NEUROLOGICAL SURGERY EXAM|
ULTIMATE EXAM WITH CORRECT
VERIFIED ANSWERS
A 65-year-old patient presents with sudden severe
headache, neck stiffness, and photophobia. Most likely
diagnosis?
A. Subarachnoid hemorrhage
B. Tension headache
C. Migraine with aura
D. Temporal arteritis
✅ Answer: A
2. A patient with progressively worsening lower limb
weakness and hyperreflexia likely has:
A. Peripheral neuropathy
B. Spinal cord compression
C. Myasthenia gravis
D. Guillain–Barré syndrome
✅ Answer: B
3. A 50-year-old presents with new-onset seizures and
imaging shows a ring-enhancing lesion. Most likely:
,A. Glioblastoma multiforme
B. Stroke
C. Meningioma
D. Epidural hematoma
✅ Answer: A
4. Which cranial nerve is most commonly affected by
acoustic neuroma?
A. CN V
B. CN VII
C. CN VIII
D. CN IX
✅ Answer: C
5. A patient presents with sudden-onset hemiplegia and
slurred speech. First step?
A. MRI brain with contrast
B. Immediate CT scan to rule out hemorrhage
C. Lumbar puncture
D. EEG
✅ Answer: B
6. Which condition is associated with Chiari I malformation?
,A. Hydrocephalus
B. Spina bifida
C. Syringomyelia
D. Brain abscess
✅ Answer: C
7. The most common primary brain tumor in adults is:
A. Meningioma
B. Glioblastoma
C. Oligodendroglioma
D. Pituitary adenoma
✅ Answer: B
8. Which imaging modality is most sensitive for detecting
acute ischemic stroke?
A. CT non-contrast
B. MRI diffusion-weighted
C. CT angiography
D. Ultrasound
✅ Answer: B
9. A patient with loss of pain and temperature in a “cape-
like” distribution likely has:
, A. Brown–Séquard syndrome
B. Central cord syndrome
C. Syringomyelia
D. Anterior spinal artery infarction
✅ Answer: C
10. A 40-year-old presents with progressive lower limb
spasticity and urinary urgency. MRI shows thoracic cord
compression from tumor. Best management?
A. Physical therapy only
B. Surgical decompression
C. Corticosteroids only
D. Observation
✅ Answer: B
11. Which type of hemorrhage is most commonly associated
with rupture of a berry aneurysm?
A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hemorrhage
D. Intracerebral hemorrhage
✅ Answer: C
ULTIMATE EXAM WITH CORRECT
VERIFIED ANSWERS
A 65-year-old patient presents with sudden severe
headache, neck stiffness, and photophobia. Most likely
diagnosis?
A. Subarachnoid hemorrhage
B. Tension headache
C. Migraine with aura
D. Temporal arteritis
✅ Answer: A
2. A patient with progressively worsening lower limb
weakness and hyperreflexia likely has:
A. Peripheral neuropathy
B. Spinal cord compression
C. Myasthenia gravis
D. Guillain–Barré syndrome
✅ Answer: B
3. A 50-year-old presents with new-onset seizures and
imaging shows a ring-enhancing lesion. Most likely:
,A. Glioblastoma multiforme
B. Stroke
C. Meningioma
D. Epidural hematoma
✅ Answer: A
4. Which cranial nerve is most commonly affected by
acoustic neuroma?
A. CN V
B. CN VII
C. CN VIII
D. CN IX
✅ Answer: C
5. A patient presents with sudden-onset hemiplegia and
slurred speech. First step?
A. MRI brain with contrast
B. Immediate CT scan to rule out hemorrhage
C. Lumbar puncture
D. EEG
✅ Answer: B
6. Which condition is associated with Chiari I malformation?
,A. Hydrocephalus
B. Spina bifida
C. Syringomyelia
D. Brain abscess
✅ Answer: C
7. The most common primary brain tumor in adults is:
A. Meningioma
B. Glioblastoma
C. Oligodendroglioma
D. Pituitary adenoma
✅ Answer: B
8. Which imaging modality is most sensitive for detecting
acute ischemic stroke?
A. CT non-contrast
B. MRI diffusion-weighted
C. CT angiography
D. Ultrasound
✅ Answer: B
9. A patient with loss of pain and temperature in a “cape-
like” distribution likely has:
, A. Brown–Séquard syndrome
B. Central cord syndrome
C. Syringomyelia
D. Anterior spinal artery infarction
✅ Answer: C
10. A 40-year-old presents with progressive lower limb
spasticity and urinary urgency. MRI shows thoracic cord
compression from tumor. Best management?
A. Physical therapy only
B. Surgical decompression
C. Corticosteroids only
D. Observation
✅ Answer: B
11. Which type of hemorrhage is most commonly associated
with rupture of a berry aneurysm?
A. Epidural hematoma
B. Subdural hematoma
C. Subarachnoid hemorrhage
D. Intracerebral hemorrhage
✅ Answer: C
