NEURO EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026/2027
How does cranial nerve XII deficit present? - Answers Weakness on the ipsilateral side and protrusion of
the tongue toward the affected side - CN XII = Hypoglossal nerve
How does cranial nerve XI deficit present? - Answers Weakness with turning of head - CN XI = Spinal
accessory nerve
How does cranial nerve X deficit present? - Answers Focal: Aphonia dysphagia dysarthria - Systemic:
(cardiac and GI most affected) - CN X = Vagus nerve
How does cranial nerve IX deficit present? - Answers Dysphagia and dysarthria - CN IX =
Glossopharyngeal nerve
How does cranial nerve VIII deficit present? - Answers Positional vertigo - Tinnitus - Rarely hearing loss -
CN VIII = Vestibulocochlear nerve
How does cranial nerve VII deficit present? - Answers Complete or partial paralysis of the face - CN VII =
Facial nerve
How does cranial nerve VI deficit present? - Answers Medial turning of affected eye - CN VI = Abducens
nerve
How does cranial nerve V deficit present? - Answers Anesthesia of the forehead - Corneal drying -
Decreased salivation - CN V = Trigeminal nerve
How does cranial nerve IV deficit present? - Answers Vertical diplopia - CN IV = Trochlear nerve
How does cranial nerve III deficit present? - Answers Outward and downward deviation of the eye -
Ptosis of the eyelid - Dilation of the ipsilateral pupil in complete palsy -CN III - Oculomotor nerve
How does cranial nerve II deficit present? - Answers Partial or complete blindness - CN II = Optic nerve
How does cranial nerve I deficit present? - Answers Loss of smell - CN I = Olfactory nerve
Medication added to cholinesterase inhibitors in the treatment of Alzheimer's? - Answers Memantine
Beta amyloid plaques and neurofibrillary tangles? - Answers Alzheimer's findings on autopsy
Most common form of dementia? - Answers Alzheimer's disease
Slowly progressive impairment of memory reasoning and orientation? - Answers Dementia
Common causes of delirium? - Answers Medical illness - Sundowning - Substance intoxication or
withdrawal - Sepsis
Short term/temporary confusion or altered mental state? - Answers Delirium
Acute meningitis associated with a purpuric rash? - Answers Meningococcal meningitis
Most common cause of Reye Syndrome? - Answers Salicylates (e.g. aspirin Pepto Bismol etc.)
Rapidly progressive encephalopathy with hepatic dysfunction? - Answers Reye Syndrome
, In what disorder are negri bodies found in neurons? - Answers Rabies
What are the most common symptoms of encephalitis? - Answers Fever - Headache - Nausea - Vomiting
- Altered mental status
Most common severe complication of measles? - Answers Encephalitis
Viral meningitis is associated with predominance of what cell in the CSF? - Answers Mononuclear
(normal) (Note: bacterial meningitis has neutrophils)
Name the sign: Inability to allow full extension of knee when hip is flexed 90 degrees. - Answers Kernig's
sign
Name the sign: Flexion of hips on passive neck flexion. - Answers Brudzinski's sign
What disorder are fever, headache, neck stiffness with initially normal brain function most concerning
for? - Answers Meningitis
Treatment for Cerebral Palsy? - Answers Speech physical and occupational therapy - Aspiration
precautions - Antispasmodics
Non-progressive disorder characterized by spastic rigidity and slow writhing movements? - Answers
Cerebral Palsy
Treatment of acute exacerbations of MS? - Answers Glucocorticoids
What ophthalmology disorder is seen frequently in patients with multiple sclerosis (MS)? - Answers
Optic Neuritis
Most common demyelinating disorder mainly in women age 20-50? - Answers Multiple Sclerosis
Radiating electrical sensation down the spine with neck flexion seen in patients with multiple sclerosis? -
Answers Lhermitte's phenomenon
Patients with Myasthenia Gravis have antibodies to what? - Answers Acetylcholine receptors
Treatment for Myasthenia Gravis? - Answers Pyridostigmine
Diagnostic test for Myasthenia Gravis? - Answers Edrophonium (Tensilon) test
Proximal to distal motor weakness? - Answers Myasthenia Gravis
Treatment for Guillain-Barre? - Answers Intravenous immunoglobulins - Plasma exchange
Typical cerebral spinal fluid findings with Guillain-Barre? - Answers Albuminocytologic dissociation
Most common organism causing Guillain-Barre? - Answers Campylobacter jejuni
Ascending symmetrical paralysis/weakness with absent or decreased deep tendon reflexes? - Answers
Guillain-Barre Syndrome
Treatment for chorea + psychosis? - Answers Haloperidol olanzapine or risperidone
Treatment for Huntington's chorea? - Answers Tetrabenazine
How does cranial nerve XII deficit present? - Answers Weakness on the ipsilateral side and protrusion of
the tongue toward the affected side - CN XII = Hypoglossal nerve
How does cranial nerve XI deficit present? - Answers Weakness with turning of head - CN XI = Spinal
accessory nerve
How does cranial nerve X deficit present? - Answers Focal: Aphonia dysphagia dysarthria - Systemic:
(cardiac and GI most affected) - CN X = Vagus nerve
How does cranial nerve IX deficit present? - Answers Dysphagia and dysarthria - CN IX =
Glossopharyngeal nerve
How does cranial nerve VIII deficit present? - Answers Positional vertigo - Tinnitus - Rarely hearing loss -
CN VIII = Vestibulocochlear nerve
How does cranial nerve VII deficit present? - Answers Complete or partial paralysis of the face - CN VII =
Facial nerve
How does cranial nerve VI deficit present? - Answers Medial turning of affected eye - CN VI = Abducens
nerve
How does cranial nerve V deficit present? - Answers Anesthesia of the forehead - Corneal drying -
Decreased salivation - CN V = Trigeminal nerve
How does cranial nerve IV deficit present? - Answers Vertical diplopia - CN IV = Trochlear nerve
How does cranial nerve III deficit present? - Answers Outward and downward deviation of the eye -
Ptosis of the eyelid - Dilation of the ipsilateral pupil in complete palsy -CN III - Oculomotor nerve
How does cranial nerve II deficit present? - Answers Partial or complete blindness - CN II = Optic nerve
How does cranial nerve I deficit present? - Answers Loss of smell - CN I = Olfactory nerve
Medication added to cholinesterase inhibitors in the treatment of Alzheimer's? - Answers Memantine
Beta amyloid plaques and neurofibrillary tangles? - Answers Alzheimer's findings on autopsy
Most common form of dementia? - Answers Alzheimer's disease
Slowly progressive impairment of memory reasoning and orientation? - Answers Dementia
Common causes of delirium? - Answers Medical illness - Sundowning - Substance intoxication or
withdrawal - Sepsis
Short term/temporary confusion or altered mental state? - Answers Delirium
Acute meningitis associated with a purpuric rash? - Answers Meningococcal meningitis
Most common cause of Reye Syndrome? - Answers Salicylates (e.g. aspirin Pepto Bismol etc.)
Rapidly progressive encephalopathy with hepatic dysfunction? - Answers Reye Syndrome
, In what disorder are negri bodies found in neurons? - Answers Rabies
What are the most common symptoms of encephalitis? - Answers Fever - Headache - Nausea - Vomiting
- Altered mental status
Most common severe complication of measles? - Answers Encephalitis
Viral meningitis is associated with predominance of what cell in the CSF? - Answers Mononuclear
(normal) (Note: bacterial meningitis has neutrophils)
Name the sign: Inability to allow full extension of knee when hip is flexed 90 degrees. - Answers Kernig's
sign
Name the sign: Flexion of hips on passive neck flexion. - Answers Brudzinski's sign
What disorder are fever, headache, neck stiffness with initially normal brain function most concerning
for? - Answers Meningitis
Treatment for Cerebral Palsy? - Answers Speech physical and occupational therapy - Aspiration
precautions - Antispasmodics
Non-progressive disorder characterized by spastic rigidity and slow writhing movements? - Answers
Cerebral Palsy
Treatment of acute exacerbations of MS? - Answers Glucocorticoids
What ophthalmology disorder is seen frequently in patients with multiple sclerosis (MS)? - Answers
Optic Neuritis
Most common demyelinating disorder mainly in women age 20-50? - Answers Multiple Sclerosis
Radiating electrical sensation down the spine with neck flexion seen in patients with multiple sclerosis? -
Answers Lhermitte's phenomenon
Patients with Myasthenia Gravis have antibodies to what? - Answers Acetylcholine receptors
Treatment for Myasthenia Gravis? - Answers Pyridostigmine
Diagnostic test for Myasthenia Gravis? - Answers Edrophonium (Tensilon) test
Proximal to distal motor weakness? - Answers Myasthenia Gravis
Treatment for Guillain-Barre? - Answers Intravenous immunoglobulins - Plasma exchange
Typical cerebral spinal fluid findings with Guillain-Barre? - Answers Albuminocytologic dissociation
Most common organism causing Guillain-Barre? - Answers Campylobacter jejuni
Ascending symmetrical paralysis/weakness with absent or decreased deep tendon reflexes? - Answers
Guillain-Barre Syndrome
Treatment for chorea + psychosis? - Answers Haloperidol olanzapine or risperidone
Treatment for Huntington's chorea? - Answers Tetrabenazine
