Neurodegenerative for Fellows pre-Exam Round 2

Female, 65 yo, recurrent falls

• MSA-C

• MSA-P

• Alzheimer's Disease

• Parkinson's Disease

• Left external capsule infarct

Male, 50 yo, tremors, dysdidokokinesia, gait instability and dysarthria for two years. Clinically suspected parkinson variant

• MSA-C

• MSA-P

• PSP

• Alzheimer's Disease

• Parkinson's Disease

Male, 72 yo, memory loss. What is your diagnosis?

• MSA-C

• MSA-P

• PSP

• Alzheimer's Disease

• Parkinson's Disease

Male, 70 yo, 2 year history of increasing Parkinsonism, clinically suggestive of a Parkinson's Plus syndrome. What is your diagnosis?

• MSA-C

• MSA-P

• PSP

• Alzheimer's Disease

• Parkinson's Disease

Female, 82 yo, with long standing hypertension. Altered sensorium. BP 224/104 mmHg. What is your diagnosis?

• hypertensive microangiopathy

• multiple cavernoma syndrome

• hemorrhagic metastasis

• diffuse axonal injury

• cerebral amyloid angiopathy

A 55 year old woman with obesity, type II diabetes mellitus and poorly controlled hypertension presents with symptoms of depression and psychosis contextualised by a gradual decline in cognitive and occupational function. She does not have a significant past psychiatric history. What is your diagnosis?

• hypertensive microangiopathy

• multiple cavernoma syndrome

• hemorrhagic metastasis

• diffuse axonal injury

• cerebral amyloid angiopathy

Female, 45 yo, with progressive weakness

• Amyotropic lateral sclerosis

• Creutzfeldt-Jakob disease

• Huntington disease

• Spinocerebellar ataxia

• Frontotemporal lobar degeneration

Male, 35 yo, with progressive weakness

• Amyotropic lateral sclerosis

• Creutzfeldt-Jakob disease

• Huntington disease

• Spinocerebellar ataxia

• Frontotemporal lobar degeneration

Male, 40 yo, with rapid cognitive decline over 12 months. Unable to complete tasks of daily living (e.g. making coffee)

• Amyotropic lateral sclerosis

• Creutzfeldt-Jakob disease

• Huntington disease

• Spinocerebellar ataxia

• Frontotemporal lobar degeneration

A 50-year-old man presented with 9-years history of progressive ataxia. Examination showed ataxia and pyramidal signs

• Amyotropic lateral sclerosis

• Creutzfeldt-Jakob disease

• Huntington disease

• Spinocerebellar ataxia

• Multisystem Atrophy