APEA Neuro Patho questions and answers
2026\2027 A+ Grade
A dysfunction of cranial nerve VI (abducens nerve) would likely result in:
the inability to chew.
lack of tongue movement.
ptosis.
esotropia.
- correct answer esotropia.
An acute, autoimmune, rapidly progressive demyelination of peripheral nerves is known as:
myasthenia gravis.
Guillain-Barre syndrome.
amyotrophic lateral sclerosis.
multiple sclerosis.
- correct answer Guillain-Barre syndrome.
A diagnosis of meningitis should be considered in the patient who exhibits:
decreased deep tendon reflexes.
positive Brudzinski and Kernig signs.
an intention tremor.
ptosis.
- correct answer positive Brudzinski and Kernig signs.
In a patient with parkinsonism, the loss of autonomic responses to fear and the development of
depression is caused by loss of neurons in the:
corpus striatum.
, globus pallidus.
amygdala.
brainstem.
- correct answer amygdala.
A progressive neurodegenerative disease that destroys motor neurons is:
multiple sclerosis.
amyotrophic lateral sclerosis.
myasthenia gravis.
Parkinson disease.
- correct answer amyotrophic lateral sclerosis.
A 35-year-old woman complains of daily or near daily low- to moderate-intensity headaches for about 4
months. The headaches are occasionally intense and are accompanied by mild photophobia. This is most
likely:
orthostatic headache.
hypnic headache.
chronic migraine.
thunderclap headache.
- correct answer chronic migraine.
Which condition is described as a sudden internal or external spinning Tympanic membrane rupture
Cerebral ischemia
Acoustic neuroma
Vertigo
- correct answer Vertigo
In a patient with meningitis secondary to Haemophilus influenzae infection, the history may reveal
recent:
endocarditis.
2026\2027 A+ Grade
A dysfunction of cranial nerve VI (abducens nerve) would likely result in:
the inability to chew.
lack of tongue movement.
ptosis.
esotropia.
- correct answer esotropia.
An acute, autoimmune, rapidly progressive demyelination of peripheral nerves is known as:
myasthenia gravis.
Guillain-Barre syndrome.
amyotrophic lateral sclerosis.
multiple sclerosis.
- correct answer Guillain-Barre syndrome.
A diagnosis of meningitis should be considered in the patient who exhibits:
decreased deep tendon reflexes.
positive Brudzinski and Kernig signs.
an intention tremor.
ptosis.
- correct answer positive Brudzinski and Kernig signs.
In a patient with parkinsonism, the loss of autonomic responses to fear and the development of
depression is caused by loss of neurons in the:
corpus striatum.
, globus pallidus.
amygdala.
brainstem.
- correct answer amygdala.
A progressive neurodegenerative disease that destroys motor neurons is:
multiple sclerosis.
amyotrophic lateral sclerosis.
myasthenia gravis.
Parkinson disease.
- correct answer amyotrophic lateral sclerosis.
A 35-year-old woman complains of daily or near daily low- to moderate-intensity headaches for about 4
months. The headaches are occasionally intense and are accompanied by mild photophobia. This is most
likely:
orthostatic headache.
hypnic headache.
chronic migraine.
thunderclap headache.
- correct answer chronic migraine.
Which condition is described as a sudden internal or external spinning Tympanic membrane rupture
Cerebral ischemia
Acoustic neuroma
Vertigo
- correct answer Vertigo
In a patient with meningitis secondary to Haemophilus influenzae infection, the history may reveal
recent:
endocarditis.
