Saturday , April 4 2020

Neurology Practice Quiz

Objective Questions | Neurology Practice Quiz

1 >>A 78-year-old woman is referred to a neurologist for evaluation of a tremor. She says that it is not very bothersome to her, but others have noticed it. It primarily involves the right hand and apparently has been slowly worsening over the past 12-to-18 months. Examination reveals a resting tremor of the right upper extremity, accompanied by mild rigidity and slowness of rapid alternating movements. Which of the following medications is the best choice to treat the symptoms of this disease? ?

  • (A) Alteplase
  • (B) Carbidopa-levodopa
  • (C) Glatiramer
  • (D) Interferon ?-1A

2 >>What is the second most common type of degenerative dementia? ?

  • (A) Alzheimer’s dementia
  • (B) Dementia with Lewy bodies
  • (C) Frontotemporal dementia
  • (D) Vascular dementia

3 >>A 52-year-old woman presents with behavioral changes over the course of 2 years. Her concentration is decreasing, making it difficult to accomplish her work and she does not care about her poor performance. She is eating more and has gained 25 pounds in 4 months. She is being charged with sexual harassment at work related to telling inappropriate dirty jokes. She has stopped bathing and refuses to take care of her personal hygiene. On examination, she has grasp and palmomental reflexes but no other abnormalities. Her Folstein MMSE is 29/30 but her clock drawing test was poor.What is the diagnosis? ?

  • (A) Vascular dementia
  • (B) Frontotemporal dementia
  • (C) Normal pressure hydrocephalus
  • (D) Presenile dementia

4 >>Is the following statement true or ? Atypical antipsychotic drugs are associated with an increased risk for death in elderly patients with dementia. ?

  • (A) TRUE
  • (B)
  • (C) Head CT
  • (D) Cerebral angiogram

Neurology Practice Quiz

5 >>All of the following statements about autism spectrum disorders (ASD) are true EXCEPT: ?

  • (A) Affected children usually lack social reciprocity
  • (B) Profound language delay is universal.
  • (C) Pervasive developmental disorder not otherwise specified (PDD-NOS) is a commonly diagnosed ASD
  • (D) ASD and PDD are synonymous

6 >>A 23-year-old woman with classic migraine symptoms is referred to your office for management of her headaches. Her migraines are infrequent enough that prophylactic therapy for migraine is not needed. The patient was prescribed a short-acting triptan by her primary care doctor, with partial but incomplete relief.What further treatment options are available? ?

  • (A) A nonsteroidal anti-inflammatory drug
  • (B) A higher dose of triptan
  • (C) A different triptan
  • (D) All of the above

7 >>A 35-year-old man is referred for headaches. Over the past few weeks, he has developed bilateral, intense, throbbing headaches that occur whenever he goes to the gym and lifts weights. He states that when he stops exercising, the headache recedes within about 15 minutes. He has stopped lifting weights. He states that he is able to do cardiovascular exercise without any headache.What is the diagnosis? ?

  • (A) Cluster headache
  • (B) Atypical migraine headache
  • (C) Exertional headache.
  • (D) Tension headache

8 >>Is the following sentence true or ? Medication overuse headache is now a recognized subtype of chronic daily headache. ?

  • (A) TRUE
  • (B)
  • (C) Head CT
  • (D) Cerebral angiogram

9 >>A 32-year-old woman with complex partial seizures has been seizure-free for 1 year on antiepileptic drugs (AEDs), but she wants to discontinue the drugs. She has normal intelligence and a normal neurologic examination. Her EEG is normal. Which aspect of her profile does not guarantee successful withdrawal from medication? ?

  • (A) Seizure-free for 1 year on AEDs.
  • (B) Single type of partial or generalized seizure
  • (C) Normal neurologic examination
  • (D) Normal intelligence

Neurology Practice Quiz

10 >>Status epilepticus is a medical emergency associated with significant mortality and morbidity that requires immediate and effective treatment. Benzodiazepines are often the first agents used.Are all benzodiazepines equally effective for treating status epilepticus? ?

  • (A) Yes
  • (B) NO
  • (C) Imipramine
  • (D) Phenytoin

11 >>A boy with intractable seizures is referred to you for seizure management. A work-up reveals mesial temporal lobe epilepsy with unilateral hippocampal sclerosis.What is the most appropriate treatment? ?

  • (A) Continuous intravenous benzodiazepines
  • (B) Temporal lobe resection
  • (C) Ketogenic diet
  • (D) High-dose phenytoin

12 >>All of the following are hallmark symptoms of narcolepsy EXCEPT ?

  • (A) Persistent daytime sleepiness
  • (B) Loud snoring.
  • (C) Cataplexy
  • (D) Hypnagogic hallucinations

13 >>A 43-year-old man presents to the emergency room with pain in his right shoulder as well as weakness in his right hand and forearm. He states that he awoke with the pain and that it is sharp and intense. His examination reveals weakness that is not localizable to a dermatome or nerve root and involves many different peripheral nerve territories. He also has numbness in the hand.What is the diagnosis? ?

  • (A) Delayed-onset multiple sclerosis
  • (B) Acute disseminated encephalomyelitis
  • (C) Stroke
  • (D) Parsonage-Turner syndrome (brachial neuritis)

14 >>A 69-year-old woman presents to your clinic with vertigo. She states that she started having vertigo 2 nights ago while in bed. She reports that every time she would roll over, she would get vertigo, which would be worse when she rolled to the left than to the right. The vertigo would last for about 40 seconds and then resolve spontaneously.What is the best treatment for this patient? ?

  • (A) Epley maneuver.
  • (B) Complete, supine bedrest until the vertigo resolves
  • (C) Nonsteroidal anti-inflammatory drugs
  • (D) Avoid bright lights until vertigo resolves

15 >>Which steroid should be given to patients with bacterial meningitis as adjunctive therapy? ?

  • (A) Intravenous dexamethasone.
  • (B) Oral prednisone
  • (C) Intravenous dexamethasone
  • (D) None of the above

16 >>A 19-year-old man is hospitalized in a psychiatric ward after developing visual and auditory hallucinations. He has a seizure soon after being admitted and is transferred to the emergency room. There, he is postictal and noted to have a fever and meningeal signs.What is the most likely diagnosis? ?

  • (A) Herpes encephalitis.
  • (B) Cerebral toxoplasmosis
  • (C) Temporal lobe epilepsy
  • (D) None of the above

17 >>Friedreich ataxia is caused by a mutation of a gene locus on which chromosome? ?

  • (A) Chromosome 4
  • (B) Chromosome 9
  • (C) Chromosome 14
  • (D) Chromosome 19

18 >>Unintentional falls account for 16,000 deaths in the United States per year. All of the following are risk factors for falls EXCEPT: ?

  • (A) Advanced age
  • (B) Age-associated frailty
  • (C) Arthritis
  • (D) Hypertension

Neurology Practice Quiz

19 >>What is the estimated prevalence of neuropathic pain in the general population? ?

  • (A) 0.005
  • (B) 0.015
  • (C) 0.05
  • (D) 0.15

20 >>Corticosteroids are often used in patients with brain tumors to reduce tissue swelling and to control signs and symptoms. These drugs can improve neurologic symptoms and reduce cerebral edema within the first 8 to 48 hours. Dexamethasone is the corticosteroid of choice for brain tumor patients.Is the dosing of oral and parenteral forms of dexamethasone equivalent? ?

  • (A) Yes
  • (B) NO
  • (C) Imipramine
  • (D) Phenytoin

About im

Check Also

Clinical Nursing Skills Practice Quiz

Objective Questions | Clinical Nursing Skills Practice Quiz 1 >>Appropriate application of a sling to …

Leave a Reply

Your email address will not be published. Required fields are marked *