Neurology:

Self-Assessment for MRCP(UK) and MRCP(I)

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Osama S. M. Amin MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA
 First Edition

Neurology: Self-Assessment
for MRCP(UK) and MRCP(I)

Osama S. M. Amin
MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA, FCCP

Consultant Neurologist
Shorsh Military General Teaching Hospital
Iraq

Copyright © 2016. Osama S. M. Amin.

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Neurology: Self-Assessment for MRCP(UK) and MRCP(I)
Copyright © 2016 by Osama S. M. Amin.

Copyright Notice:
All rights reserved. No part this publication may be reproduced or
transmitted in any form or by any means, electronic, mechanical,
photocopying, recording, or otherwise, without a prior permission of
the copyright owner in writing:

Osama S. M. Amin
Sulaymaniyah City Post-Office, PO BOX 196,
Sulaymaniyah Governorate, Kurdistan Region, Iraq.
Email: dr.osama.amin@gmail.com.

First printed: 2016.

ISBN: 978-1-365-37696-2.

Disclaimer:
This book was written depending on reliable sources. However, while
every effort has been made to ensure its accuracy, no responsibility for
loss, damage, or injury occasioned on any person acting or refraining
from action as a result of information contained herein can be
accepted by the author or publisher.

Distributed by Lulu Press, Inc.

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Osama S. M. Amin MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA
 Dedication

To my lovely wife Sarah, daughter Awan, and baby girl Naz. Without their kind help and
patience, this books would not have been published.
Thank you!

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Neurology: Self-Assessment for MRCP(UK) and MRCP(I)
 Table of Contents

Acknowledgments.............................................................................7

Preface................................................................................................8

Recommended readings....................................................................9

Chapter 1: Multiple Choices ……………......................................11

Multiple Choice Questions.........................................................12

Answers ...................................................................................51

Chapter 2: Best of Fives and Fill-in…........................................96

Questions.....................................................................................97

Answers....................................................................................237

Chapter 3: Photographic Materials.............................................345

Best of Fives with Photographic Materials Questions ............346

Answers.................................................................................411

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Osama S. M. Amin MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA
Acknowledgements

I woul like to thank my dear patients; their real clinical scenarios were used to
formualte and generate these questions.

I’m very grateful to my post-graduate neurology trainees; their continuous

feedback helped me tremendously when I decided to make this book.

A special gratitude goes to my other half, wife Sarah, for her endless support and
encouragement, and of course her extreme patience.

I would like to sincerely thank Dr. Umberto Benneli MD, PhD, an

ophthalomogist from Italy. He kindly granted me permission to use some of his
photos; these images were used in the 1st 20 questions of chapter 3.

Osama

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Neurology: Self-Assessment for MRCP(UK) and MRCP(I)
Preface
“It is much simpler to buy books than to read them and easier to read them than to absorb
their contents”, Sir William Osler (1849-1919).

Y ou will find 792 questions of different formats, distributed into 3

chapters. The 215 multiple choice questions of chapter one will surf
you onto a rapid review of information to consolidate your background
knowledge of neuro-anatomy, neuro-physiology, neuro-pharmacology, neuro-
pathology,…etc. In addition, testing the clinical aspects of various diseases is
also included. Chapter two will self-assess you in terms of how to make a
provisional diagnosis, what features refute or confirm your preliminary
diagnosis, how to investigate, what to do next, the best treatment option, and
the prognosis of various diseases. The photographic materials are found in
chapter three. You will encounter various neurological
complications/manifestations/signs of system diseases as well. Brain CT scan,
MRI, MRV, and EEG images,…etc of common diseases will test your ability
to interpret/read/analyze their diagnosis and management.

The multitude of the style/format of the questions differs from those of the
“classical” self-assessment books, where only best of five questions are used.
On the contrary, here in this book, there are the true/false formats, as well as
the best of five, best of many, and fill-in formats. Some of the clinical scenarios
span 2-5 questions, in a step-by-step approach, as in every-day clinical practice.

I have tried to include most of the common diseases and illnesses that interns
and post-graduate neurology/internal medicine trainees see during their
everyday ward tour and Emergency Room duties; some of the rare “classical”
diseases or syndromes were also addressed, as a common examination theme
or model. It is intended as a generalized supplement to your studies for various
examinations including the Neurology/Internal Medicine Boards, MRCP(UK),
MRCPI, FRCP(C), or FRACP as well as more general medical licensing exams
such as the USMLE or PLAB.

Good luck with your career and exams!

Osama S. M. Amin
September 2016

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Osama S. M. Amin MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA
References and Recommended Readings
1. Ropper A, Samuels M, Klein J, editors. Adams and Victor’s Principles of
Neurology. 10th edition. New York: McGraw-Hill Education / Medical; 2014.

2. Aminoff M, Greenberg D, Simon R. Clinical Neurology. 9th edition. New York:

McGraw-Hill Education / Medical; 2015.

3. Hauser S, Josephson S. Harrison’s Neurology in Clinical Medicine. 3rd edition.

New York: McGraw-Hill Education; 2013.

4. Dale D, Federman D, editors. ACP Medicine. 3rd edition. Philadelphia:

BC Decker Inc.; 2007.

5. Barrett KE, Barman SM, Boitano S, Brooks HL. Ganong’s Review of Medical
Physiology. 24th edition. New York: McGraw-Hill Education/Medical; 2012.

6. Rosene-Montelle K, Keely EJ, Lee RV, Barbour LA, editors. Medical Care of
the Pregnant Patient. 2nd edition. Philadelphia: The American College of
Physicians; 2007.

7. Bolwing B. Kanski’s Clinical Ophthalmology: A Systematic Approach. 8th edition.

Philadelphia: Saunders Ltd; 2015.

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Osama S. M. Amin MD, FRCP(Edin), FRCP(Glasg), FRCPI, FRCP(Lond), FACP, FAHA