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JC Neurology PQ
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CONTENT
CLASS OF 2018
PAGE #
GROUP A 6
GROUP B 12
CLASS OF 2017 15
CLASS OF 2016
GROUP A 18
GROUP B 20
CLASS OF 2012 25
CLASS OF 2011 31
4
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5
CLASS OF 2018 SET A
SHOW ANSWER
Suggest an answer change
SHOW ANSWER
SHOW ANSWER
6
SHOW ANSWER
SHOW ANSWER
SHOW ANSWER
7
SHOW ANSWER
SHOW ANSWER
SHOW ANSWER
8
SHOW ANSWER
SHOW ANSWER
SHOW ANSWER
9
SHOW ANSWER
SHOW ANSWER
10
“ ...I don’t agree that passing alone is good enough
because some of you may be credit or even distinction
students...for you, every time you wake up you should say,’ I
want to go and do well!’. Let that influence your whole
approach, because that is also to God’s glory.
CHECK IT OUT
CLASS OF 2018 SET B
6. The centre or root of the following reflexes is as indicated:
a. corneal reflex – pons
b. biceps reflex – C5,6
c. ankle jerk – S1,2
d. pupillary light reflex – midbrain SHOW ANSWER
e. accommodation reflex – occipital cortex. Suggest an answer change
8. A flapping tremor of the outstretched hand (asterixis) may be associated with:

a. alcohol intoxication
b. decreased protein breakdown
c. decreased peripheral glucose uptake
d. increased sodium and water excretion.
SHOW ANSWER
e. increased lipogenesis
9. In assessing visual field defects the following are true:

a. bitemporal hemianopia suggest optic chiasma lesion.
b. homonymous hemianopia suggests optic tract lesion
c. enlarged blind spot suggest a lesion affecting the
occipital cortex. SHOW ANSWER
d. tunnel vision suggests a lesion affecting the cornea.
e. unilateral field loss suggests a lesion of the optic nerve.
10. Causes of ptosis include:

a. myasthenia gravis
b. congenital ptosis
c. optic nerve palsy SHOW ANSWER
d. Horner’s syndrome.
12
e. snake bites.
51. The following are disorders of speech:

a. neologisms
b. echolalia
c. slow and slurring. SHOW ANSWER
d. flight of ideas
e. punning.
52. The following movements are involuntary:

a. chorea
b. catatonia
c. hemiballismus SHOW ANSWER
d. tics
e, tremors.
53. Delirium tremens may be present with the following:

a. tremors.
b. hallucinations
c. delusions.
SHOW ANSWER
d. diaphoresis
e. seizures. Suggest an answer change
73. A stroke:
a. may be described as a transient ischaemic attack if the
b. may be associated with autosomal dominant polycystic ori-
gin.
c. may be associated with atrial fibrillation.
d. must be managed by rapidly lowering diastolic blood pres-
sure when patient is hypertensive. SHOW ANSWER
e. is commoner in males than females. Suggest an answer change
13
74. The patellar reflex is mediated:
a. sural nerve.
b. femoral nerve.
c. sciatic nerve.
SHOW ANSWER
d. radial nerve.
e. popliteal nerve. Suggest an answer change
75. The movement disorder sometimes associated with rheu-

matic heart disease:
a. Huntington’s chorea
b. flapping tremor
c. tardive dyskinesia
SHOW ANSWER
d. pill rolling tremor
d Sydenham’s chorea Suggest an answer change
14
CLASS OF 2017
1. Hyperreflexia is seen in
a. UMN lesions
b. Tetanus
c. Anxiety
d. Thyrotoxicosis
e. Nervousness SHOW ANSWER
6. The following are useful bedside tests for concentration, mem-

ory and attention;
a. Serial subtraction of 3 and 7 from 100
b. Recall of 3 items of information
c. Patients account of recent illness
d. repetition of words or digits in forward and reverse order SHOW ANSWER
e. Patient’s recollection of day to day procedures
7. The following reflexes correspond to these dermatomes.

a. supinator – C5 C6
b. biceps – C7 C8
c. triceps – C8 T1
d. patella – L3 L4
e. ankle – S1 S2 SHOW ANSWER
11. The following are important in mental status exam

a. level of consciousness
b. memory
c. calculation
d. intelligence quotient
e. gait SHOW ANSWER
15
in here.
GO
13. The following descriptions of the gait are true
a. Hemiparetic – foot plantar flexed and leg swung in lateral
arc
b. Paraparetic – scissors gait
c. Extrapyramidal – shifting festination and propulsion
d. High steppage – distal weakness
e. Cerebellar – drunken wide based staggering SHOW ANSWER
28. Cerebrospinal meningitis

a. is caused by N. meningitides
b. is transmitted by droplets
c. Epidemics occur in northern Ghana in the harmattan
d. vaccination is important to prevent epidemics
e. Ceftriaxone is an effective antibiotic
SHOW ANSWER
29. Deafness may be caused by

a. Wax in the ear
b. cranial nerve VII palsy
c. Ear infection
d. ageing
e. drugs
SHOW ANSWER
43. Left cranial nerve III lesions

a. Left ptosis
b. Anhydrosis on the left
c. Right ptosis
d. Anhydrosis on right
e. SHOW ANSWER
81. Causes of ptosis

a. Myasthenia gravis
b. Congenital ptosis
c. Optic nerve palsy
d. Horner’s syndrome
e. Snake bite SHOW ANSWER

17
CLASS OF 2016 SET A
66. Papilloedema
a. occurs at the macula area of the retina
b. usually unilateral
c. does contraindicate in performance of lumbar puncture
d. usually causes sudden visual loss SHOW ANSWER
e occurs in association with large pituitary tumours Suggest an answer change
70. Horners syndrome include

a. ptosis
b. anhidrosis
c.dilated pupil
d. enopthalmus
SHOW ANSWER
e. in assoc with other parasympathetic disturbances
71. The following statement are correct

a. in the presence of muscle wasting and and weakness, fas-
ciculation suggest a myopathy
b. lack of gag reflex is an indication of pseudobulbar palsy
c. dysarthria describes a disorder of content of speech
d. vibration and propioception test for lateral spinothalamic SHOW ANSWER
tract
e. rombergs test is for cerebellar disease Suggest an answer change
73. The following are true concerning lower motor neuron le-
sion
a. theres decreased muscle tone
b. theres ptosis of affected eye
c. spasticity can occur after several months of lmn lesion
SHOW ANSWER
d. in lower motor neuron lesion of the facial nerve nuclei the
person is able to wrinkle the forehead bilaterally
18
e. Abdominal reflexes are often absent
75. The following are useful in clinical assessment for determin-

ing the cause of coma in a 32 yr old patient
a exclusion of nucchal rigidity
b. plama glucose
c. urgent echocardiography SHOW ANSWER
d. chest xray
e. rapid diagnostic test (malaria)
19
CLASS OF 2016 SET B
38. Papilloedema
a. causes sudden loss of vision
b. mostly unilateral
c. respiratory acidosis
d. feature of diabetic retinopathy

SHOW ANSWER
e. seen with intracranial haemorrhage Suggest an answer change
45. A 65yr old woman brought to the ER after a fall. On examina-

tion, she opens her eyes to voice, does not obey commands but
localizes noxious stimuli, she cannot make conversations with a
single word appropriately. Calculate her GCS
a. 5
b. 8
SHOW ANSWER
c. 11 Suggest an answer change
d. 14
e. 9
46. A 72yrs old woman comes to the emergency with a stroke . A

CT scan shows a right hemisphere infarct. She cannot see in one
side of the eye. Where is the lesion .
a. Bil Hemianopia
b. Binasal hemianopia
SHOW ANSWER
c. Left homonymous hemianopia
d. Right homonymous hemianopia Suggest an answer change
e. Upper quadrantic bitemporal hemianopia
47. A 32 yr old woman brought to the ER is found to have asterix-

is. The following could account for the presentation.
a. Chronic respiratory failure
b. Chronic cardiac failure
c. Brainstem lesion
SHOW ANSWER

20
d. Uraemia
e. Compensated liver cirrhosis
54. Asterixis may present in

a. Chronic respiratory failure
b. Chronic heart failure
c. Uraemia SHOW ANSWER

d. Compensated cirrhosis
e. Brainstem infection
59. Horner’s syndrome includes:
a. Ptosis
b. Anhidrosis
c. Dilated pupil SHOW ANSWER

d. Enopthalmus Suggest an answer change
e. in association with other parasympathetic disturbances
66. Paralysis of the left sixth cranial nerve causes:

a. Partial ptosis of the left eyelid
b. Inability to abduct the left eye
c. Absence of sweating on the left side of the face SHOW ANSWER
d. Flattening of the naso-labial fold on the left
e. Dilated pupil on the left
74. Papilloedema
a. Swelling in the macula of the retina
b. Usually unilateral
SHOW ANSWER
c. Causes sudden blindness Suggest an answer change
21
d. Occurs in respiratory acidosis
e. Can occur after intracerebral haemorrhage
77. A flapping tremor of the outstretched(asterxis) hand may be

associated with
a. Congestive cardiac failure
b. Parkinson disease
c. Cerebellar disease SHOW ANSWER
d. Renal failure
e. Respiratory failure
78. The following are true concerning Lower motor neurone le-
sions
a. There is decreased muscle tone
b. There is ptosis of the affected eye
c. Spasticity can occur after several months of lower motor neu- SHOW ANSWER
rone lesion
d. In lower motor neuron lesion of the facial nerve nuclei, the Suggest an answer change
person is able to wrinke the forehead bilaterally
e. Abdominal reflexes are often absent
79. The following statements are true:

a. In the presence of muscle wasting and weakness, fascicula-
tion suggests a myopathy
b. Lack of gag reflex is an indication of pseudobulbar palsy
c. Dysarthria describes a disorder with content of speech SHOW ANSWER
d. Vibration and Priopoception test for lateral spinothalamic
tract intergrity Suggest an answer change
e. Romberg’s test is for cerebellar disease
80. The following are useful in clinical assessment for determining the cause of coma in a 32 yr
old patient
22
a. Exclusion of nucchal rigidity
b. Plasma glucose
c. Urgent Echocardiography
d. Chest xray SHOW ANSWER
e. Rapid diagnostic test (malaria)
23
#PALPAtE
HERE’S
t
MORE
TO
LIFE
THAN
MEETS
THE
EYE.
CLASS OF 2012
1 Causes of thickened nerves include
a. Amyloidosis
b. Leprosy
c. Sarcoidosis
d. Autonomic Neuropathy SHOW ANSWER
e. Tuberculosis
2 Recognized features of ulnar nerve palsy include:

a. Wasting of the muscles of the upper arm above the
elbow
b. Wasting of the small muscles of the hand
c. sensory loss over the lateral one and half fingers
d. weakness of the muscles of the thenar eminence
SHOW ANSWER
e. claw hand Suggest an answer change
3 Which of the following disorders is most common cause of tremors?

a. Essential tremor
b. alcoholic intoxication
c. Wilson disease
d. Parkinson disease
e. Peripheral neuropathy
SHOW ANSWER

4 Complex partial seizure by definition refers to seizures that:
a. Manifest as convulsion
b. Are prolonged
c. Begin in childhood
d. Are associated with alteration of consciousness
SHOW ANSWER
e. Are resistant to medication
25
5. The following are useful bedside tests of concentration, memory and attention
b. Recall of three items of information
c. Patient’s account of recent illness
d. Repetition of words or digits in forward and reverse
order SHOW ANSWER
e. Patient’s recollection of day to day medical proce-
dures Suggest an answer change
The following nerve roots subserve the following reflexes

a. Biceps - C4, C5
b. Triceps - C7, C8
c. Patellar - L4, L5
d. Achilles - L1, L2 SHOW ANSWER
e. Jendrassik maneuver – Voluntary contraction of other
muscles for under-active reflexes.

a. Level of alertness
b. Memory
c. Calculation
d. Construction SHOW ANSWER
e. Gait Suggest an answer change
7. The following symptoms suggest brainstem disease

a. Diplopia
b. Deafness
c. Dizziness
d. Dysphasia
SHOW ANSWER
e. Decreased facial sensation
8. The following descriptions of gait are correct
26
a. Hemiparetic – foot platar-flexed and leg swung in a lateral arc
b. Paraparetic – Scissor’s gait
c. Extrapyramidal – Shuffling, festnation and propulsion
d. High steppage – distal weakness
e. Cerebellar – Drunken wide based staggering
SHOW ANSWER
9. Lower motor neurone lesions Suggest an answer change
f. Decreased muscle tone

g. Increased tendon reflexes
h. Fasciculation in affected muscle
i. May be caused by lesions in the pyramidal tracts
j. May lead to extensor plantar response.
SHOW ANSWER
10. Meningitis due to meningococcus Suggest an answer change
a. May be associated with a pruritic rash.

b. Does not normally affect the level of consciousness
c. Typically manifest as lymphocytes in the CSF
d. Is always treated with crystalline penicillin and chloram-
phenicol
SHOW ANSWER
e. May be complicated by cerebral abscess.
f. May be associated with high fever, sweating and inter- Suggest an answer change
costals tenderness
11. The following may cause median nerve entrapment in the carpal tunnel
a. Obesity
b. Osteoarthritis
c. Acromegaly
d. Cushing’s syndrome
e. Thyrotoxicosis SHOW ANSWER
27
12. Regarding cerebral malaria and meningitis
a. They can always be carefully distinguished from each other by careful clinical ex-
amination
b. A negative blood film for malarial parasites rules out
cerebral malaria
c. Seizures may occur in cerebral malaria but not in
meningitis
d. Meningitis is more likely than cerebral malaria to be
complicated by deafness SHOW ANSWER
e. CSf pleocytosis with more neutrophils makes meningi-
tis a more likely diagnosis
13. A flapping tremor of the outstretched hands (asterexis)

may be associated with
a. Alcohol intoxication
b. Dementia
d. Renal failure
14. The centre or root of the following reflexes are as indicated

a. Corneal reflexes – Pons
b. Biceps jerk - C5, C6
c. Ankle jerk - S1, S2 SHOW ANSWER
d. Pupillary reflex - Midbrain
e. Accommodation – Occipital cortex
16. Paralysis of the 3rd left cranial nerve cause

a. Ptosis of the left eyelid
c. Absence of sweating on the left side of the face
SHOW ANSWER
e. Dilated pupil on the on the left Suggest an answer change
28
CLASS OF 2011
1. Tremors of the hand may be caused by
a. Senility
b. Mercurial poisoning
c. Alcoholism
SHOW ANSWER
d. Thyrotoxicosis
e. Uraemia Suggest an answer change
2. The following are useful bedside tests of concentration,

memory and attention
b. Recall of three items of information
c. Patient’s account of recent illness
SHOW ANSWER
d. Repetition of words or digits in forward and reverse
order
e. Patient’s recollection of day to day medical proce-
dures
3. The following nerve roots subserve the following reflexes

a. Biceps - C4, C5
b. Triceps - C7, C8
c. Patellar - L4, L5 SHOW ANSWER
d. Achilles - L1, L2
e. Jendrassik maneuver – Voluntary contraction of other
muscles for under-active reflexes.

a. Level of alertness
b. Memory
c. Calculation SHOW ANSWER
d. Construction
29
e. Gait
5. The following symptoms suggest brainstem disease

a. Diplopia
b. Deafness
c. Dizziness
d. Dysphasia
SHOW ANSWER
e. Decreased facial sensation Suggest an answer change
6. The following descriptions of gait are correct

a. Hemiparetic – foot platar-flexed and leg swung in a
lateral arc
b. Paraparetic – Scissor’s gait
c. Extrapyramidal – Shuffling, festnation and propulsion
d. High steppage – distal weakness SHOW ANSWER
e. Cerebellar – Drunken wide based staggering Suggest an answer change
7. Lower motor neurone lesions

a. Decreased muscle tone
b. Increased tendon reflexes
c. Fasciculation in affected muscle
d. May be cause by lesions in the pyramidal tracts SHOW ANSWER
e. May lead to extensor plantar response.
8. Meningitis due to meningococcus

a. May be associated with a pruritic rash.
b. Does not normally affect the level of consciousness
c. Typically manifest as lymphocytes in the CSF
d. Is always treated with crystalline penicillin and chlor- SHOW ANSWER
amphenicol
e. May be complicated by cerebral abscess.
30
9. The following may cause median nerve entrapment in the
carpal tunnel
a. Obesity
b. Osteoarthritis SHOW ANSWER
c. Acromegaly
d. Cushing’s syndrome
a. Thyrotoxicosis
10. Regarding cerebral malaria and meningitis

a. They can always be carefully distinguished from each
other by careful clinical examination
b. A negative blood film for malarial parasites rules out SHOW ANSWER
cerebral malaria
c. Seizures may occur in cerebral malaria but not in men-
ingitis
d. Meningitis is more likely than cerebral malaria to be complicated by deafness
e. CSf pleocytosis with more neutrophils makes meningitis a more likely diagnosis
11. A flapping tremor of the outstretched hands (asterexis)

may be associated with
a. Alcohol intoxication
b. Dementia
d. Renal failure
12. The centre or root of the following reflexes are as indicat-

ed
a. Corneal reflexes - Pons
b. Biceps jerk - C5, C6
c. Ankle jerk - S1, S2 SHOW ANSWER
d. Pupillary reflex - Midbrain
31
e. Accommodation – Occipital cortex
13. Paralysis of the 3rd left cranial nerve causes

a. Ptosis of the left eyelid
c. Absence of sweating on the left side of the face
SHOW ANSWER
e. Dilated pupil on the on the left
14. Papilloedema
a. Is a swelling of the macula area of the retina
b. Is usually unilateral
c. Can develop after intracerebral haemorrhage
SHOW ANSWER
d. Typically causes sudden visual loss.
e. Occurs in respiratory acidosis
32

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8. A flapping tremor of the outstretched hand (asterixis) may be associated with:

9. In assessing visual field defects the following are true:

10. Causes of ptosis include:

51. The following are disorders of speech:

52. The following movements are involuntary:

53. Delirium tremens may be present with the following:

75. The movement disorder sometimes associated with rheu-

Suggest an answer change

6. The following are useful bedside tests for concentration, mem-

Suggest an answer change

7. The following reflexes correspond to these dermatomes.

Suggest an answer change

11. The following are important in mental status exam

Suggest an answer change

Suggest an answer change

28. Cerebrospinal meningitis

Suggest an answer change

29. Deafness may be caused by

Suggest an answer change

43. Left cranial nerve III lesions

Suggest an answer change

81. Causes of ptosis

Suggest an answer change

70. Horners syndrome include

71. The following statement are correct

75. The following are useful in clinical assessment for determin-

a. causes sudden loss of vision

d. feature of diabetic retinopathy

45. A 65yr old woman brought to the ER after a fall. On examina-

46. A 72yrs old woman comes to the emergency with a stroke . A

d. Right homonymous hemianopia Suggest an answer change

e. Upper quadrantic bitemporal hemianopia

47. A 32 yr old woman brought to the ER is found to have asterix-

a. Chronic respiratory failure

b. Chronic cardiac failure

Suggest an answer change

54. Asterixis may present in

b. Chronic heart failure

c. Uraemia SHOW ANSWER

59. Horner’s syndrome includes:

c. Dilated pupil SHOW ANSWER

e. in association with other parasympathetic disturbances

66. Paralysis of the left sixth cranial nerve causes:

a. Swelling in the macula of the retina

c. Causes sudden blindness Suggest an answer change

e. Can occur after intracerebral haemorrhage

77. A flapping tremor of the outstretched(asterxis) hand may be

79. The following statements are true:

2 Recognized features of ulnar nerve palsy include:

3 Which of the following disorders is most common cause of tremors?

Suggest an answer change

Suggest an answer change

The following nerve roots subserve the following reflexes

6. The following are important in mental status exam

7. The following symptoms suggest brainstem disease

8. The following descriptions of gait are correct

9. Lower motor neurone lesions Suggest an answer change

f. Decreased muscle tone

10. Meningitis due to meningococcus Suggest an answer change

a. May be associated with a pruritic rash.

Suggest an answer change