Neuro
Neuro
Neuro
TB Meningitis
73. Overall mortality is still significant at 10%, infants and the elderly being at greatest risk A
74. HIV positive patients have higher mortality A
75. CSF has lymphocytic pleocytosis, mild protein elevation and normal glucose A
76. Brain imaging (CT or MRI) shows hydrocephalus B
77. Contrast MRI shows bilateral but not symmetrical temporal lobe lesions A
78. EEG shows periodic lateralizing epileptiform discharges (PLEDs) A
Glioblastoma Multiforme:
Meningiomas:
81. A slow growing histologically benign tumor arising from arachnoid layer A
82. The most common primary brain tumor in adults B
85. Thymectomy A
86. IV immunoglobulin A
87. Plasma exchange A
Multiple Choice.
88. This is the most common cause of acute to subacute generalized paralysis:
a. Diabetes Mellitus
b. Chronic alcoholism
c. Guillian-Barre syndrome
d. Lead poisoning
89. Which is NOT included in the traid of Miller-Fisher variant of GBS?
a. Orthostatic Hypotension
b. Ophthalmoplegia
c. Areflexia
d. Ataxia
90. Variants of GBS include the following, EXCEPT:
a. Miller-Fisher
b. Acute axonal motor neuropathy
c. Pharyngeal-cervical-brachial
d. Chronic inflammatory demyelinating polyneuropathy
91. The most frequent identifiable antecedent infection in GBS:
a. HIV
b. CMV
c. Pseudomonas sp.
d. Campylobacter jejuni
92. Which of the following is TRUE about diabetic polyneuropathy?
a. The duration of Diabetes is the most important factor.
b. There is loss of unmyelinated fibers
c. It is the second most common cause of metabolic neuropathy
d. It only affects motor and sensory nerves
93. Which statement is NOT true regarding CNS tumors?
a. presence of certain diseases such as AIDS predisposes to development of some forms of
CNS tumors
b. meningiomas are the most common benign intracranial tumor
c. growth rates and invasiveness of tumor vary depending on pathologic peculiarities
d. cytotoxic edema typically occurs along the vicinity of the CNS tumoral growths
94. Which is considered the primary treatment option for multiple brain metastases ?
a. chemotherapy
b. high dose steroids
c. surgical excision
d. whole brain radiotherapy
95. The following are brain tumors likely to present with increase intracranial pressure because of
its typical midline location, EXCEPT:
a. ependymoma
b. medulloblastoma
c. pituitary adenoma
d. oligodendroglioma
96. A 27 year old female consulted a neurologist because of drooping of the eyelids usually noted
late in the afternoon. This is not apparent in the morning or upon waking up. Further
questioning of the doctor revealed that she wouls also have on and off diplopia and hoarseness
she attributes to easy fatigability. Which among the following will be the primary diagnosis?
a. Guillian-BArre syndrome
b. Myasthenia Gravis
c. Diabetic neuropathy
d. Bell’s palsy
97. The following are information that can be derived from EMG-NCV studies
a. if weakness is due to a muscle or a nerve disease
b. if the neuropathy is axonal or demyelinating
c. if the disease is acute or chronic
d. A and B only
e. All of the above
98. True about Myasthenia gravis except:
a. More common in women than in men in younger patients
b. Associated with thymic disorders
c. May present with autonomic signs and symptoms
d. Muscles of the eyes and throat are vulnerable
e. Sensory symptoms are absent
99. Hyperostoses of the skull are the most commonly seen with which type of CNS tumor:
a. meningiomas
b. pituitary adenomas
c. astrocytomas
d. schwanommas
100. Which statement does not describe CNS meningioma?
a. dural-based extra-axial tumor
b. derived from mesoderm
c. all cases undergo adjunct chemotherapy
d. more frequent in females 2:1
e. majority are benign tumors