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Neuro 1st LE Feedback

Neuro 1st LE Feedback

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neurology sample exam
neurology sample exam

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Published by: Gerald Kristoffer Escareces-Boy on Sep 14, 2013
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NEUROLOGY YR2012 1
st
LE BATCH 20151.
 
The course, Neurology 1, aims to accomplish all of the following EXCEPT:A. Bridge the gap between neuroanatomy and neurologic diseasesB. Teach neuro examC. Teach the basic principles of localization
D. Teach the major categories of neurologic disease
 2.
 
The basic steps in arriving at a neurologic diagnosis includes all of the following, EXCEPT:A. Data gatheringB. Anatomic localizationC. Etiologic diagnosis
D. None of the above
Answer: D (None of the above)
Remember that you are arriving at a neurologic diagnosis, this is not anatomic localization. So it should end at the etiologic diagnosis.
3.
 
Data gathering involves all of the following, EXCEPT:
A. Anatomic localization
 B. History takingC. General physical examD. Neurologic exam4.
 
The strategy adopted by the Department of Clinical Neurosciences in teaching the course, Neurology 1 is:A. Teach localization on a regional basisB. Teach localization from data gathered from the neuro examC. Correlate signs and symptoms with the pathology of diseaseD. None of the above5.
 
Anatomic localization involves:A. Listing all abnormal neurologic signsB.
….
 C. Finding the intersectionD.
All of the above
 6.
 
All of the following are benefits of localization, EXCEPT:
A. Establishes the etiologic diagnosis
B. Direct diagnostic work-upC. Estimates the size of the lesionD. Limits the differential diagnosis
 
7.
 
Finding the intersection establishes the:
A. Anatomic Diagnosis
B. …..
 C. BothD. Neither8.
 
Infratentorial means:A. The lesion is in the brainstem
 
B.C. The lesion is lower motor neuron in typeD. Lesion is below the neck
 
 9. In a patient presenting with acute hemiparesis, the finding of aphasia indicates that the lesion is in the:A. Internal Capsule
B. Cortex
C. Subcortical white matterD. Cerebral peduncle10. In paralysis of the face, arm and leg on the same side the intersection includes all of the following, EXCEPT:A. Cerebral CortexB. Subcortical white matterC. Internal capsuleD. Midbrain
E. Lower pons
11. If the lesion causing weakness of the arm and leg on the same side is in the pons (esp. lower pons), onewould expect:A. A peripheral type of facial paralysis opposite the above hemiparesis
 
B.
…..
 C. A peripheral type of facial paralysis on the same side of the weakness of the arm and legD. A central type of paralysis on the same side of the weakness of the arm and leg12. The cause for the facial paralysis in the above case is involvement of the:A. undecussated corticobulbar tractB. Facial nucleusC. Facial nerveD. Corticospinal tract13. Mononuclear blindness is due to a lesion in the:A. Optic ChiasmB. Optic tractC. Lateral geniculate bodyD. Optic NerveE. Optic radiations14. Homonymous hemianopia is caused by a lesion in any of the following EXCEPT:A. Lateral geniculate body
B. Meyer’s loop
 C. Entire breadth of optic radiationsD. Optic tractE. Occipital cortex15. If the lesion causing the hemianopia is associated with a hemiparesis, the lesion is most likely:A. In occipital cortexB. Optic TractC. Temporal lobeD. Anterior Parietal lobe16. A major difference of the corticospinal tract from the corticobulbar tract is:A. It carries only motor fibersB. Lesion in it would cause an upper motor neuron type of paralysisC. It decussates just before it supplies the target anterior horn cells
D. The decussation is at a fixed point whether it would be intended for the arms or the legs
 
17. A patient who is numb on one side and weak on the opposite side has a lesion in the:
A. Spinal Cord
B. BrainstemC. Cerebral hemispheresD. Peripheral nerveE. Cerebellum18. In addition to the above, further testing would reveal loss of joint position sense:A. Opposite the lesionB. On the same side at the loss of pain & temperatureC. On the same side as the hemiparesisD. None of the above19. A 33 year old female presented with paraparesis. The resident orders lumbosacral spine x-ray, finds nothingand sends the patient home. 2 weeks later, the paraparesis has worsened. The neurologist consulted found a
sharp sensory level at the level of the umbilicus. Thoracic spine film revealed Pott’s disease involving thoracic
spine. Failure to localize correctly failed to take advantage of which of the following benefits of anatomiclocalization?
A. Directs diagnostic work-up
B. Estimate the extent of the lesionC. Limits differential diagnosisD. Guards against going straight to an etiologic diagnosis20. All of the following are supratentorial structures, EXCEPT:A. Cerebral Hemisphere
 
B. Basal gangliaC. Thalamus
D.
 
Midbrain
 21. A fairly large lesion in the temporal lobe will most likely produce:A. Homonymous HemianopsiaB. Superior quadrantanopia
C. …..
 D. Bitemporal HemianopsiaE. No visual field defect22. The above is most likely due to the involvement of the:A. Optic tract
B. Meyer’s loop
 
C. …..
 D. Lateral geniculate body23. A 55 year old doctor noted that he developed facial asymmetry while on duty. His BP was 180/100. On exam,the right eyebrow does not elevate well, the right eyes does not close completely and the left angle of themouth is pulled to the left on showing teeth but the right angle of the mouth fails to move. There are no otherneurologic deficits. Most likely site of the lesion is:
A. Extra-axial (specifically right extra-axial)
B. Intra-axialC. Pons leftD. Pons, rightE. Intermedullary

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