Multiple Choice Questions (MCQ)

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Category: Prometric--->Neurology
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Question 1# Print Question

A 27-year-old man presents to the Emergency Department with 2 day history of severe headache and pyrexia (38.2ºC).

A CT scan is reported as follows:

CT Brain: Petechial haemorrhages in the temporal and inferior frontal lobes. No mass effect. Brain parenchyma otherwise normal.

What is the most likely diagnosis?

A. Brain abscess
B. Meningococcal meningitis
C. Cerebral malaria
D. Herpes simplex encephalitis
E. New variant CJD

Question 2# Print Question

A 29-year-old man presents complaining of visual disturbance. Examination reveals a right superior homonymous quadrantanopia.

Where is the lesion most likely to be? 

A. Optic chiasm
B. Left temporal lobe
C. Right temporal lobe
D. Left optic nerve
E. Left parietal lobe

Question 3# Print Question

A 64-year-old man with a history of Parkinson's disease is reviewed in clinic and a decision has been made to start him on cabergoline.

Which one of the following adverse effects is most strongly associated with this drug?

A. Optic neuritis
B. Transient rise in liver function tests
C. Pulmonary fibrosis
D. Renal failure
E. Thrombocytopenia

Question 4# Print Question

A 76-year-old man is admitted with a right hemiparesis. He first noticed weakness on his right side around six hours ago. A CT scan shows an ischaemic stroke and aspirin 300mg is commenced.

Terms of further management in the acute phase, which one of the following values should not be corrected?

A. BP 210/110
B. Blood glucose 11.2 mmol/l
C. Oxygen saturation 93%
D. Temp 38.3ºC
E. Blood glucose 3.5 mmol/l

Question 5# Print Question

A 23-year-old man is referred to neurology clinic. He describes episodes of leg weakness following bouts of laughing whilst out with friends. The following weekend his friends described a brief collapse following a similar episode.

What is the most likely diagnosis?

A. Stokes-Adams attack
B. Cataplexy
C. Hypokalaemic periodic paralysis
D. Absence seizure
E. Myasthenia gravis

Category: Prometric--->Neurology
Page: 1 of 5