Home
Home
Home
Blog
Projects
Services
Contact
Bangla Lecture
Course
×
Neurology exam for FCPS part 1 exam with Dr Sohrab
Home
»
Neurology exam for FCPS part 1 exam with Dr Sohrab
Neurology exam for FCPS part 1 exam with Dr Sohrab
1
Personal infomations
2
True and false
3
multiple choice
Name
*
Phone number
*
Email
Cavernous sinus contains a) 1st nerve b) 3rd nerve c) 4th nerve d) 9th nerve e) Sympathetic plexus
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Neuropathic pain features a) Triggered by emotion b) Response to opioid c) Spontaneous d) Pulsatile e) Diabetes can be a cause
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Regarding blood brain barrier -- a) It is tightly attached in area postrema b) It is composed of endothelial layer, basement membrane and astrocytes c) It is devoid of neurohypophysis d) Acts as a protective barrier in adult e) Passage of drug and nutrient in the area
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Features of autonomic neuropathy -- a) Fixed heart rate b) Accelerated systolic hypertension c) Retrograde ejaculation d) Autonomic gastropathy e) Peripheral neuropathy
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Patient came to you with Quadruplega, with shortness of breath. If it is suspected as GBS which are the following feature -- a) Ankle jerk absent b) Descending pattern of paralysis morc common than ascending c) In SCF finding: cell count raises d) Respiratory failure occurs e) Knce jerk is absent
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Features of UMN lesion a) Increased muscle tone b) Muscle fasciculation c) Muscle wasting d) Normal electrical activities e) Presence of abdominal activities
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
A 35 year patient came to you with quasdriplegia, shortens of breath. If it is suspected as GBS which are the following features -- a) Ankle jerk are absent b) Descending pattern of paralysis c) Cause of death is respiratory failure d) Upper limb weakness is more than lower limb e) CSF findings cell count rises
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Causes of ptosis -- a) 3rd nerve palsy b) Bell's palsy c) Myasthenia gravis d) Holmes Adie syndrome e) Horner's syndrome
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pseudo-bulbar palsy--- a) Tongue- Fasciculation b) Dysarthria c) Emotionally Labile d) Jaw jerk brisk c) Persistent dysphagia
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Red flag symptoms of headache a) New onset aged > 50 years b) Worse on lying down c) Focal neurological symptoms d) Constitutional symptoms e) Gradual onse
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Which omes of following are true in case of Meningitis? a) Bacterial meningitis – protein Increased b) Viral meningitis - pressure Normal c) Multiple sclerosis - glucose normal d) TB minigitis – oligoclonal bands negative e) SAH – white cell count decreased
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
In Idiopathic intracranial hypertension--- a) Usually occurs in old obese woman b) Vitamin A and retinoid derivatives may associated c) False localizing cranial nerve palsies are present, usually 3d nerve d) Increased pressure usually > 20cm H2O e) Acetazolamide may be effective
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Root value-- a) Ankle jerk – S1 b) Knee jerk – L2 c) Separator jerk – C7 d) Biceps jerk – C5 e) Triceps jerk – C8
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Causes of cerebral venous thrombosis а) HTN b) ОСР c) Nulliparous d) Facial skin infection e) Thrombocytosis
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Medications used in the management of Parkinson's disease are a) Levodopa b) Bromocriptine c) Benztropine d) Benzhexol e) Apomorphine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Nerve biopsy is done to take tissue from a) Sural nerve b) Median nerve c) Common peroneal nerve d) Axillary nerve e) Radial nerve at the wrist
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Medications used in the management of Alzheimir's disease are a) Aspirin b) Gallamine c) Donepezil d) Rivastigmine e) Tacrine
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Basal ganglia contains a) Lentiform nucleus b) Red nucleus c) Internal capsule d) Claustrum e) Amygdale
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Light reflex contains a) Optic nerve b) Oculomotor nerve c) Medial geniculate body d) Occipital cortex e) Medial lemniscus
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Involuntary movements are a) Chorea b) Athetosis c) Nystagmus d) Baalism e) Seizure
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Lesion in frontal lobe is associated with a) Atereognosis b) Apraxia c) Disinhibition d) Intontinence e) Spatial disorientation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Gullain barre syndrome causing organisms are а) ЕBV b) HIV c) Campylobacter jejune d) Rota virus e) HBV
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Pseudobulbar palsy is associated with a) Dysarthria b) Dysphagia c) Facial swelling d) Headache e) Fasciculation
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Cervical spondylosis -- a) Is a mild inflammatory disease b) Erosion of vertebrae is present c) Degeneration of cervical disc is evident d) Marginal osteophytes are formed e) Physical therapy has no role in its treatment
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
Nerve conduction study is done for the diagnosis of a) Multiple sclerosis b) GBS c) Myasthenia gravis d) Entrapment neuropathy e) Brachial plexus damage
Option a is true
Option a is false
Option b is true
Option b is false
Option c is true
Option c is false
Option d is true
Option d is false
Option e is true
Option e is false
A 35-year-old migraineur presents to the Emergency Department with a 48-hour history of headache and left-sided visual disturbance. On examination you find a left inferior homonymous quadrantanopia. There is abnormal optokinetic response when the target is moved towards the right. What is the most likely site of his lesion?
Left optic tract
Right parietal lobe
Left parietal lobe
Optic chiasm
Right occipital lobe
A 32-year-old woman was noted by her GP to have anisocoria (unequal pupils), with a dilated right pupil of 3mm compared to the left. The anisocoria was more pronounced in the light. There was poor constriction to light of the right eye, however accommodation was normal. Ocular movements were normal with normal lid position bilaterally. She was otherwise in good health. Which one of the following is the most likely diagnosis?
Adie’s tonic pupil
Argyll Robertson pupil
Horner’s syndrome
Third nerve palsy
Physiological anisocoria
A 78-year-old female is referred by her GP with intermittent confusion over the last 2 weeks. She has a history of hypertension for which she takes bendrofluazide. Four weeks ago she suffered a fall that was complicated by a Colles’ fracture and minor head injury. She was treated in the Emergency Department at the time, and a skull X-ray was normal. On this occasion, examination is normal, including mental state assessment. The night following admission she is noted to be slightly confused. Routine bloods, resting ECG and chest radiograph are all normal. Which one of the following diagnoses must be excluded?
Alzheimer’s disease
Intercurrent urinary tract infection
Subdural haematoma
Subarachnoid haemorrhage
Transient ischaemic attack
A 78-year-old woman presents with sudden-onset double vision. On examination she has a normal range in up- and downgaze in both eyes. On left gaze the left eye fails to abduct, while the right eye appears normal. On right gaze the right eye appears to abduct normally but the left fails to pass the midline. Her visual acuity and pupil reactions are normal. You also notice that she has a left facial weakness. What is the likely site of the lesion?
Cerebello-pontine angle
Brainstem
Cavernous sinus
Frontal cortex
Orbital apex
A 25-year-old woman with epilepsy not responding to pharmacological treatment has undergone pre-surgical assessment for a unilateral temporal lobectomy. She wants to continue her hobby as an artist if possible. Which of the following visual field defects may be seen post-operatively?
Bi-nasal hemianopia
Bi-temporal hemianopia
Central scotoma
Inferior homonymous quadrantonopia
Superior homonymous quadrantonopia
If a patient in generalised status epilepticus does not respond to intravenous lorazepam and adequate doses of intravenous phenytoin, what is the next step in their management?
Intravenous benzodiazepine infusion on the ward
Intravenous levetiracetam on the ward
Intravenous phenobarbital infusion on the ward
Intravenous valproate on the ward
Transfer to an Intensive Therapy Unit
A 68-year-old woman complains of a 6-month history of dysphagia and nasal regurgitation, which is worse during the evening. She also reports intermittent drooping of her left eyelid and diplopia when she gets tired. She has lost 3 kg over the last 3 months. Neurological examination reveals a partial left ptosis, diplopia but no ophthalmoplegia. She has a weak cough. What is the most appropriate investigation?
Acetylcholine receptor antibodies
Barium swallow
CT brain
Gastroscopy
Tumour markers
A 70-year-old woman presents after collapsing at home. She has diplopia on right gaze, right-sided facial weakness and left flaccid hemiparesis. What is the most likely site for her lesion?
Left mid-brain
Right pons
Left pons
Right cerebral hemisphere
Right mid-brain
A patient presents with eye pain and diplopia of 2 days’ duration. On examination there is no proptosis, but a left-sided VIth nerve palsy, a partial left IIIrd nerve palsy, and left Vth nerve sensory changes over the maxilla are present. What is the most likely site of the lesion?
Anterior cerebral artery
Cavernous sinus
Cerebellopontine angle
Middle cerebral artery
Vertebral artery
A 30-year-old man presents with a 3-month history of deteriorating physical performance at work, associated with dysarthria and clumsiness. On examination he looks anaemic and has hepatomegaly and Kayser–Fleischer rings in the cornea. He has a palpable liver edge. He denies any excess alcohol and has no history of foreign travel, IV drug use or unprotected sexual intercourse, and his weekly alcohol intake is 0-2 units. He reports that his father died from a ‘psychiatric illness’ in his early forties. What is the most likely diagnosis?
Hepatitis C infection
Wilson’s disease
Alcohol abuse
Herpes encephalitis
Motor neurone disease
A 78-year-old woman presents with a 2-day history of severe left earache with a burning sensation in the ear, vertigo and loss of taste. There is left-sided weakness of both the upper and the lower facial muscles. Facial sensation is normal. You note a vesicular rash over the left ear. What is the most likely diagnosis?
Bell’s palsy
Vestibular Schwannoma
Lateral medullary syndrome
Otitis media
Ramsay Hunt syndrome
A 78-year-old man presents with transient weakness in his left arm and collapse. He recovers within 24 hours and has a carotid ultrasound scan. This reveals a 45% stenosis affecting the right internal carotid artery and a 60% stenosis affecting the left internal carotid artery. Other risk factors include smoking 30 cigarettes per day (which he refuses to stop) and hypertension. Blood pressure in the clinic is 145/80 mmHg. He is in sinus rhythm and his cholesterol level is 5.1 mmol/l. Which one of the following is the most appropriate management to reduce risk of a further stroke affecting the same territory?
Aspirin therapy
Right carotid endarterectomy
Clopidogrel
Left carotid endarterectomy
Statin therapy
A 50-year-old man presents with a gradually worsening difficulty in walking up stairs, light-headedness on standing and a dry mouth. He tends to feel better at the end of the day. He has a mild ptosis, normal tone in his limbs but proximal weakness in his lower limbs and global hyporeflexia. There is some evidence of increased muscle strength with reinforcement. What is the most likely diagnosis?
Lambert–Eaton syndrome
Myasthenia gravis
Oculopharyngeal muscular dystrophy
Poliomyelitis
Polymyositis
Autonomic neuropathy is least likely to occur in which of the following conditions?
Amyloidosis
Chronic alcoholism
Guillain–Barré syndrome
Multiple system atrophy
Myasthenia gravis
A 45-year-old woman with a history of multiple sclerosis presents to the clinic with left foot drop. There is no obvious wasting or fasciculations on examination, and testing power in the lower left limb demonstrates ankle dorsiflexion 2/5 (MRC grading), ankle eversion 2/5, ankle inversion 5/5 and ankle plantar flexion 5/5. Reflexes are normal throughout the legs. Where would you expect the patient to experience loss of sensation?
Dorsum of the foot
Inner thigh
Medial lower leg
Posterior calf
Sole of the foot
A 33-year-old man presents with a 10-year history of arm tremor. However, it has become worse recently, such that he now finds it embarrassing at work and is worried about losing his job. His father had a similar problem, although this was mild and always put down to benign tremulous Parkinson’s disease. On examination he has a fine postural tremor, but normal tone. Fine finger movements are normal, as is his gait. What is the most likely diagnosis?
Essential tremor
Familial cerebellar degeneration
Familial Parkinson’s disease
Severe anxiety
Wilson’s disease
A 45-year-old man presents with sudden onset double vision and right arm weakness. Examination reveals a left-sided ptosis with the left eye deviated downwards and outwards during attempts to look straight ahead. Which of the following would best describe this presentation?
Binswanger’s disease
Millard-Gubler syndrome
Moya moya disease
Weber syndrome
Wallenberg syndrome
A 49-year-old man hit his forehead getting into his car. A few hours later he developed diplopia, vomiting and severe headache. On examination he is slightly drowsy, and has dilated right pupil, partial right ptosis, little movement in any direction of gaze in his right eye, with reduced sensation over the right forehead. He had a postural systolic BP drop of 20 mmHg. What is the most likely diagnosis?
Bacterial meningitis
Middle cerebral artery infarction
Pituitary apoplexy
Subarachnoid haemorrhage
Vertebral artery dissection
A 69-year-old man is sedated on the intensive care unit after suffering a subarachnoid haemorrhage. His GCS is 3 and the team are unable to wean him off sedation. The vestibulo-ocular is not intact. Which of the following represents the most likely site of the lesion?
Optic nerves
Optic chiasm
Brainstem
Occipital lobes
Cerebellum
A 25-year-old woman weighing 90 kg and 162 cm tall presents with visual loss and headaches. On examination she has a sixth nerve palsy and swelling of the optic disc. MRI of the brain is normal. What is the most likely diagnosis?
Hypoparathyroidism
Idiopathic intracranial hypertension
Normal pressure hydrocephalus
Paraneoplastic syndrome
Venous sinus thrombosis
A 56-year-old man presents with a sudden onset of occipital headache. Computed tomography (CT) imaging confirms a subarachnoid haemorrhage (SAH). Which of the following agents is most frequently used to reduce the chances of cerebral artery vasospasm, risk for cerebral infarct, and worsening neurologic outcomes?
Nimodipine
Indapamide
Labetalol
Nicardipine
Diltiazem
A 67-year-old male who drinks 10 units of alcohol per day presents to the Emergency Department with poor memory and a wide-based, stamping gait. He has had some urinary incontinence recently and has been given a course of trimethoprim. On examination in the Emergency Department he is confused with a MMSE of 16/30 and appears to have a gaze-evoked nystagmus, as well as impaired vertical gaze. What is the most likely diagnosis?
HIV encephalitis
Normal pressure hydrocephalus
Meningovascular syphilis
Syringomyelia
Wernicke’s encephalopathy
A 32-year-old intravenous drug abuser is admitted with a one-day history of double vision, droopy eyelids and a dry throat. Over the next 24 hours, her symptoms worsen and she begins to notice limb weakness and breathing difficulties. Examination reveals poorly reactive pupils, ptosis, restricted eye movements, decreased deep-tendon reflexes and symmetrical upper and lower limb weakness, but sensation is normal. Cerebrospinal fluid examination is normal. Electromyography shows increment on repetitive nerve stimulation. What is the most likely diagnosis?
Botulism
Lambert–Eaton syndrome
Miller–Fisher variant of the Guillain–Barré syndrome
Myasthenia gravis
Poliomyelitis
A 24-year-old woman is admitted with dysarthria, tremor and parkinsonian symptoms. On examination you notice yellow–brown rings on examination of the eyes, seen at the limbus of the corneae. Given the most likely diagnosis, which part of the brain is predominantly affected by her underlying condition?
Basal ganglia
Frontal lobes
Brainstem
Cerebellum
Cerebral cortex
Which one of the following is most suggestive of a lesion of the sciatic nerve?
Absent knee tendon jerk
Decreased sensation on anterior thigh and medial leg
Foot drop
Inability to flex the hip
Intervertebral disc prolapse at L2/L3 levels
