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MCQ's_Neurological Disorders and Disease (3)

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Which of the following brain structures are the most common sites for formation of demyelinating plaques in advanced multiple sclerosis?

a)

Basal ganglia, optic nerve, brain stem and white matter of the spinal cord

b)

Paraventricular white matter, optic nerve, brainstem, and grey matter of the spinal cord

c)

Cerebral white matter, optic nerve and chiasm, brainstem, and white matter of the spinal cord

d)

Paraventricular grey matter, optic nerve and chiasm, brainstem, and grey matter of the spinal cord

2.

A 54-year-old morbidly obese and hypertensive man is brought to the emergency department after experiencing sudden onset of weakness of his left upper and lower extremities. CT shows an infarcted area in the medulla. Damage to which of the following tracts or fiber bundles of the medulla would most likely explain this deficit?

a)

Medial lemniscus

b)

Rubrospinal tract

c)

Corticospinal fibres

d)

Anterolateral system

3.

At the onset of Parkinson’s disease, patients typically present with

a)

asymmetrical tremors, more prominent in the lower extremities

b)

symmetrical tremors, more prominent in the upper extremities

c)

symmetrical tremors, more prominent in the lower extremities

d)

asymmetrical tremors, more prominent in the upper extremities

4.

Which of the following statement is the characteristics of migraine headache?

a)

Must have nausea and vomiting

b)

Photophobia and phonophobia were not associated

c)

Bilateral location, pulling quality, moderate or severe pain intensity

d)

Unilateral location, pulsating quality, moderate or severe pain intensity

5.

A 34-year-old woman presents with blurry and dim vision in the left eye and some paraesthesia, especially involving the right upper limb.  She says that she has had occasional bouts of poor vision over the past few years as well as occasional muscle weakness. What disorder is she most likely experiencing?

a)

Radiculopathy

b)

Multiple sclerosis

c)

Guillain barre syndrome

d)

Duchenne muscular dystrophy

6.

Which of the following nervous system speeds up the body functions?

a)

Central nervous system

b)

Peripheral nervous system

c)

Sympathetic nervous system

d)

Parasympathetic nervous system

7.

The following statement is true regarding Lacunar infarction (LI), except

a)

Typically located in the basal ganglia

b)

Pathologically characterized by lipohyalinosis

c)

Caused by occlusion of a single penetrating end artery deep in the brain

d)

Pure motor syndrome in most cases were explained by lesions in the motor cortex

8.

A repeat  assessment and certification of brain death

a)

can be done at 2 hours after the first

b)

is withheld if patient will not continue to be an organ donor

c)

must be done by the same pair specialists as the first assessment

d)

should still be performed regardless of whether the patient will or will not continue to be an organ donor

9.

Bell’s palsy is defined as

a)

an acute facial nerve paralysis of known origin

b)

a chronic facial nerve paralysis of known origin

c)

an acute facial nerve paralysis of unknown origin

d)

as an acute trigeminal nerve paralysis of unknown origin

10.

Bladder dysfunction in Multiple sclerosis management includes:

  1. I. Fluid management, avoidance of caffeinated beverages, timed voiding and pelvic floor muscles exercises may be offered as initial management.

  2. II. Neuromodulation with tibial nerve stimulation have been shown to be beneficial in management of overactive bladder.

  3. III. Clean intermittent catheterization 4 - 6 hourly should be advised in those with high post void residual volume (>100 ml).

IV. Suprapubic catheterization is preferred in those with severe refractory urinary symptoms not responding to conservative management

a)

ii only

b)

iii only

c)

i and ii

d)

i, ii, iii and iv