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WorksheetsMCQ's_Neurological Disorders and Disease (6)
Total questions: 10
Worksheet time: 5mins
Below is a sign of moderately severe hypoxic ischemic encephalopathy (HIE).
Seizure
Irritability
hypertonia
Small or poorly reacting pupils
Which statement best described side effects of Multiple Sclerosis (MS) therapies in pregnancy?
IVIG must be considered in first trimester of pregnancy
Methylprednisolone must be offered to MS patients with acute relapse in second and third trimesters.
Steroids are asscociated with an increased risk of cleft lips and palate when used in the first trimester of pregnancy?
Symptomatic therapies should not be evaluated for potential teratogenic risks and thus minimised in pregnant MS patients.
A 12-year-old boy is admitted with high grade fever, projectile vomiting and neck stiffness and rigidity. After examining the patient and looking at the laboratory reports, the physician explained to the parents that their son was suffering from acute bacterial meningitis. What was the most likely finding on the patient's CSF report
Increased glucose
Decreased protein
Increased neutrophils
Increased lymphocytes
Approximately 9% of patients have ophthalmic complications following bell’s palsy. Which statement best described ophthalmic complications?
Keratitis only
Excessive tearing
Decreased tearing
Lagophthalmos and blinking difficulties
About 75% of patients with Multiple sclerosis (MS) have bladder dysfunction.
i. A bladder diary is a useful tool for clinical assessment
ii. Urine analysis, culture and sensitivity, and post-void residual volume (PVRV) assessment
iii. Ultrasound KUB and video-urodynamic studies may be considered
iv. Suprapubic catheterization is an option of treatment
i
i, ii
i, ii, iii
All the above
A consensus definition: symptom obligatory for a diagnosis of juvenile myoclonic epilepsy (JME) is
Normal intelligence
Age of onset between 10 and 25 years
Myoclonic jerks without loss of consciousness predominantly occurring after awakening
EEG with normal background and typical ictal generalized high amplitude polyspike and slow waves accompanying myoclonic jerks
The following statement is true regarding Clinically isolated syndrome (CIS). It is the
second clinical episode, lasting ≥24 hours in which a patient has symptoms and signs suggestive of an inflammatory demyelinating disorder of the CNS that is at high risk of development of MS.
first clinical episode, lasting <6 hours in which a patient has symptoms and signs suggestive of an inflammatory demyelinating disorder of the CNS that is at high risk of development of MS.
second clinical episode, lasting <6 hours in which a patient has symptoms and signs suggestive of an inflammatory demyelinating disorder of the CNS that is at high risk of development of MS.
first clinical episode, lasting ≥24 hours in which a patient has symptoms and signs suggestive of an inflammatory demyelinating disorder of the CNS that is at high risk of development of MS.
The following is the features needed for diagnosis of Guillain-Barré syndrome (GBS) in clinical practice
Areflexia (or decreased tendon reflexes) in weak limbs
Progressive weakness in legs and arms (sometimes initially only in legs)
Progressive weakness in legs and arms (sometimes initially only in legs) and preserved reflexes in weak limbs.
Progressive weakness in legs and arms (sometimes initially only in legs) and areflexia (or decreased tendon reflexes) in weak limbs.
The patient is a 56-year-old male who had a sexually transmitted disease 20 years ago after an unprotected sexual encounter. He now presents with neurological problems including cognitive and visual problems. On physical examination you would expect his pupils to
not accommodate
react to light and accommodate
not react to light and accommodate
not react to light and not accommodate
Which of this statement best describe abnormal disorder of tone and posture in cerebral palsy?
Dystonia causing relax postures
Brisk deep tendon jerk reflexes are sign of spasticity
Types of hypotonicity: spasticity and dystonia that commonly co-exist
All cerebral palsy patients will have an increased muscle tone
