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Examen

Neurology Practice Questions and Correct Answers/Latest Update /Already Graded

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Vista previa 4 fuera de 77 páginas

Neurology Practice Questions and Correct Answers/Latest Update /Already Graded

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Page|1
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Neurology Practice Questions Questions
and Correct Answers/ Latest Update / Already
Graded
History & Physical/Neurology A A




A 73 year-
A A



old male presents to the clinic with his wife. His wife has noticed that
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he has developed a resting tremor in his right hand and a shuffling gai
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t over the last year. What finding on physical examination would supp
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ort your suspected diagnosis?
A A A




Answers

Chorea

Dystonia

Masked facies A




Hyperreflexia

Ans: Explanations A




A. See C for explanation.
A A A A




B. See C for explanation.
A A A A




C. The patient symptoms are consistent with Parkinsonism. Physical
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exam findings include masked facies, micrographia, decreased arm s
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wing, and monotonous speech.
A A A




D. See C for explanation.
A A A A




History & Physical/Neurology A A




All rights reserved © 2025/ 2026 |
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, Page|2
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A patient with an upper motor neuron lesion would exhibit which of th
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e following findings?
A A




Answers

Fasciculations

Areflexia

Muscular atrophy A




Spasticity

Ans: Explanations
A




A. Fasciculations, areflexia and muscle atrophy are cons
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istent with lower motor neuron lesions.
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B. See A for explanations.
A A A A




C. See A for explanation.
A A A A




D. Spasticity is an upper motor neuron lesion finding.
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Diagnostic Studies/Neurology A




What test is the single most useful test in establishing the diagnosis o
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f multiple sclerosis?
A A




Answers

A. Cerebral spinal fluid cell count and protein level
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B. Cerebral spinal fluid immunoglobulin studies
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C. Evoked potentials
A A




All rights reserved © 2025/ 2026 |
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, Page|3
A A A A A




D. Magnetic Resonance Imaging
A A A




Ans: Explanations A




A. While cerebral spinal fluid cell count, protein levels, and immunog
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lobins may be abnormal they are not specific for multiple sclerosis.
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B. See A for explanation.
A A A A




C. Evoked potentials are most useful in the detection of subclinic
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al involvement of neuropathways in MS, but does not establish the d
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iagnosis.
D. The presence of plaques on MRI is a key finding in esta
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blishing the diagnosis of MS. A A A A




Diagnostic Studies/Neurology A




A 22 year-
A A



old male presents to the clinic complaining of excessive daytime so
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mnolence and strong desires to sleep at inappropriate times. He ca
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me in today because he had an episode of "feeling paralyzed" as he
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was falling asleep yesterday. What is the most appropriate diagnos
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tic test to confirm this patient's diagnosis?
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Answers

A. MRI of the brain
A A A A




Electroencephalogram

Multiple sleep latency test A A A




Overnight polysomnography A




All rights reserved © 2025/ 2026 |
A A A A A A

, Page|4 A A A A A




Ans: Explanations
A




A. See C for explanation.
A A A A




B. See C for explanation.
A A A A




̀⠀⠀ĀᜀĀᜀĀᜀĀᜀĀᜀĀᜀĀᜀĀᜀ̀Ѐ⠀̀⠀⤀Ā⠀Ā⠀Ā⠀Ā⠀Ā⠀Ā⠀Ā⠀ C. Multiple sleep latency test A A A A



A is required to observe the abrupt transition to REM sleep and estab
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lish the diagnosis of narcolepsy.
A A A A




D. See C for explanation.
A A A A




Diagnosis/Neurology

A 54 year-
A A



old male smoker presents to the clinic complaining of frequent vague
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Aheadaches with associated vomiting that awaken him from sleep occ
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asionally and have been present upon awakening for about two week
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s. The headache typically resolves about an hour into his morning rou
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tine. The patient is afebrile. What is the most likely cause of this patie
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nt's headaches?
A




Answers

A. Cluster headaches
A A




Depression

Glioblastoma

Giant cell arteritisA A




Ans: Explanations
A




A. Cluster headaches can awaken patients, but are not usual
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ly "vague".
A

Información del documento

Subido en
1 de octubre de 2025
Número de páginas
77
Escrito en
2025/2026
Tipo
Examen
Contiene
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