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MCQ in neurology

Prof Gharib Fawi Mohamed. MCQ in neurology. Hyperactive tendon reflexes are often an indication of damage to the (A) spinal cord (B) peripheral nerve (C) cerebellum (D) Tendon stretch receptors (E) Muscles.

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MCQ in neurology

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  1. Prof Gharib Fawi Mohamed MCQ in neurology

  2. Hyperactive tendon reflexes are often an indication of damage to the (A) spinal cord (B) peripheral nerve (C) cerebellum (D) Tendon stretch receptors (E) Muscles

  3. A glove-and-stocking pattern with sensation of pins and needles over the hands and the feet usually develops with disease In (A) peripheral nerves (B) the brachial plexus (C) the spinal cord (D) the brainstem (E) the thalamus

  4. In chorea the lesion mostly found in (A) Subthalamus (B) Putamen (C) Caudate nucleus (D) Cerebral cortex

  5. One of the following is manifestation of C5 radiculopathy (A) Weakness of hand grip muscles (B) Weakness of deltoid muscle (C) Lost triceps reflex (D) Radicular sensory loss over ulnar side of the forarm

  6. All of the following agents are used in management of myathenia gravis EXCPT • Anticholinesrerase • Anticonvulsants • Prednisolone • Plasma exchange

  7. All of the following cause paraplegia with sensory level EXCPT • Fracture dislocation of dorsal spine • Transverse myelitis • Pott’s disease • Hereditary spastic paraplegia

  8. In a case of acute-subacute flaccid paraplegia ,causes may be expet • Transverse myelitis • Anterior spinal artery occlusion • GuillianBarre syndrome • Hereditary spastic paraplegia

  9. All the following are features of extra-pyramidal paraplegia expet: • A. painful onset • B. asymmetric presentation • C. late sensory level • D. bilateral positive babinski sign • E. early retention of urine

  10. In brain stem stroke the following are present except: A.Ipsilateral hemiplegia and contralateral CR nerves affection B. Ipsilateral hemiplegia and ipsilateral CR nerves affection C. Contralateral hemiplegia and Ipsilateral CR nerves affection D. Contralateral hemiplegia and contralateral CR nerves affection

  11. In the emergency room with arrival of hemiplegic pt(CVA) the 1st investigation • - ECG • - Skull x ray • - CT brain • - Eccocardiography • - Carotid doppler

  12. In ischemic stroke pt we can use r-tpa within • 24 hrs of onset • 12 hrs of onset • 2-4 hrs of onset • The 1st 2 days

  13. 72-year-old woman has the abrupt onset of right face and hand weakness, disturbed speech production, and a right homonymous hemianopsia. This is most likely attributable to occlusion of which of the following arteries? • a. Left middle cerebral artery • b. Left anterior cerebral artery • c. Left vertebrobasilar artery • d. Right middle cerebral artery • e. Left posterior inferior cerebellar artery (PICA)

  14. In status epilpeticus the following are false except: • Frequent fits (2-4 / day) • Conscious level is clear • Continuous fits with no recovery of consciousness for at least (5-30 min) • Maximum dose of oral carbamazepine is needed

  15. All of the following are causes of convulsions EXCPT • Hypernatremia • Stroke • Head injury • Freidreich ataxia

  16. Patients complaining of trouble getting out of low seats and getting off toilets often have (A) poor fine finger movements (B) poor rapid alternating movements (C) distal muscle weakness (D) proximal muscle weakness

  17. Dysdiadochokinesia is an impairment of (A) successive finger movement (B) heel to toe walking (C) rapid alternating movement (D) tremor suppression (E) conjugate eye movements

  18. Features of Brwon –Sequard syndrome are all of the following EXCEPT (A) Ipsilateral pyramidal features (B) Contralateral deep sensory loss (B) Contralateral superficial sensory loss (D) Associated with hemisection of the cord

  19. All the following muscles are affected in Bell’s palsy EXCPT • Masseter muscle • Frontalis muscle • Orbicularis occuli muscle • Orbicularis oris

  20. Syncope is characterized by all of the following EXCPT • Tongue bitting at the side • Transient impairment of consciousness • Associated with pallor • Occur in upright position

  21. The following agents can be used in management of typical absence epilepsy EXCEPT: • Valproate • Carbamazepine • Lamotrigine • Ethusuximide

  22. One of the following used as alternative to antiepileptic drugs • Plasma pharesis • Physiotherapy • Steroids • Ketogenic diet

  23. Patient complaining of transverse double vision often have • facial nerve palsy • Abducens nerve palsy • Trochlear nerve palsy • Trigeminal nerve palsy

  24. Right Spastic hemiplegia usually indicates damage to the (A) left posterior column (B) right spinothalamic tract (C) left corticospinal tract (D) right corticospinal tract

  25. Risk factors for cerebral infarction include all the following EXCEPT • hypothyroidism • hypercholesterolemia • atrial fibrillation • hypertension • smoking

  26. Rapid intravenous infusion of phenytoin can do (A) Cardiac arrhythmias (B) Respiratory depression (e) Allergic reactions (D) postural hypotension (E) amaurosis fugax

  27. Generalized absence attacks characteristically exhibit all the following EXCEPT (A) three per second spike-and-wave complexes (B) loss of postural tone (C) staring spells (D) onset during childhood (E) good response to ethosuximide therapy

  28. All the following are characteristic of migraine headache EXCEPT (A) familial occurrence (B) unilateral pattern (C) throbbing pain (D) periodic pattern (E) worsening with age

  29. Sydenham chorea is a reversible chorea that develops as a consequence of (A) hereditary degeneration of the caudate (B) rheumatic fever (C) posttraumatic degeneration of the substantia nigra (D) subacute bacterial endocarditis (E) Binswanger disease

  30. The most common cause of dementia in the general population is (A) epilepsy (B) vascular disease (C) Alzheimer disease (D) Parkinson disease (E) head trauma

  31. Pseudodementia in the elderly is most commonly caused by (A) depression (B) drug intoxication (C) viral infection (D) cerebral ischemia (E) hypoxia

  32. Chorea gravidarum only occurs In (A) newborns (B) depressed men (C) pregnant women (D) Adolescent girls (E) Adolescent boys

  33. With Friedreich disease all of the following signs usually appear EXCEPT (A) hyporeflexia (B) Truncal ataxia (C) limb ataxia (D) impaired positional sense (E) sphincter disturbance

  34. the following are early manifestations of idiopathic Parkinsonism EXCEPT (A) dementia (B) monotonous speech (C) Tremors (D) Bradykinesia (E) Rigidity

  35. .In the person with Parkinson’ s disease, the tremor that is evident when a limb is at rest changes in what way when the patient falls asleep? • a. It becomes more rapid • b. Its amplitude increases • c. It generalizes to limbs that were uninvolved when the patient was awake • d. It disappears • e. It transforms into choreiform movements

  36. all of the following are useful in management of Parkinson’s disease EXCEPT (A)L-dopa/cabidopa combination (B) chlorpromazine (C) amantadine (D) Benztropine (E) bromocriptine

  37. The neuron most specifically diseased in amyotrophic lateral sclerosis are (A) sensory (B) autonomic (C) sympathetic (D) parasympathetic (E) motor

  38. The most obvious site of disease in myasthenia gravis is the (A) anterior horn cell (B) neuromuscular junction (C) sensory ganglion (D) parasympathetic ganglia (E) sympathetic chain

  39. The most common manifestation of muscle weakness with myasthenia gravis is (A) diaphragmatic weakness (B) wrist drop (C) ocular muscle weakness (D) Foot drop

  40. Duchenne dystrophy is a sex linked disorder involving the gene responsible for the synthesis of (A) glucose-6-phosphatasc (B) hexosaminidase B (e) myosin (D) dystrophin

  41. With Duchenne dystrophy, pseudohypertrophy (A) does not occur (B) occur very late (C) usually seen in calf muscles (D) is limited to the thigh muscles

  42. A 42-year-old woman is being evaluated for gait difficulties. On examination, she is found that her ability to walk along a straight line touching the heel of one foot to the toe of the other is impaired. This finding is most common with which of the following? • a. Cerebellar dysfunction • b. Parietal lobe damage • c. Temporal lobe damage • d. Ocular motor disturbances • e. Dysesthesias in the feet

  43. Atrophy of 1st dorsal interosseous muscles indicate damage to spinal roots • C5 and C6 • C6 and C7 • C7 and C8 • C8 and T1 • T1 and T2

  44. Compression of the C8 spinal root is easily confused with damage to which nerve (A) ulnar (B) Axillary (C) Median (D) Radial (E) Long thoracic

  45. The most common cause of foot drop is compression of which of the following nerves ? (A) Sciatic (B) Common peroneal (C) Radial (D) Sural (E) Obturator

  46. All of the following may cause a foot drop and steppage gait EXCEPT (A) Charcot-Marie Tooth disease (B) poliomyelitis (C) progressive spinal muscular atrophy (D) L5 spinal root compression (E) Hepatolenticular degeneration

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