Neurology MCQ Examples
Neurology MCQ Examples
Study online at https://quizlet.com/_8a4jt7
1. A patient presents complaining of aching pain, numb- C. Carpal tunnel syn-
ness and tingling in the thumb and index finger of the drome
left hand. She also describes some loss of dexterity of
the left hand. On examination there is decreased sen- Radiculopathy made less
sation to pin- prick, soft touch and vibration sensation likely due to Cx compres-
over the thumb and index finger. There is some mild sion and distraction -ve.
wasting and weakness of the abductor pollicis brevis
Cubital tunnel v.unlikely
muscle on the left. Resisted pronation of the forearm
due to no ulna nerve in-
and axial compression and distraction of the cervical
nervations.
spine do not change the pain or sensory disturbance.
What is the most likely diagnosis?
Pronator teres syndrome
less likely due to resisted
A. C6 radiculopathy
pronation of the forearm
B. C7 radiculopathy
did not cause reproduc-
C. Carpal tunnel syndrome
tion of symptoms.
D. Cubital tunnel syndrome
E. Pronator teres syndrome
2. A patient presents complaining of aching pain, numb- D. Cubital tunnel syn-
ness and tingling in the 4th and 5th digits of the right drome.
hand. She also describes some loss of dexterity of
the right hand. On examination, there is decreased Weakness of flexor digito-
sensation to pin-prick and soft touch sensation over rum profundus is inner-
the dorsal and palmar aspects of the medial palm and vated before the Guyon
4th and 5th digits on the right. There is some mild canal.
weakness of the abductor digiti minimi, interossei and
Sensation is also reduced
flexor digitorum profundus (4th and 5th digits) mus-
over the dorsal area of the
cles on the right. What is the most likely diagnosis?
hand which is innervated
A. C8 radiculopathy by the dorsal brach of the
B. T1 radiculopathy ulnar nerve which does not
C. Thoracic outlet syndrome follow the Guyon canal.
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Neurology MCQ Examples
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D. Cubital tunnel syndrome
E. Tunnel of Guyon syndrome
3. A 78-year-old male presents with neck pain and stiff- C. MRI
ness that has become progressively worse over the
last 10 years. He has now started to develop pain in the Likely sings of cord com-
left arm to his wrist and a bilateral feeling of weakness pression.
and loss of dexterity of his hands. He also feels his legs Broad based gait indicates
are stiffer and his walking has deteriorated. Doral column and hyper-
Examination findings include broad based gait, a de- reflexia bilateral legs in-
crease in the triceps reflex, hyperreflexia in both legs, dicated corticospinal tract
and an extensor plantar response bilaterally. What lesion.
would be the best option for further investigation? Decreased triceps reflex
could suggest that the
A. Blood tests cord pathology begins at
B. Digital fluoroscopy (OSMIA) this level.
C. MRI
D. No investigation is required prior to management
E. X-ray
4. Which muscle best to use for determining myotomal D. Flexor digitorum pro-
weakness at the C8 nerve root level? fundus.
A. Brachioradialis ECR = C6
B. Extensor carpi radialis FCR = C7
C. Flexor carpi radialis FDP = C8
D. Flexor digitorum profundus DI = T1
E. Dorsal Interossei
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Neurology MCQ Examples
Study online at https://quizlet.com/_8a4jt7
1. A patient presents complaining of aching pain, numb- C. Carpal tunnel syn-
ness and tingling in the thumb and index finger of the drome
left hand. She also describes some loss of dexterity of
the left hand. On examination there is decreased sen- Radiculopathy made less
sation to pin- prick, soft touch and vibration sensation likely due to Cx compres-
over the thumb and index finger. There is some mild sion and distraction -ve.
wasting and weakness of the abductor pollicis brevis
Cubital tunnel v.unlikely
muscle on the left. Resisted pronation of the forearm
due to no ulna nerve in-
and axial compression and distraction of the cervical
nervations.
spine do not change the pain or sensory disturbance.
What is the most likely diagnosis?
Pronator teres syndrome
less likely due to resisted
A. C6 radiculopathy
pronation of the forearm
B. C7 radiculopathy
did not cause reproduc-
C. Carpal tunnel syndrome
tion of symptoms.
D. Cubital tunnel syndrome
E. Pronator teres syndrome
2. A patient presents complaining of aching pain, numb- D. Cubital tunnel syn-
ness and tingling in the 4th and 5th digits of the right drome.
hand. She also describes some loss of dexterity of
the right hand. On examination, there is decreased Weakness of flexor digito-
sensation to pin-prick and soft touch sensation over rum profundus is inner-
the dorsal and palmar aspects of the medial palm and vated before the Guyon
4th and 5th digits on the right. There is some mild canal.
weakness of the abductor digiti minimi, interossei and
Sensation is also reduced
flexor digitorum profundus (4th and 5th digits) mus-
over the dorsal area of the
cles on the right. What is the most likely diagnosis?
hand which is innervated
A. C8 radiculopathy by the dorsal brach of the
B. T1 radiculopathy ulnar nerve which does not
C. Thoracic outlet syndrome follow the Guyon canal.
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D. Cubital tunnel syndrome
E. Tunnel of Guyon syndrome
3. A 78-year-old male presents with neck pain and stiff- C. MRI
ness that has become progressively worse over the
last 10 years. He has now started to develop pain in the Likely sings of cord com-
left arm to his wrist and a bilateral feeling of weakness pression.
and loss of dexterity of his hands. He also feels his legs Broad based gait indicates
are stiffer and his walking has deteriorated. Doral column and hyper-
Examination findings include broad based gait, a de- reflexia bilateral legs in-
crease in the triceps reflex, hyperreflexia in both legs, dicated corticospinal tract
and an extensor plantar response bilaterally. What lesion.
would be the best option for further investigation? Decreased triceps reflex
could suggest that the
A. Blood tests cord pathology begins at
B. Digital fluoroscopy (OSMIA) this level.
C. MRI
D. No investigation is required prior to management
E. X-ray
4. Which muscle best to use for determining myotomal D. Flexor digitorum pro-
weakness at the C8 nerve root level? fundus.
A. Brachioradialis ECR = C6
B. Extensor carpi radialis FCR = C7
C. Flexor carpi radialis FDP = C8
D. Flexor digitorum profundus DI = T1
E. Dorsal Interossei
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