Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Neurological and Neurosurgical Emergencies
Page: 1

Question 1# Print Question

Which ONE of the following features is LEAST likely to be helpful in making a clinical diagnosis of migraine?

A. A gradual onset hemi-paraesthesia preceding or accompanied by headache that lasts <60 minutes
B. Onset of lethargy and yawning a few hours before the onset of headache
C. Bilateral headache
D. External ocular muscle palsy associated with headache

Question 2# Print Question

Which ONE of the following statements is TRUE regarding a patient aged over 50 years who presents to the emergency department (ED) with a severe headache?

A. The occipito-nuchal location of the headache has a high positive predictive value (PPV) for a critical secondary cause
B. Ischaemic optic neuritis can be a complication in this patient
C. Headache onset associated with exertion is not a predictor of subarachnoid haemorrhage
D. Secondary causes of headaches are more common in this age group than primary causes

Question 3# Print Question

 Regarding secondary causes of headache, all of the following statements are true EXCEPT:

A. Pregnancy and the postpartum period increases the risk for cerebral venous thrombosis
B. Abnormal findings on neurological examination are present in the majority of patients with brain tumours
C. Diastolic hypertension is a recognized cause of severe headache
D. 10–25% of ischaemic stroke in the young and middle-aged population is secondary to spontaneous cervical arterial dissection

Question 4# Print Question

Regarding temporal arteritis, all of the following statements are correct EXCEPT:

A. It is almost exclusive to the over-50 age group
B. The classic headache is an essential diagnostic criterion
C. Jaw claudication may be a prominent feature
D. Scalp necrosis may be found on examination

Question 5# Print Question

Regarding subarachnoid haemorrhage (SAH), which ONE of the following is TRUE?

A. Non-contrast CT is useful in predicting the site of aneurysmal rupture
B. More than 50% of patients with SAH have an additional aneurysm that has not ruptured
C. Subhyaloid retinal haemorrhage is pathognomonic and can be identified in most patients on careful fundoscopy
D. Syncope as a sole symptom, without any other neurological features, can be a presenting feature

Category: Emergency Medicine--->Neurological and Neurosurgical Emergencies
Page: 1 of 6