Directions: Each question below contains six suggested responses. Select all correct responses (more than one) to each question.

53. Focal signs, characteristic for right middle cerebral artery thrombosis are (right-handed person):

1. Wernike’s aphasia

2. Left-sided central hemiparesis

3. Left-sided hemianopia

4. Disturbance of swallowing

5. Oculomotor disorders

6. Cerebellar ataxia

The answer: 2, 3.

54. Focal signs, characteristic for anterior cerebral artery trombosis are:

1. Loss of vision

2. Central paresis of a leg

3. Central paresis of an arm.

4. Psychiatric disorders

5. Meningeal signs

6. Deafness.

The answer: 2, 4.

55. Focal signs, characteristic for vertebral artery thrombosis are:

1. Syndromes of medulla oblongata affection

2. Cerebellar ataxia

3. A nystagmus

4. Aphasia

5. Meningeal signs

6. Alexia

The answer: 1, 2, 3.

56. Focal signs, characteristic for basillar artery thrombosis are:

1. Syndromes of brainstem affection

2. Aphasia

3. Blindness

4. Apraxia

5. Olfactory hallucinations

6. Alexia

The answer: 1, 3.

57. The carotid vascular territory of the brain blood supply includes the following arteries:

1. Internal carotid

2. Anterior cerebral

3. Aorta

4. Middle cerebral

5. Posterior cerebral

6. Basillar

The answer: 1, 2, 4.

58. Etiological factors of an ischemic stroke are the following:

1. Essential hypertension

2. Large artery atherosclerosis

3. Cardiac arrhythmia

4. Systemic vasculites

5. Gastric ulcer

6. Pneumonia

The answer: 1, 2, 3, 4.

59. Etiological factors of cerebral hemorrhage are the following:

1. Essential hypertension

2. Arteriovenous malformations

3. Stenosis of intracranial vessels

4. Systemic vasculites

5. Blood diseases

6. The secondary renal hypertension

The answer: 1, 2, 4, 5, 6.

60. The origins of cardioembolic stroke are the following:

1. Cardiac valve defects

2. Left ventricle aneurysm after myocardial infarction

3. Thrombosis of the leg viens

4. Carotid artery atherothrombosis

5. Atrial fibrillation

6. Patent foramen ovale

The answer: 1, 2, 5, 6.

61. The variants of the hemorrhagic stroke are the following:

1. Atherothrombotic

2. Parenchymatous

3. Subarachnoid

4. Ventricular

5. Cardioembolic

6. Hemodinamic

The answer: 2, 3, 4.

62. The variants of the ischemic stroke are the following:

1. Atherothrombotic

2. Parenchymatous

3. Subarachnoid

4. Ventricular

5. Cardioembolic

6. Hemodinamic

The answer: 1, 5, 6.

63. Signs which are characteristic for brain compression by hematoma:

1. Disorder of consciousness

2. Lucid period

3. Progression of symptoms

4. Bradycardia

5. Tachycardia

6. Reynaud’s phenomenon

The answer: 1,2,3,4.

64. The infectious complications of opened craniocerebral injury are the following:

1. Meningitis

2. Brain abscessus

3. Osteomyelitis

4. Carotid-cavernous fistula

5. Progressive autonomic failure

6. Parkinsonism

The answer: 1,2,3.

65. Signs, characteristic for tumor of a frontal lobe are the following:

1. Hemiparesis

2. Broka’s aphasia

3. Jaksonian paroxisms

4. Loss of senation

5. Cortical blindness

6. Deafness

The answer: 1,2,3.

66. Signs, characteristic for pituitary gland adenoma are the following:

1. Acromegalia

2. Bitemporal hemianopia

3. Hemiparesis

4. Deafness

5. Dysmetria

6. Aphasia

The answer: 1,2.

67. Signs, characteristic for tumors of a cerebellum are the following:

1. Muscular hypotonia on the side of a lesion

2. A horizontal nystagmus

3. Anosmia

4. Congestive optic nerve discs

5. Aphasia

6. Jacksonian paroxisms

The answer: 1,2,4.

68. Signs, characteristic for a neurinoma of 8 pair:

1. Tinnitus

2. Loss of hearing

3. Atetosis

4. Aphasia

5. Cortical blindness

6. Anosognosia

The answer: 1,2.

69. Signs, characteristic for extramedullary tumor of spinal cord are:

1. Loss of pain sensitivity

2. Radicular pain

3. Block of a subarachnoid space

4. A hearing disorder

5. Apraxia

6. Acalculia

The answer: 1,2,3.

70. Signs, characteristic for extramedullary tumors of spinal cord are:

1. Brown-Séquard's syndrome

2. The complete transversal lesion of a spinal cord

3. Radicular pain

4. A protein - cell dissociation in CSF

5. Aphasia

6. Bitemporal hemianopia

The answer: 1,2,3,4.

71. Signs, characteristic for an initial stage of an intramedullary tumors at level С5-С8 are:

1. Loss of pain and temperature sensitivity in upper limbs

2. Flaccid paresis

3. Spastic paresis

4. Autonomic disturbances in upper extremities

5. Urine sphincter disorders

6. Dystonia

The answer: 1,2,4.

72. Signs, characteristic for a extramedullary tumor of Th4-5 spinal segments are:

1. Radicular pain on thoracic level

2. Tetraparesis

3. Lower paraparesis

4. Urine sphincter disorders

5. Epileptic paroxysms

6. Anosmia

The answer: 1,3,4.

73. Signs, characteristic for mosquito’s encephalitis (Japanese), are:

1. A peripheral paralysis of the upper extremities

2. Epileptic paroxysms

3. Consciousness alterations

4. High temperature

5. Meningeal syndrom

6. A paralysis of an accommodation

The answer: 2,3,4,5.

74. Drugs used for treatment of a tuberculous meningitis are:

1. Isoniazid 15 mg/kg/day

2. Rifampicin 600 mg/day

3. Penicillin 12 000 000 ME per day

4. Streptomycin 1 g per day

5. D-penicillamin 1000 mg per day

6. Methylprednisolon 1000 mg per day

The answer: 1,2,4.

75. The possible reasons for secondary purulent meningitis are:

1. Penetrating scalp lacerations

2. A purulent otitis

3. A purulent sinusitis

4. Meningococcemia

5. Epidemic parotitis

6. Lung’s abscess

The answer: 1,2,3,6.

76. Signs, characteristic for a meningitis, are:

1.General hyperesthesia

2. Headache

3. Vomiting

4. Normal cell count in CSF

5. Stiff neck

6. Inflammation of brain tissue

The answers: 1,2,3,5.

77. Clinical signs of a myasthenia gravis are:

1. Ptosis

2. Muscular weakness

3. Constipation

4. Diplopia

5. Fluctuation of weakness

6. Absence of deep reflexes

The answer: 1,2,4,5.

78. Signs, characteristic for the ocular form of myasthenia are:

1. Lagophthalmus

2. Impairment of mastication

3. Ptosis

4. Diplopia

5. Dysphagia

6. Strabismus

The answer: 3,4,6.

79. The mostly typical places of affection in nervous system in multiple sclerosis are:

1. Sensory spinal ganglions

2. Cerebellum

3. Olfactory tract

4. Pyramidal pathways

5. Optic nerve

6.Anterior horns of a spinal cord

The answer: 2, 4, 5.

80. Signs, characteristic for a polyneuropathy, are:

1. Hemiparesis

2. Pains in extremities

3. Peripheral paresis in distal parts of extremities

4. A muscular hypertonia

5. “Gloves” and “stockings” type of the sensory loss

6. Autonomic disturbances in distal parts of extremities

The answer: 2, 3, 5, 6.

81. Signs, characteristic for a diphtheric polyneuropathy, are:

1. Central tetraparesis

2. A bulbar palsy

3. Disturbance of accommodation

4. Meningeal syndrom

5. A pleocytosis in CSF

6. Paraesthesias in extremities

The answer: 2, 3, 6.

82. Signs, that describe Huntington`s disease are the following:

1. Lower paraparesis

2. Bitemporal hemianopia

3. Aphasia

4. Chorea

5. Dementia

6. Progressive course of the disease.

The answer: 4, 5, 6.

83. Signs, that describe Wilson`s disease are the following:

1. Kayser - Fleischer`s rings

2. Liver affection

3. Involuntary movements

4. Atrophy of optic nerve disks

5. Loss of sensation

6. Parkinson’s syndrom

The answer: 1, 2, 3, 6.

84. Signs, that describe Duchenne`s dystrophy are the following:

1. Myocardial dystrophy

2.Pseudohypertrophy of the calves

3. Muscular atrophy in proximal parts of extremities

4. A level of CPK is elevated

5. A level of CPK is decreased

6. The age of onset 2 - 5 years

The answer: 1, 2, 3, 4, 6.

TO MAKE UP THE CORRESPONDENCE:

85. Disease: Manifestations:

1. Subarachnoid hemorrhage А. Hypodensitive zone on CT

2. Ischemic stroke B. Meningeal signs

3. Multiple sclerosis C. Active focci of demyelination

The answer: 1-B, 2-A, 3 C.

86. Disease: Signs:

1. Ischemic stroke А. Hypodensitive zone on CТ

2. Brain tumor B. Severe pleocytosis at CSF

3. Meningoencephalitis C. Increased level of protein in CSF

The answer: 1-A, 2-C, 3-B

87. Disease: Treatment options

1. Ischemic stroke A. Antibiotics

2. Meningoencephalitis B. Thrombolysis

3. Subarachnoid hemorrhage C. Clipping of aneurysm

The answer: 1-B, 2-A, 3-C.

88. Disease: Signs:

1. Subarachnoid hemorrhage A. Red color of CSF

2. Ischemic stroke B. Protein-to-cell dissociation at CSF

3. Brain tumor C. Hypodensitive zone on CТ

The answer: 1-A, 2-C, 3-B.

89. Disease: Signs:

1. Concussion of the brain А. Destructive changes into the brain tissue on CT

2. Cerebral contusion B. Absence of focal signs

3. Brain compression C. Transtentorial inclination

The answer: 1-B 2-A, 3-C.

90. Complication of acute Signs:

сraniocerebral injury:

1. Meningitis A. Meningeal syndrome

2. Carotid-cavernous fistula B. Exophthalmus

3. Brain abscessus C. Space-occupating process surrounded with capsula

The answer: 1 - A, D 2-В, 3-C.

91. Variant of impaction: Signs:

1. Lateral A. III cranial nerve paresis

2 Cerebellar B. Forced position of the head

3. Subfalcine C. Ischemic stroke due to anterior cerebral artery compression

The answer: 1 - A, 2-B, 3-C.

92. Localization of a tumor: Type of a tumor:

1. Medial cranial fossa А. A neurinoma of 8 pair

2. Posterior cranial fossa B. Falx-meningeoma

3. Cranial convex C. Astrocytoma of a cerebellum

The answer: 1 – A, 2-C, 3-B.

93. Syndroms of pituitary gland adenoma: Histological structure:

1. Visual А. Acromegalia

2. Endocrine B. Turkish sella destruction

3. X-ray C. Bitemporal hemianopia

The answer: 1–C, 2–A, 3-B.

94. Localization of a tumor: Histological structure:

1. Brain matter А. Astrocytoma

2. Brain coverings B. Meningioma

3. Peripheral nerve C. Neurinoma

The answer: 1-A, 2 – B, 3-C.

95. HIV infection stages Clinical form of nervous system affection

1. Seroconversion illness A. Chronic inflammatory demyelinating polyneuropathy

2. Clinical latency B. Cryptococcal meningitis

3. AIDS C. Self-limiting aseptic meningitis

The answer: 1-C, 2 – A, 3-B.

96. Clinical form of neurosyphilis Manifestation

1. Tabes dorsalis A. Psychiatric symptoms

2. General paresis of insane B. Ischemic stroke usually into the territory of MCA

3. Meningovascular syphilis C. Sensitive ataxia in lower extremities

The answer: 1-C, 2 – A, 3-B.

97. Disease Clinical manifestation

1 Multiple sclerosis А. Kaiser-Fleisher rings

2. Wilson’s disease B. Central tetraparesis

3. Motor neuron disease C. Mixed paresis of upper extremities

The answer: 1-B, 2-A, 3-C

98. Disease Clinical manifestation

1 Multiple sclerosis А. Central tetraparesis

2. Syringomyelia B. Polysegmental disorder of pain and temperature sensation

3. Motor neuron disease C. Mixed paresis of upper extremities

The answer: 1-A, 2-B, 3-C

99. Disease: Signs:

1. Trigeminal nerve neuralgia А. "Shooting" pain in the face

2. A neuropathy of facial nerve B. Lagophthalmus

3. Occulomotor nerve compression C. Divergent strabismus

The answer: 1 – A 2- B 3-C

100. Compressive syndrome of vertebral Manifestation

column pathology

1. Spinal A. Compressive myelopathy

2. Radicular B. Ischemic infarction of spinal cord

3. Vascular C. Radiculopathy

The answer: 1- A 2- C 3- B

TO ADD:

101. The diagnosis of transient ischemic attack (TIA) is correct, if all focal signs regress during ______________.

The answer: 24 hours.

102. Frontal, parietal and temporal lobes, internal capsula are supplied by _____ ________ artery.

The answer: middle cerebral.

103. Occipital lobes, basal surface of temporal lobes are supplied by ______ __________ artery.

The answer: posterior cerebral .

104. Rapidly developing clinical symptoms of focal/global loss of brain function with symptoms lasting more than 24 h or leading to death, with no apparent cause other than that of vascular origin is named ________.

The answer: stroke.

105. Period of time between trauma and appearance of neurological signs in cases of brain compression is named ____________ ____________.

The answer: lucid interval

106. Craniocerebral trauma at which damage of a skin corresponds to the fracture of the skull bone is named ______________.

The answer: opened.

107. Complication of opened craniocerebral injury which manifests with pleocytosis in CSF is named ______________.

The answer: meningitis

108. Complication of craniocerebral injury which manifests with exophtalmus and murmur in orbital zone is named ___________ - ____________ _____________.

The answer: carotid-cavernous fistula

109. Muscular resistance limiting head bending to the anterior thoracal wall (sternum) is named ___________ ___________

Answer: Neck stiffness

110. Muscular resistance in extension the flexed knee while the hip is flexed is named after __________ /name/

The answer: Kernig

111. Flexion in both knee joints while doctor bends the patient’s neck forwardly is named _______ ____________ /name/.

The answer: upper Brudsinsky’s.

112. The increased cell count in CSF is named ______________.

The answer: pleocytosis

113. Main inhibitory neurotransmitter in epilepsy is ____________.

The answer: GABA

114. The main exciting neurotransmitter in epilepsy is _______________.

The answer: glutamate

115. The drug for pharmacological test in myasthenia gravis is ____________.

The answer: tensilon

116. The drug for stopping cholinergic crisis is ______________.

The answer: atropin

117. Acute idiopathic inflammatory polyneuropathy is named _________ - _________ ____.

The answer: Guillain-Barre syndrome

118. The type of sensation loss in polyradiculoneuropathies is named ____________ type.

The answer: “gloves” & “stockings”

119. Wrist drop is typical for affection of ____________ nerve.

The answer: radial

120. Absence of a knee reflex is typical for a lesion of ____________ nerve.

The answer: femoral.

Date: 2015-12-11; view: 752