botulism B b) Lambert-Eaton myasthenic syndrome C c) MG D d) MS

The complication of diabetes insipidus after a stroke is due to injury of which of the following?

A a) The hypothalamus B b) the thalamus C c) The midbrain D d) The substantia nigra

What is the minimum score of Glasgo Coma Scale ?

A a) 3 B b) 7 C c) 10 D d) 15

All of these symptoms are common .2 manifestations of generalized increased intracranial pressure except

A a) Headache B b) Vomiting C c) Tachycardia D d) Papilloedem

In Duchenne Muscular Dystrophy, All of the following are present except

A a) Waddling gait B b) Autosomal recessive inheritance C c) Gower sign D d) Pseudohypertrophy of calf muscle

False statement about Memory is :

A a) Mainly Function of the limbic system of temporal lobe B b) Racent memory define as ability to recall racents events C False statement about Memory is : a) Mainly Functioc) Antrograde amnesia means affection of remote D d) Events Comments causes include cerebral a therosclerotic, dementia and infarction

All of the following are considered primary headache except

A a) Migraine B b) Tension type headache C c) Thunderclap headache D d) Cluster headache

Internuclear opthalmoplegia 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

A 15-year-old male presents with a 3- year history of progressive ataxia and dysarthria. His medical history includes diabetes mellitus. What is the ?most likely diagnosis

A a) Ataxia telangiectasia B b) Friedreich's ataxia C c) Sarcoidosis D d) MS

Viral encephalitis is diagnosed with the following except:

A a) CBC B b) EEGO C c) MRI brain scan O D d) CSF analysis

Brown-Sequard hemicord syndrome features all except?

A a) Ipsilateral weakness B b) Ipsitateral loss of joint position & vibratory sensation C c) Contralateral loss of pain & temperature sensation D d) Bilateral segmental signs

In patients with myasthenia gravis, ocular symptoms are the most common first symptoms. The ocular symptoms during a cholinergic crisis can mimic the symptoms of myasthenia gravis and can result when the dose of an anticholinergic drug is too high. Which of the following characteristics best differentiates the ocular symptoms in a cholinergic crisis from the ocular symptoms of

A a) Diplopia B b) Lacrimation C c) Muscle weakness O D d) ptosis O

Which of the following cranial nerves emerge from posterior part of the brainstem

A a) Abducent nerve O B b) Trochlear nerve C c) Oculomotor nerve O D d) None of the above

Lesion of the long thoracic nerve leads to the following

A a) Claw hand B b) Wrist drop O C c) Winging of the scapula D d) Foot drop

Deficiency of which of the following vitamins is associated with an increase ? in MS risk

A a) A B b) D C c) E D d) C

In a case of acute-subacute flaccid paraplegia, causes may be the followingexcept

A a) Transverse myelitis B b) Anterior spinal artery occlusion C c) Guillian Barre syndrome O D d) Hereditary spastic paraplegia

Which of the following is used for acute attacks of MS

A a) Methylprednisolone B b) Mitoxantrone C c) Glatiramer acetate O D d) All of the above

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