Neurology Final Examination C.

Between 3 months to 6 years

1. Least associated with increased ICP due to CNS infections: D. Must be a simple seizure
A. Papilledema 18. Most common cause of status epilepticus
B. Headache A.
C. Diplopia B.
D. Altered Sensorium C. Withdrawal of anti-epileptic drugs
2. Most common causative organism in bacterial meningitis in 19. Type of Seizure disorder characterized by
children generalized 3 second peak and wave pattern.
A. Haemophilus influenza A. Grand Mal Seizures
B. B. Petit Mal
C. E. coli C.
D. Streptococcus pneumoniae D.
3. Which of these antibiotics have the poorest penetration on the 20. Epileptic syndrome characterized by infantile
blood brain barrier spasms, mental retardation, hypsarrythmia  West
A. Ceftriaxone Syndrome
B. Another cephalosporins 21. Most important element in approaching a right
C. Another cephalosporin neurologic diagnosis is:
D. Amikacin A. History
4. Anti-TB drug that is bacteriostatic includes: B. Neurologic exam
A. Rifampicin C. Ancillary confirmatory tests
B. Isoniazid D. All of the above OTA
C. Pyrazinamide 22. The ultimate goal of neurological history and examination is  all
D. All of the above of the above
5. Which of these neurotransmitters have been A.
implicated in the etiopathophysiology of migraine? 23. A patient in the ER manifest with increased ICP.
A. Serotonin What is the least likely sign/symptom of increased
B. Glutamate ICP?
C. GABA A. Headache
D. All of the above B. Papilledema
6. Cause headaches through which of these mechanisms? C. Ptosis
A. D. Drowsy State
B. 24. A patient with upper motor neuron problem should be
C. suspected when there is:
D. Distension A. Fasciculation
7. The following are pain sensitive EXCEPT: B. Hyperreflexia
A. Dural arteries C. Muscle Atrophy
B. Dural sinuses D. None of the above
C. Brain parenchyma 25. Least likely sign of Meningitis?
D. Bony Periosteum A. (+) Brudzinski
8. In the neuromuscular synapse, the following are B. (+) Kernig’s
implicated in migraine episodes EXCEPT: C. (+) Straight Leg Raising
A. Calcitonin gene-related peptide D. Headache
B. Prostacyclin 26. A patient with dizziness described as vertiginous precipitated by
C. Thromboxane change in head position would be best evaluated with which of
D. Histamine the examination below:  Dix Hallpike Maneuver
9. Demyelinating disease prominently involves: 27. A patient suspected with dementia should be
A. Cranial Nerves & Peripheral nerves evaluated with?
B. Brain & Spinal Cord A. CBC
C. A & B B. MMSE
D. Neither A & B C. Brain imaging
10. Two important components of Devic’s Disease  B. optic neuritis D. All of the above
and myelitis 28. A patient with suspected demyelinating myopathy may not have
11. Seldom seen in multiple sclerosis  B. Weakness and flaccidity, to undergo:  Somatosensory evoked potential spiking
atrophy and fasciculation 29. A patient presenting with Horner’s Syndrome may be secondary
12. Most helpful ancillary procedure in the diagnosis ofmultiple to  All of the above
sclerosis  B. Cranial and Spinal MRI 30. A patient with bitemporal hemianopia should undergo which
13. Pathological characteristics of high grade glial tumors  A. High examination  Cranial MRI
Hi-67 31. Alzheimer's disease presents with which of the
14. Glioblastoma: following early in its course:
A. WHO grade III tumor A. Personality change
B. Non-glial tumor B. Memory Problems
C. Pseudopallisading necrosis C. Calculation problem
D. (+) synaptophysin stain D. All of the above
15. Glial Tumor 32. Which of the following is a reversible dementia?  C. Pellagra
A. Histoblastoma 33. Risk factors for non-Alzheimer’s Disease dementing conditions
B. Meningioma A. Hypertension
C. Ependymoma B. Dyslipidemia
D. All of the above C. Diabetes Mellitus
16. Atypical meningioma  D. Neither D. All of the above
17. True of febrile convulsion 34. Early extrapyramidal symptoms and visual
A. Non-inherited hallucinations favor the diagnosis of:
B. Autosomal dominantly transmitted A. Lewy Body Dementia
 B. Frontotemporal Dementia 57. Which of the following segments of the motor system is most
C. Alzheimer’s Disease likely affected in this case?
D. Corticobasilar Degeneration A. NMJ
35. A choline esterase inhibitor in Alzheimer’s Disease B. Spinal Nerves
treatment? C. Spinal Cord
A. Citicholine D. Cerebral cortex
B. Rivastigmine 58. Which of the following clinical condition most likely considered in
C. Memantine this case:
D. None of the above A. Guillain Barre Syndrome
36. True of upper motor neuron lesion  weakness with positive B. Myasthenia Gramis
Babinski C. LEMS
37. True of LMNL D. Al of the above
A. Absent superficial reflex 59. Most probable etiologic agent of stomach flu
B. Absent / diminished tendon reflex correlated on the case above?
C. Absent Babinski A.Clostridium tetani
D. All of the above B.Corynebacterium diphtheria
38. True of Cranial Nerve Function  occulomotor, trochelear and C.Cryptococcus neoformans
abducens nerve palsy and trochlear muscles D.Campylobacter jejuni
39. True of cerebellar lesion  C. Dysmetria and difficulty in 60. Current guidelines in treatment for this case (GBS)
alternating movements includes the following except one:
40. True of cerebral lesion  all of the above A.Plasmapheresis
41. True of presyncope  feeling of about to lose consciousness B.IVIG
42. Peripheral vertigo is associated with  Tinnitus and hearing loss C.STEROIDS
43. True of cerebellar lesion D. None of the above
A. Vermis is associated with truncal ataxia 61. The following are characteristics of multiple sclerosis except 
B. Sensory deficit more common in tropical climates
C. Weakness with (+) Babinski 62. Symptom commonly present at onset of definite MS
D. All of the above are the following except:
44. Sensory ataxia  Positive Romberg’s Test A. Weakness
45. Dizziness described as an illusion of movement may be seen in B. Seizure
 All of the above are true C. Gait difficulty
46. Central Vestibulopathy may be characterized by: D. Paresthesia
A. Cranial nerve deficits 63. The most widely use and most helpful CSF test to confirm the
B. Intention tremors, dysmetria, dysdiadochokinesia diagnosis of multiple sclerosis at present is the detectetion of 
C. Both A and B are correct presence of CSF oligoclonal bands
D. Neither 64. This type of MS variant is characterized by massive and more or
47. Episodic vertigo may be seen in  all of the above are correct less symmetrical destruction of white matter in the cerebral
48. Dizziness at the cerebellopontine angle tumor at its hemispheres accompanied by progressive visual failure, mental
clinical presentation is most commonly: retardation and spastic paralysis  Schilder’s Disease
A. Vertiginous 65. Anterior hypothalamus is
B. Presyncope A.Histaminergic
C. Dysequilibrium B.Glutaminergic
D. All of the above C.GABAergic
49. Most common and consistently cognitive complaint D.Dopaminergic
of patient with Alzheimer's disease 66. Adenosine Receptor is blocked by:
A. Dysphagia A. Milk
B. Memory Impairment B. Coffee
C. Apraxia C. Alcohol
D. Reasoning/Judgment Impairment D. All of the Above
50. Reversible cause of Dementia EXCEPT: 67. Who of the following have the most amount of REM sleep?
A.Alzheimer’s Disease A. Neonates
B.NPH 68. The most important stimulus to the suprahiasmatic nuclei for the
C.CSH entrainment of the circadian rhythm is  light
D. Hypothyroidism 69. A variant of GBS characterized by areflexia, ophthalmoplegia and
51. Included in the two major pathological changes in Alzheimer’s ataxia  Miller Fischer
Disease:  both A and B are correct 70. Myelin is formed by _____ of the Schwann cells:  Plasmalemma
52. Lewy bodies are most commonly seen in dementia’s associated 71. The main treatment of diabetic neuropathy is  sugar control
with:  C. Parkinson’s Disease
53. Which of the following types of clinical infection does this patient Matching Type:
most probably has?  C. acute viral encephalitis A. Arsenic Toxicity
54. Which of the following complications which the patient presented B. Dapsone
which urgently needs intervention  Both C. Diabetic Neuropathy
55. Which of the following interventions is/are indicated for this D. Carpal Tunnel Syndrome
situation  all are correct 72. Stocking and glove sensory loss  Diabetic Neuropathy
56. Which of these diagnostic procedures would be the safest under 73. Mees line of the nails  Arsenic Toxicity
the circumstance and would be most helpful in establishing the 74. Median Nerve Entrapment  Carpal Tunnel Syndrome
definitive diagnosis  Brain MRI 75. Treatment of Leprosy  Dapsone

A. Cerebral Cortex Lesion

28 y/o progressive difficulty in walking initially distal B. Brain Stem Lesion
lower extremity, ascending. Initially with C. Both
stomach flu. D. Neither
76. Seizure and behavioral changes  Cerebral Cortex 105. Associated with Charcot Cuchard aneurysms  intracerebral
Lesion hemorrhage
77. Hemiparesis  Both
78. Paraparesis  Both A. More specific for anterior circulation strokes
79. (+) Babinski Reflex  Both B. More specific for posterior circulation strokes
80. Cross hemisensory loss  Brainstem Lesion 106. Dysequilibrium  More specific for posterior circulation strokes
A. Migraine Headache 107. Aphasia  More specific for anterior circulation strokes
B. Tension headache 108. Apraxia  More specific for anterior circulation strokes
C. Both 109. Agnosia  More specific for anterior circulation strokes
D. Neither 110. Ataxia  More specific for posterior circulation strokes
81. Usually unilateral in location  Migraine
82. Throbbing in character  Answer Key nila Tension but it should Of Myopathies
be Migraine. (to the bookish people, please check) A. True
83. Usually accompanied by photophobia  Migraine headache B. False
84. Bilateral in location  Tension headache 111. Presents with predominant sensory loss  False
112. Pain is often present  True
Choices: 113. Weakness more commonly involve the distal muscles  False
A. Insert Choice here 114. Frequently accompanied by reduced reflexes  False
B. Metastatic brain disease 115. Pseudohypertrophy may be a feature of congenital muscle
C. Primary CNS lymphoma disease  True
D. Meningioma
85. Predilection for periventricular areas  Primary CNS Lymphoma Myasthenia Gravis
86. Predilection for cerebral convexity, falx cerebri, & A. True
base of the brain. (+) estrogen and progesterone B. False
receptors; (+) dural tail & hyperostosis  116. Caused by antibody mediated attack on muscarinic
Meningioma acetylcholine receptors  False
87. Positive endocrine and visual complaints, increased intracranial 117. An incremental response is observed on repetitive nerve
pressure on presentation  B. Craniopharyngioma stimulation  False
88. Predilection for pineal area and suprasellar region, 118. Highly associated with lung cancer  False
histologically similar to seminoma, with 119. It is characterized by fluctuating weakness  True
hydrocephalus and increased ICP  Germinoma 120. The antibodies attack the presynaptic voltage gated Calcium
channels  False
89. Causes infarction in the midbrain thalamus and occipital lobe 
Left PCA occlusion
90. Cause language problem and right hemiparesis, positive Babinski
and right hemisensory deficit  Left MCA occlusion

91. Sudden severe headache and vomiting with pain and resistance
on passive neck flexion  C. Subarachnoid hemorrhage
92. Sudden severe headache, vomiting and loss of consciousness,
neurological examination shows nuchal rigidity, R Babinski and R
hemiparesis  B. Cerebral hemorrhage
A. Parkinson’s Disease
B. Hepatic Encephalopathy
C. Sydenham’s chorea
D. Writer’s Cramp
93. Dystonia  Writer’s Cramp
94. Chorea  Sydenham’s
95. Rest tremors  Parkinson’s Disease
96. Asterixis  Hepatic Encephalopathy
A. Lubag
B. Sydenham’s
C. Huntington’s
D. Essential Tremors
97. Levodopa  Lubag (Early Stage)
98. Prophylaxis with Penicillin for 10 years  Sydenham’s
99. Haloperidol  Huntingon’s Disease
100. Alcohol  essential tremors

A. Subarachnoid hemorrhage
B. Intracerebral hemorrhage

101. Sudden increase in blood pressure and blood flow leading to

breakage of penetrating arteries  Intracerebral hemorrhage
102. Usually accompanied by severe headache described as worst
headache they had experienced without focal neurologic
deficits  Subarachnoid hemorrhage
103. Site of predilection is putamen and adjacent internal capsule 
intracerebral hemorrhage
104. Usually accompanied by rupture of saccular aneurysm 
subarachnoid hemorrhage