NEUROLOGY MULTIPLE-CHOICE QUESTIONS

Directions: Each question below contains four suggested responses. Select the one best response to each question.

1. The most typical state of consciousness in ischemic stroke is:

1. Coma

2. Confusional

3. Not disturbed

4. Delirium

The answer: 3

2. Focal sign, characteristic for anterior cerebral artery thrombosis is:

1. Loss of vision

2. Central paresis of a leg

3. Central paresis of an arm.

4. Meningeal signs

The answer: 2.

3. Focal sign, characteristic for middle cerebral artery thrombosis is:

1. Loss of vision

2. Central paresis of a leg

3. Central paresis of an arm.

4. Meningeal signs

The answer: 3.

4. Focal sign, characteristic for posterior cerebral artery thrombosis is:

1. Visual field disorders

2. Central paresis of a leg

3. Central paresis of an arm.

4. Meningeal signs

The answer: 1.

5. Focal sign, characteristic for vertebral artery trombosis is:

1. Cerebellar ataxia

3. Aphasia

4. Alexia

5. Meningeal signs

The answer: 1.

6. Sign, characteristic for a subarachnoid hemorrhage is:

1. Hearing loss

2. Hemiparesis

3. Aphasia

4. Meningeal syndrome

The answer: 4.

7. The mostly informative diagnostic method to detect ischemic stroke is:

1. A lumbar puncture

2. EEG

3. MRI

4. Pneumoencephalography

The answer: 3.

8. The drug used in case of cerebral hemorrhage is:

1. Alteplase

2. Clopidogrel

3. Heparin

4. Ca channel blockers

The answer: 4.

9. The onset of cerebral hemorrhage is:

1. Acute

2. Subacute (hours)

3. Chronic relapsing-remittent

4. Chronic progressive

The answer: 1

10. CSF color at the acutest stage of subarachnoid hemorrhage is the following:

1. Red

2. White

3. Colorless

4.Green

The answer: 1

11. Sign which is characteristic for the concussion of the brain:

1. The long-term loosing of consciousness (more than 30 minutes)

2. A headache

3. Central hemiparesis

4. Meningeal signs

The answer: 2.

12. The opened craniocerebral trauma non-infectious complication is:

1. Meningitis

2. Brain abscess

3. Osteomyelitis

4. Carotid-cavernous fistula

The answer: 4.

13. Sign, characteristic for pituitary gland adenoma is:

1. Diplopia

2. Bitemporal hemianopia

3. Hemiparesis

4. Hearing disorder

The answer: 2.

14. Sign, characteristic for a neurinoma of 8 pair is:

1. Diplopia

2. Loss of hearing

3. Hemiparesis

4. Hemihypoaesthesia

The answer: 2.

15. Sign, characteristic for extramedullary tumors of spinal cord is:

1. Loss of vision

2. Aphasia

3. Block of a subarachnoid space

4. Hearing disorder

The answer: 3.

16. Sign, characteristic for an initial stage of an intramedullary tumors at level С5-С8 is:

1. Loss of pain and temperature sensitivity in upper limbs

2. Aphasia

3. Spastic paresis

4. Urine sphincter disorders

The answer: 1.

17. Signs, which help to differentiate encephalitis & meningitis are:

1. General infective

2. Focal

3. Meningeal

4. General (universal) neurological

The answer: 2.

18. Sign, characteristic for mosquito’s encephalitis (Japanese) is:

1. Peripheral paralysis of the upper extremities

2. Epileptic paroxysm

3. A paralysis of an accommodation

4. Radiculopathy syndrome

The answer: 2.

19. Sign, characteristic for an acute myelitis is:

1. Disorder of consciousness

2. Psychomotor excitement, delirium

3. Cerebellar ataxia

4. Impairment of sensitivity below the level of affection

The answer: 4.

20. Sign, characteristic for tuberculous meningitis is:

1. The acute onset

2. Neutrophilic pleocytosis in CSF

3. A lymphocytic pleocytosis, high protein content in CSF

4. Increased glucose content in CSF

The answer: 3.

21. The pathogenic organism, which causes primary viral meningites, is:

1. Coxsakievirus

2. Meningococcus

3. Mumps virus

4. A streptococcus

The answer: 1.

22. Sign, characteristic for a meningitis is:

1.Central tetraparesis

2. Normal cell count in CSF

3. A stiff neck

4. Inflammation of brain’s tissue

The answer: 3.

23. The clinical form of mesodermal (early) neurosyphilis is:

1. Meningovascular syphilis

2. Tabes dorsalis

3. Spastic spinal paralysis

4. General paresis of insane

The answer: 1.

24. The clinical form of ectodermal (late) neurosyphilis is:

1. Meningovascular syphilis

2. Tabes dorsalis

3. Early syphilitic meningitis

4. Acute syphilitic meningitis

The answer: 2.

25. The primary form of HIV affection of the brain is:

1. HIV-associated dementia

2. Brain lymphoma

3. Ventriculitis

4. Gumma

The answer: 1.

26. The cytomegalovirus infection in AIDS patients may manifest by:

1. Idiopathic polymyositis

2. Brain lymphoma

3. Ventriculitis

4. Gumma

The answer: 3.

27. The medication for stopping the epileptic status is:

1. Seduxen i/v

2. Neostygmin i/v

3. Aspirin orally

4. Metoprolol orally

The answer: 1

28. The clinical form of partial seizures is:

1. Jacksonian paroxysms

2. Absence seizures

3. Astatic seizures

4. Tonic-clonic seizures

The answer: 1

29. The EEG sign - generalized 3 per second spike and slow-wave discharges are specific for:

1. Jacksonian paroxysms

2. Absence seizures

3. Astatic seizures

4. Tonic-clonic seizures

The answer: 2

30. The MRI finding in syringomyelia is:

1. Inflammatory process

2. Haematomyelia

3. Cavity

4. Tumor

The answer: 3

21. Diagnostic tests in myasthenia gravis is:

1. EEG

2. Atropine test

3. EMG

4. ECG

The answer: 3.

32. Sign, characteristic for the ocular form of myasthenia gravis is:

1. A lagophthalmus

2. Impairment of mastication

3. Ptosis

4. Dysphagia

The answer: 3.

33. A syndrome, characteristic for motor neuron disease is:

1. Epileptic paroxysms

2. Urination disturbance

3. Wasting of muscles, fibrillations and brisk reflexes

4. Oculomotor paresis

The answer: 3.

34. A sign, characteristic for the bulbar form of motor neuron disease is:

1. Loss of sensitivity

2. Blindness

3. Dysarthtia and a dysphagia

4. An atrophy of lower extremities

The answer: 3.

35. The part of the nervous system, which is affected mostly in multiple sclerosis is:

1. Sensory pathways

2. Cerebellar and upper motor neurons

3. Basal ganglia

4. Autonomic ganglia

The answer: 2.

36. Typical visual disturbance for multiple sclerosis is:

1. Hemianopia

2. Angiopathy of retinas

3. Retrobulbar neuritis

4. Papilloedema

The answer: 3.

37. Typical motor disorder in multiple sclerosis is:

1. Peripheral paresis

2. Central paresis

3. Aphasia

4. Apraxia

The answer: 2

38. The most effective treatment of multiple sclerosis exacerbation is:

1. Antibiotics

2. Corticosteroids

3. Blockers of calcium channels

4. Iron

The answer: 2.

39. The drug that is used for prevention of exacerbations in cases of relapsing-remittent multiple sclerosis:

1. Copaxone

2. Rifampicine

3. Diazepam

4. Pregabalin

The answer: 1

40. Sign, characteristic for a polyneuropathy, is:

1. A hemiparesis

2. Conductive type of sensory loss

3. A muscular hypertonia

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

The answer: 4.

41. Sign, characteristic for a diphtheric polyneuropathy is:

1. Central tetraparesis

2. A bulbar palsy

3. Meningeal signs

4. A pleocytosis in CSF

The answer: 2.

42. The sign, that excludes Guillain-Barre syndrome:

1. Peripheral tetraparesis

2. Bilateral facial paresis

3. Respiratory insufficiency

4. Severe CSF pleocytosis

The answer: 4.

43. The therapy of neuropathic pain in diabetic polyneuropathy usually includes:

1. Steroids

2. Plasmapheresis

3. Gabapentine or pregabalin

4. Alteplase

The answer: 3.

44. Sign, characteristic for an alcoholic polyneuropathy is:

1. Central tetraparesis

2. Peripheral paresis in distal parts of extremities

3. Meningeal signs

4. A pleocytosis in CSF

The answer: 2.

45. The manifestations of the reflex syndromes of the degenerative vertebral column pathology include:

1. Central hemiparesis

2. Meningeal syndrome

3. Muscular spasm into the damaged part

4. Pelvic organ dysfunction

The answer: 3.

46. The manifestations of the compressive syndromes of the degenerative vertebral column pathology include:

1. Aphasia

2. Meningeal syndrome

3. Muscular spasm into the damaged part

4. Sensory loss in dermatom

The answer: 4.

47. The manifestations of Parkinson disease include:

1. Central hemiparesis

2. Retrobulbar neuritis

3. Hypokinetic syndrome

4. Meningeal signs

The answer: 3.

48. The occupational parkinsonism may develop because of long-term contact with:

1. Manganum

2. Radiation

3. Vibration

4. Sulfur dioxide.

The answer: 1.

49. The Parkinson disease patients significantly improve by administration of:

1. Dexamethazone

2. Cyancobalamine

3. D-penicillamine

4. Levodopa-containing drugs

The answer: 4.

50. Torsion dystonia may be treated by:

1. Steroids

2. Diuretics

3. Copaxone

4. Neuroleptics

The answer: 4.

51. A metabolic disturbance in Wilson`s disease produce accumulation of:

1. Iron

2. Copper

3. Huntingtin

4. Calcium

The answer: 2.

52. A syndrome characteristic for Huntington's disease is:

1. Chorea & dementia

2. Tics & vocal hyperkinesis

3. Dystonia & myotonia

4. Mental retardation & cardiac malformations

The answer: 1.

Date: 2015-12-11; view: 1056