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Neurodegenerative for Fellows pre-Exam Round 2

Total questions: 15

Worksheet time: 8mins

Name
Class
Date
1.

Female, 65 yo, recurrent falls

a)

MSA-C

b)

MSA-P

c)

Alzheimer's Disease

d)

Parkinson's Disease

e)

Left external capsule infarct

2.

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

a)

MSA-C

b)

MSA-P

c)

PSP

d)

Alzheimer's Disease

e)

Parkinson's Disease

3.

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

a)

MSA-C

b)

MSA-P

c)

PSP

d)

Alzheimer's Disease

e)

Parkinson's Disease

4.

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

a)

MSA-C

b)

MSA-P

c)

PSP

d)

Alzheimer's Disease

e)

Parkinson's Disease

5.

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

a)

hypertensive microangiopathy

b)

multiple cavernoma syndrome

c)

hemorrhagic metastasis

d)

diffuse axonal injury

e)

cerebral amyloid angiopathy

6.

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?

a)

hypertensive microangiopathy

b)

multiple cavernoma syndrome

c)

hemorrhagic metastasis

d)

diffuse axonal injury

e)

cerebral amyloid angiopathy

7.

Female, 45 yo, with progressive weakness

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

Huntington disease

d)

Spinocerebellar ataxia

e)

Frontotemporal lobar degeneration

8.

Male, 35 yo, with progressive weakness

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

Huntington disease

d)

Spinocerebellar ataxia

e)

Frontotemporal lobar degeneration

9.

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

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

Huntington disease

d)

Spinocerebellar ataxia

e)

Frontotemporal lobar degeneration

10.

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

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

Huntington disease

d)

Spinocerebellar ataxia

e)

Multisystem Atrophy

11.

What is your diagnosis?

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

Huntington disease

d)

Spinocerebellar ataxia

e)

Frontotemporal lobar degeneration

12.

Male 40 yo. What is your diagnosis?

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

CADASIL

d)

Subcortical arteriosclerotic encephalopathy

e)

Frontotemporal lobar degeneration

13.

Female 35 yo with personality change. What is your diagnosis?

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

CADASIL

d)

Subcortical arteriosclerotic encephalopathy

e)

Frontotemporal lobar degeneration

14.

Female, 70 yo, unsteadiness, impaired vision, cognitive impairment worsening over one month

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

CADASIL

d)

Subcortical arteriosclerotic encephalopathy

e)

Frontotemporal lobar degeneration

15.

Female, 50 yo, unsteadiness, rapid decline in occupational function associated with progressive cognitive impairment, abnormal involuntary movements, falls and urinary incontinence

a)

Amyotropic lateral sclerosis

b)

Creutzfeldt-Jakob disease

c)

CADASIL

d)

Subcortical arteriosclerotic encephalopathy

e)

Frontotemporal lobar degeneration

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