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EPS0 N3UR0 C0MP1LE

Total questions: 124

Worksheet time: 1hrs 6mins

Name
Class
Date
1.

What is the function of this cell ?

a)

Conduct nerve impulses

b)

Produce myelin sheath

c)

Supporting ganglion cells

2.

Which of the following medium is used for isolating Mycobacterium tuberculosis?

a)

Manitol salt agar

b)

Sabouraud dextrose

c)

Thioglycolate broth

d)

Chocolate agar

e)

Lowenstein-Jensen

3.

A 27-year-old woman had persistent headache and amenorrhea. She was also diagnosed with acromegaly based on various symptoms and clinical findings. Brain MRI showed a giant tumor around pituitary fossa, pressuring on optic chiasm from the middle. Based on the result of biopsy presented below, what is her diagnosis?

a)

Craniopharyngioma

b)

Pituitary adenoma

c)

Ependymoma

d)

Medulloblastoma

e)

Hemangioblastoma

4.

On the bed side LCS examination then

a)

Nonne's examination is to determine whether there is a qualitative increase in protein levels

b)

Nonne's examination is to determine whether there is an increase in Globulin levels qualitatively

c)

Pandi examination to determine whether there is a quantitative increase in protein levels

d)

Nonne's examination is to determine whether there is a qualitative increase in Globulin levels

e)

Pandi examination to determine whether there is a qualitative increase in Globulin levels

5.

What is the function of this cell ?

a)

Conduct impulses from receptor to spinal cord

b)

Conduct impulses from central nervous system to peripheral nervous system

c)

Conduct impulses from spinal cord to muscle

6.

A 60-year-old man presented with altered level of consciousness and right sided hemiplegia which was progressive over four days. MRI showed left occipitoparietal space occupying lesion with multiple linear projections. Based on the result of biopsy presented below, what is his diagnosis?

a)

Gliosarcoma

b)

Astrocytoma

c)

Glioblastoma multiforme

d)

Ependymoma

e)

Cerebral metastasis

7.

What is the name of this structure?

a)

Ranvier Node

b)

Neurolemma

c)

Axolemma

8.

What is the name of this tissue?

a)

Endoneurium

b)

Epineurium

c)

Perineurium

9.

Where is the structure occurs?

a)

Myelin sheath and axolemma are discontinous

b)

Myelin sheath is discontinous

c)

Axolemma is absent

10.

A 54-year-old man presented with persistent headache associated with vomiting, balance disorder with ataxia, recurrent tremor, as well as nystagmus for the last 2 months. MRI showed a lesion of the left cerebellar hemisphere. Based on the result of biopsy presented below, what is his diagnosis?

a)

Pilocytic astrocytoma

b)

Hemangioblastoma

c)

Glioblastoma

d)

Medulloblastoma

e)

Arteriovenous malformation

11.

What is the function of this structure?

a)

Gross pressure / vibration receptor

b)

Light touch receptor

c)

Pain receptor

12.

Wrist drop is a disorder caused by …………… palsy

Choose one from the five options in the image below and write the name of the nerve!

The brachial plexus is visible from the anterolateral view

A,C: from posterior division

B,D,E : from anterior division

a)

A. N. Axillary

b)

B. N. Median

c)

C. N. Radialis

d)

D. N. Musculocutaneous

e)

E. N. Ulnaris

13.

A 30-year-old man presented with fever, dizziness and vomiting, with bout of seizures in the last 7 days. He has history of HIV infection and was on antiretroviral drugs. CT scan of the brain showed an irregular ring enhancing lesion in the right basal ganglia with surrounding marked white matter edema and mass effect. Based on the result of biopsy presented below, what is his diagnosis?

a)

Progressive multifocal encephalopathy

b)

Primary lymphoma

c)

Metastatic brain lesion

d)

Toxoplasmosis

e)

Tuberculoma

14.

From the image below, which nerve will continue as the lateral cutaneous nerve of the forearm (n. cutaneus antebrachii lateralis)? Choose one from the five options in the image below and write the name of the nerve!

The brachial plexus is visible from the anterolateral view

A,C: from posterior division

B,D,E : from anterior division

a)

A. N. Axillary

b)

B. N. Median

c)

C. N. Radialis

d)

D. N. Musculocutaneous

e)

E. N. Ulnaris

15.

A 12-year-old boy presented with progressive loss of vision in both eyes since 2 months with headache and nausea. Brain MRI revealed large ill-defined lobulated solid cystic extra axial space occupying lesion in posterior aspect of third ventricle involving pineal gland. Based on the result of biopsy presented below, what is his diagnosis?

a)

Diffuse midline glioma

b)

Pineocytoma

c)

Germinoma

d)

Pineoblastoma

e)

Medulloblastoma

16.

Specify the type of hemolysis produced by bacteria as illustrated in figure below:

a)

γ-hemolysis

b)

β-hemolysis

c)

Incomplete hemolysis

d)

µ-hemolysis

e)

α-hemolysis

17.

What type of cell is it?

a)

Multipolar neuron

b)

Bipolar neuron

c)

Unipolar neuron

18.

The results of the CSF examination that support the diagnosis of Tuberculous Meningitis are

a)

Cells dominated by PMN and opalescent, prot – (neg)

b)

Cells dominated by PMN and purulent, prot – (neg)

c)

Cells are predominantly lymphocyte and purulent, prot + 2

d)

Cells dominated by PMN and purulent, prot + 3

e)

Cells are predominantly lymphocyte and opalescent, prot + 2

19.

What is the name os this structure?

a)

Meissner corpuscle

b)

Merkel cospuscle

c)

Pacini corpuscle

20.

A bacterium with less than a complete twist or comma shaped is known as?

a)

Vibrioid

b)

Spirilla

c)

Helical

d)

Flagellated

e)

Spirochetes

21.

What is the name of this cell?

a)

Satellite cell

b)

Purkinje cell

c)

Ganglion cell

22.

This nerve (?) leaves the base of the cranium through a structure; state the full name of that structure

(a)  

23.

Normal Cebro Spinalis liquor is

a)

Gross appearance : clear and white Culture : positive Gram stain : positive

b)

Gross appearance : clear and colorless Culture : steril Gram stain : negative

c)

Gross appearance : clear and white Culture : steril

d)

Gross appearance : clear and white Culture : positive Gram stain : negative

e)

Gross appearance : clear and colorless Culture : steril Gram stain : positive

24.

A baby was diagnosed with ventriculitis. Cerebro Spinal Fluid was taken for microbiology

examination, and the culture result on was performed on figure (A). The Gram stain was showed on figure (B). What is the best media for this organism!

a)

LJ media

b)

TSIA

c)

ChromAgar

d)

MSA

e)

Blood agar

25.

Which of the following is transport medium most frequently used?

a)

Amies

b)

ChromAgar

c)

MacConkey

d)

Nutrient agar

e)

Columbia blood agar

26.

A 20-year-old woman presented with two episodes of generalized seizure. There were no

neurological deficits on admission, and CT scan revealed a 5 cm sized mixed density lesion with multifocal calcification in the left frontal and basal ganglia region. Based on the result of biopsy presented below, what is her diagnosis?

a)

Venous angiomas

b)

Dural arteriovenous fistulas

c)

Capillary telangiectasias

d)

Arteriovenous malformations

e)

Cavernoma

27.

Circulus arteriosus cerebri is composed of ……. arteries. Name all the arteries!

(a)  

28.

What is the name of this cell ?

a)

Satellite cell

b)

Ganglion cell

c)

Purkinje cell

29.

A 32-year-old man presented with complaints of vertigo and tinnitus for the last month. Magnetic resonance imaging revealed a large mass lesion in the right frontal region with an extra-axial localization. Based on the result of biopsy presented below, what is his diagnosis?

a)

Intracranial Hodgkin lymphoma

b)

Meningioma

c)

Gliosarcoma

d)

Plasmacytoma

e)

Intracranial hemangiopericytoma

30.

What is the name of this marked (?) nerve ?

(a)  

31.

Culture on nutrient slant agar (18 h at 25°C) shown production of a green fluorescent pigment (siderophore)

a)

Klebsiella pneumoniae

b)

Serratia marcescens

c)

Escherichia coli

d)

Candida albicans

e)

Pseudomonas aeruginosa

32.

LCS in GBS sufferers (guillain barre syndrome)

a)

There is a decrease in protein levels accompanied by an increase in cell number

b)

There is an increase in protein levels without an increase in cell number

c)

There is a decrease in protein levels accompanied by an increase in cell number

d)

There is a decrease in protein levels accompanied by a decrease in cell number

e)

protein accompanied by an increase in cell number

33.

The dural infoldings divide the cranial cavity into compartments. How many folds of the

duramater are there?

(a)  

34.

A 9-year-old girl was admitted to the hospital with a 15-day-long hemiparesis and disorientation. CT scan showed a deep-seated expansive lesion on the right brain. Based on the result of biopsy presented below, what is his diagnosis?

a)

Cerebral abscess

b)

Astrocytoma

c)

Glioblastoma

d)

Toxoplasmosis

e)

Oligodendroglioma

35.

A 34 years-old woman presented with frontal headache with progression of 7 months and

diplopia that appeared in the last month. Clinical evaluation revealed left abducens nerve palsy.

Coronal CT scan showed a large sphenoid sinus heterogeneous mass with destruction of the

ethmoid sinus and sella turcica. Based on the result of biopsy presented below, what is her

diagnosis?

a)

Craniopharyngioma

b)

Hemangioblastoma

c)

Pituitary adenoma

d)

Meningioma

e)

Oligodendroglioma

36.

This nerve(?) leaves basis cranii through a hole. Name this hole !

(a)  

37.

According to the capsule staining, which of the following organism has the white glycocalyx surrounding purple cell (arrow).

a)

Staphylococcus epidermidis

b)

Mycobacterium tuberculosis

c)

Candida albicans

d)

Klebsiella pneumoniae

e)

Pseudomonas aeruginosa

38.

What is the name of the nerve colored in pink(?) ?

(a)  

39.

A 32-year-old man experienced an episode of concurrent bilateral tinnitus and left hemi-body

paraesthesia involving the face, arm, and leg. An MRI revealed a non-enhancing, T1-hyperintense

lesion within in Heschl’s Gyrus of the right cerebral hemisphere, extending into the insular cortex.

Based on the result of biopsy presented below, what is his diagnosis?

a)

Multiple sclerosis

b)

Toxoplasmosis

c)

Diffuse astrocytoma

d)

Glioblastoma

e)

Encephalitis

40.

The result of bacteria staining showed pink bacilli against blue background of the cells. State the name of this staining.

a)

ZN

b)

Albert

c)

Gram

d)

Gins Bury

e)

India Ink

41.

What is the name of this cell ?

a)

Sensory neuron cells

b)

Connecting neuron cells

c)

Motor neuron cells

42.

What is the function of this cell ?

a)

Sensory neuron cells

b)

Connecting neuron cells

c)

Motor neuron cells

43.

Where is the location of this tissue ?

a)

Central nervous system

b)

Autonomic nervous system

c)

Peripheral nervous system

44.

A 45-year-old woman has had unilateral headaches on the right for the past 5 months. Physical examination yields no remarkable findings. The mass is surgically removed. What is the most likely diagnosis?

a)

Astrocytoma

b)

Ependymoma

c)

Metastasis

d)

Meningioma

e)

Tuberculoma

45.

45-year man addressed complaint for his unilateral headaches. The head CT scan showed a 2-cm mass, well circumscribed, in his temporal cerebral hemispheres. After been removed by neurosurgeon, the mass

was sent to a pathologic laboratory.

From the microscopic appearance here, which of the following will best describe your diagnosis?

a)

Oligodendroglioma

b)

Meningioma

c)

Astrocytoma

d)

Glioblastoma

e)

Ependymoma

46.

A young girl was diagnosed with ventriculitis after a VP shunt surgery. LCS specimen was taken for

microbiology examination. The result are performed on fig. 1, and 2

QUESTION:

According to the microbiology examination, what is the causative microorganism?

a)

Cryptococcus neoformans

b)

Klebsiella pneumoniae

c)

Salmonella typhi

d)

Pseudomonas aeruginosa

e)

Escherichia coli

47.

Patients with a history of head trauma and weakness in the limbs. In the photo to the side, you can find an abnormality in the form of?

a)

Scoliosis

b)

Cervical Fracture

c)

Cervical Subluxation

d)

Grade II spondylolisthesis

e)

None of the above

48.

The nerve, which is medial to olive of the medulla oblongata, exit from the basis cranii through:

a)

Location F

b)

Location C

c)

Location B

d)

Location |

e)

Location E

49.

A young boy was diagnosed with ventriculitis after a VP shunt surgery. LCS specimen was taken for direct

stain. The result is performed on fig. 1.

Please state the name of this direct stain.

a)

Periodic-Acid Schiff

b)

20% Potassium Hydroxide

c)

India Ink

d)

Gram

e)

Grocott's Methenamine Silver

50.

The anatomical structure that forms the basis of the ventriculus quartus is

a)

Brachium conjunctivum

b)

Pedunculus cerebrii

c)

Vellum medullare superius

d)

Fossa rhomboidea

51.

A 40-year-old woman with complaints of chronic headaches. A CT scan of the head with contrast was carried out, as shown in the image below. What picture do you see?

a)

Vasogenic edema with abscess and midline shift to the right

b)

Cytotoxic edema with midline shift to the right

c)

Cerebral Infarction

d)

Intracranial Hemorrhage

e)

Not one of the above

52.

Hasil pemeriksaan LCS yang mendukung diagnosis meningitis tuberculosa adalah:

a)

Sel di dominasi oleh PMN dan purulent, prot — (neg)

b)

Sel di dominasi oleh PMN dan purulent, prot +3

c)

Sel di dominasi oleh PMN dan opalecent, prot — (neg)

d)

Sel di dominasi lymphocyte dan purulent, prot + 2

e)

Sel di dominasi lymphocyte dan opalecent, prot + 2

53.

LCS pada penderita gbs (guillain barre syndrome):

a)

Terdapat peningkatan kadar protein tanpa peningkatan jumlah sel

b)

Terdapat peningkatan kadar protein disertai peningkatan jumlah sel

c)

Terdapat penurunan kadar protein disertai penurunan jumlah sel

d)

Terdapat penurunan kadar protein disertai peningkatan jumlah sel

e)

Terdapat penurunan kadar protein disertai peningkatan jumlah sel

54.

Having been experiencing headaches for three weeks now, a 58-year age boy then has sudden onset of

vomiting and comatous. The head CT scan showed the presence of a 3-cm mass in the region left frontal.

Cytology to CSF that produced after a lumbal puncture apparently showed no malignant cells. An operation

on his mass was then performed.

The best diagnostic is

a)

Malignant lymphomas

b)

Adenoma hipofisis

c)

Meningioma

d)

Astrocytoma

e)

Glioblastoma multiforme

55.

A boy presented with a history of Capitis trauma.

A CT scan was carried out. What do you see?

a)

Old subdural hematoma

b)

Acute epidural hematoma

c)

Subarachnoid hemorrhage

d)

Intracerebral Hematoma

e)

Not one of the above

56.

Nervus, that arises proximal to olive and pyramides and caudal to fibrae pontis trasnversae:

a)

N. trochlearis

b)

N. mandibularis

c)

N. facialis

d)

N.abducens

e)

N. trigeminus

57.

Carpal Tunnel syndrome is a neurological disorder that occurs when nerve “X” becomes pressed or squezzed.

This nerve “X” originates from:

a)

Fasciculus medialis

b)

Fasciculus lateralis and fasciculus medialis

c)

Fasciculus lateralis

d)

Fasciculus posterior

58.

A boy was diagnosed with meningitis. LCS specimen was taken for microbiology examination. The results are

performed on fig. 1 and 2.

QUESTION:

According to the microbiology examination, what is the causative microorganism?

a)

Streptococcus mitis

b)

Escherichia coli

c)

Candida albicans

d)

Streptococcus pneumoniae

e)

Methicillin Resistant Staphylococcus aureus

59.

A-27 year old female complained of headaches and decreased mental function for several months and later she has experienced onset of generalized seizures and this been persisted for several weeks. A Head CT scan showed a 2 cm mass in the right cerebral hemisphere. The Sterotactic biopsy of this lesion shown in this microscopic.

Based upon your microscopic examination, which of following that most likely did happened?

a)

Hemangioma Cavernosum

b)

Arteriovenous malformation

c)

Ruptured aneurysm

d)

Gliosis

e)

Abscess Cerebri

60.

Liquour CebroSpinalis yang normal adalah:

a)

Gross appearance: clear and colorless

Culture: steril

Gram stain: positive

b)

Gross appearance: clear and white

Culture: positive

Gram stain: positive

c)

Gross appearance: clear and colorless

Culture: steril

Gram stain: negative

d)

Gross appearance: clear and white

Culture: positive

Gram stain: negative

e)

Gross appearance: clear and white

Culture: steril

Gram stain: negative

61.

Nerve that arises on each caudal from colliculus caudalis midbrain, exit from the basis cranii through:

a)

Location D

b)

Location B

c)

Location E

d)

Location H

e)

Location A

62.

A 65-year old male was headaches, dizziness, dysarthria, double vision, balance problems and tremor. While

being examined in ER, the MRI examination showed a cluster of abnormal blood vessels in brain. From the

microscopic examination here, which of the following that most likely did happened?

a)

Arteriovenous malformation

b)

Intra-cerebral hematoma

c)

Subdural hematoma

d)

Ruptured saccular aneurysm

e)

Cavernous Hemangioma

63.

A. vertebralis runs through foramina transversaria of the ......... CO veces

a)

Vertebrae thoracal | to vertebrae cervical IV

b)

Vertebrae cervical VI to vertebrae cervical |

c)

Vertebrae cervical VII to vertebrae cervical II

d)

Vertebrae cervical VI to vertebrae cervical III

e)

Vertebrae cervical | to vertebrae cervical VII

64.

Nervus that runs posteriorly and runs in a sulcus in the posterior part of the humerus bone is:

a)

NerveA

b)

NerveB

c)

NerveD

d)

NerveE

e)

Nerve C

65.

N. cutaneus antebrachii lateralis is a continuation of............... :

a)

Nerve C

b)

Nerve E

c)

Nerve D

d)

Nerve A

e)

Nerve B

66.

A 48-year-old, previously healthy woman presented to her gynecologist with a complaint of headaches,

amenorrhea, and galactorrhea for approximately 1 year. Physical examination was unremarkable, and she

had no neurological deficits. Pertinent laboratory values included an elevated prolactin level of 52.5 ng/mL

(normal value for a postmenopausal female reported as 1.8-20.3 ng/mL). Whole-brain magnetic resonance

imaging showed a 1.5-cm mass within the pituitary fossa that diffusely enhanced following administration of

gadolinium contrast material. Which of the following neoplasm lesions is he most likely to have?

a)

Pituitary adenoma

b)

Gliosis

c)

Metastatic carcinoma

d)

Astrocytoma

e)

Ependymoma

67.

Specify your interpretation of bacteria in the figure 1 according the result of Gram-stain!

a)

Gram-negative fusiform rods, budding spores, and Gram-positive bacillus

b)

Gram-positive cocci in cluster, Gram-negative bacilli, and acid-fast bacilli

c)

Gram-positive spore-forming, Gram-negative bacilli, and Gram-positive cocci in chain

d)

Gram-positive cocci in pairs, budding spores, and Gram-negative bacilli

e)

Gram-positive rod, Gram-positive cocci in pairs, and Gram-negative comma

68.

A man came with decreased unconsciousness and a history of previous complaints of severe headaches. On a CT scan, results were obtained, as shown in the image below. What do you see?

a)

Acute infarction in the cerebellum accompanied by non-communicating hydrocephalus

b)

Cerebellar tumor accompanied by non-communicating hydrocephalus

c)

Bleeding in the cerebellum accompanied by non-communicating hydrocephalus

d)

Cerebellar Meningioma

e)

None of the above

69.

A 40-year old female has a headache, loss of coordination, imbalance, nausea and vomiting symptoms. The MRI showed a cystic tumor in cerebellum. The best diagnostic of her disease based on microscopic here is

a)

Ependymoma

b)

Glioblastoma

c)

Haemangioblastoma

d)

Neurofibroma

e)

Schwannoma

70.

A young girl was diagnosed with ventriculitis after a VP shunt surgery. LCS specimen was taken for

microbiology examination. The result are performed on fig. 1 and 2

QUESTION:

According to the microbiology examination, what is the causative microorganism?

a)

Cryptococcus neoformans

b)

Candida albicans

c)

Aspergillus flavus

d)

Streptococcus pyogenes

e)

Mycobacterium tuberculosis

71.

A 49-year-old woman with a long history of a subcutaneous mass on the dorsal side of her 4th finger of the right hand visited a dermatologist because of slight enlargement of the mass. Physical examination revealed a small, round, firm subcutaneous mass on the dorsal side of her proximal interphalangeal joint of the right 4" finger. The mass was immobile and nontender and its overlying skin was intact. An excisional biopsy was done for the patient and the specimen was sent for pathologic evaluation. What is the most likely diagnosis?

a)

Schwannoma

b)

Elastofibtoma

c)

Fibroma

d)

Fibrosarcoma

e)

Neurofibroma

72.

A healthy 20-year-age male has a mild fever for a few days and then followed by a sudden onset of severe headache. The Head CT Scan reveals a cystic mass, irregular borders in left temporal lobe. An operation was then perfomed and the microscopic is as shown here.

Your best diagnostic is

a)

Meningioma

b)

Oligodendroglioma

c)

Brain abscess

d)

Astrocytoma

e)

Ependymoma

73.

A 65-year age of healthy woman was driving car when she got sudden onset of severe headache. She pulled on into a gas station, stop the car but while trying to exit then slumped over the wheel. When taken to ER, the MRI show a mass in right parietal region. The microscopic appearance shown here.

The best diagnostic is:

a)

Schwannoma

b)

Diffuse astrocytoma

c)

Subdural hematoma

d)

Oligodendroglioma

74.

The source of this artery (black line):

a)

A.subclavia

b)

A. axillaris

c)

A.carotis communis

d)

A. thyroidea inferior

75.

Pada pemeriksaan LCS bed side maka:

a)

Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar Globulin secara kwanlitative

b)

Pemeriksaan Pandi untuk mengetahui adanya peningkatan kadar Globulin secara kwalitative

c)

Pemeriksaan Pandi untuk mengetahui adanya peningkatan kadar protein secara kwanlitative

d)

Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar Globulin secara kwalitative

e)

Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar protein secara kwalitative

76.

The most common cause of foot drop is …. injury.

a)

N. saphenus

b)

N. peroneus communis

c)

N. Tibialis

d)

N. Femoralis

e)

N. Suralis

77.

A basilaris is located at:

a)

3

b)

1

c)

2

78.

A young boy was diagnosed with ventriculitis after a VP shunt surgery. LCS specimen was taken for microbiology examination. The result are performed on fig. 1, 2, and 3 QUESTION:

According to the microbiology examination, what is the causative microorganism?

a)

Staphylococcus epidermidis

b)

Streptococcus pneumoniae

c)

Staphylococcus aureus

d)

Escherichia coli

e)

Candida albicans

79.

This marked anatomical structure (red line) is ?

Select one:

a)
  • N.oculomotorius

b)
  • N.trochlearis

c)
  • N.abducens

d)
  • N.trigeminus

e)
  • N.facialis

80.

PADA PEMERIKSAAN LCS BED SIDE MAKA:

Select one:

a)
  • Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar Globulin secara kwalitative

b)
  • Pemeriksaan Pandi untuk mengetahui adanya peningkatan kadar protein secara kwanlitative

c)

Pemeriksaan Pandi untuk mengetahui adanya peningkatan kadar Globulin secara kwalitative

d)
  • Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar Globulin secara kwanlitative

e)
  • Pemeriksaan Nonne untuk mengetahui adanya peningkatan kadar protein secara kwalitative

81.

Which examination that you choose in the probable neck trauma case?

a)

Cervical MRI

b)

Cervical myelography

c)

Open mouth AP position cervical X ray

d)

3D cervical MS CT scan

e)

Lateral position cervical X ray

82.

Wrist drop is a disorder of a nerve that innervating the ...... muscles of the wrist and digits

a)

Flexor

b)

Extensor

83.

A 20-year old female has 7 scattered of 1-3 cm nodule with irregular borders hyperpigmented skin lesions on her extremities and torso. The best diagnostic of her disease based on microscopic here is,

(a)  

84.

The internal carotid artery terminates and branches into the anterior cerebral artery and the posterior cerebral artery at:

a)

1

b)

2

c)

3

d)

4

e)

5

85.

Wrist drop is a disorder causes by ...... nerve palsy:

a)

A

b)

B

c)

C

d)

D

e)

E

86.

A Male, came to emergency department with blood from the left ear. Which is the best examination for this patient?

a)
  • Mastoid T1 MRI

b)
  • UHR mastoid MS CT Scan

c)
  • Mastoid T2 MRI

d)
  • Maxillo-facial MRI

e)
  • Photo mastoid (Schuller)

87.

Cranial nerve that supplies the sternocleidomastoid and trapezius muscles, leave the basis cranii on which part of basis cranii?

a)
  • Fossa cranii media

b)
  • Fossa cranii anterior

c)
  • Fossa cranii posterior

88.

This marked anatomical structure (red line) is:

Select one:

a)

N.trochlearis

b)

N.oculomotorius

c)

N.facialis

d)
  • N.trigeminus

e)
  • N.abducens

89.

This marked artery is: Select one:

a)
  • A.cerebri communicans anterior

b)
  • A.cerebri anterior

c)
  • A.cerebri posterior

d)
  • A.cerebri communicans posterior

e)

A.basilaris

90.

Which is the most possible affected arteries in saccular aneurysm case?

a)

A

b)

B

c)

C

d)

D

e)

E

91.

A 65-year age of healthy woman was driving car when she got sudden onset of severe headache. She pulled on into a gas station, stop the car but while trying to exit then slumped over the wheel. When taken to ER, she was remain comatose but died hours later. At autopsy, the microscopic appearance of the right middle cerebral artery is as shown here. The best diagnostic Is:

a)

A-V malformation

b)

Subdural hematoma

c)

Epidural hematoma

d)

Aneurysm

92.

Fossa hypophysialis is located at number:

a)

1

b)

2

c)

3

d)

4

93.

Termination of internal carotid artery is located caudally to:

a)

Substansia perforate posterior

b)

Corpus mammillare

c)

Substansia perforata anterior

94.

A healthy 20-year-age male has a mild fever for a few days and then

followed by a sudden onset of severe headache. The Head CT Scan reveals a cystic mass, irregular borders in left temporal lobe. An operation was then perfomed and the microscopic is as shown here.

Your best diagnostic is

a)

Oligodendroglioma

b)

Astrocytoma

c)

Brain abscess

d)

Ependymoma

e)

Meningioma

95.

Carpal Tunnel Syndrome occurs when …………… ( Choose the correct one

from the picture) is compresed as it travels through the wrist

a)

A

b)

B

c)

C

d)

D

e)

E

96.

This nerve is (red line):

a)

.N.abducens

b)

.N.trigeminus

c)

N. Oculomotorius

d)

N. Trochlearis

e)

N. Fascialis

97.

A young girl was diagnosed with ventriculitis after a VP shunt surgery. LCS specimen was taken for microbiology examination. The result are

performed on fig. 1 and 2

According to the microbiology examination, what is the causative

microorganism?

a)

Crytococcus neoformans

b)

Aspergillus flavus

c)

Candida tropicalis

d)

Mycobacterium tuberculosis

e)

Streptococcus pyogenes

98.

Male, 60 years old, came to the emergency department with sudden onset of left sided weakness. There were no movement in his left leg and only minimal movement in his left arm. The patient was diagnosed with ischemic stroke.

Which is the most possible occluded blood vessel for this patient? (See the

image below)

The affected blood vessel was marked with number:

a)

1

b)

2

c)

3

d)

4

e)

5

99.

What is the name of this cell?

a)

Oligodendroglia cell

b)

Microglia

c)

Schwann cell

100.

What is the name of this cell?

a)

Motor neuron cells

b)

Connecting neuron cells

c)

Sensory neuron cells

101.

What is the function of this cell?

a)

Conduct impulses from spinal cord to muscle

b)

Conduct impulses from peripheral nervous system to central nervous system

c)

Conduct impulses from receptor to spinal cord

102.

49-year-old woman with a long history of a subcutaneous mass on the dorsal side of her 4th finger of the right hand visited a dermatologist because of slight enlargement of the mass. Physical examination revealed a small, round, firm subcutaneous mass on the dorsal side of her proximal interphalangeal joint of the right 4th finger. The mass was immobile and nontender and its overlying skin was intact. An excisional biopsy was done for the patient and the specimen was sent for pathologic evaluation. What is the most likely diagnosis?

a)

Neurofibroma

b)

Elastofibtoma

c)

Schwannoma

d)

Fibrosarcoma

e)

Fibroma

103.

This anatomical structure is (red line):

a)

A. communicans posterior

b)

A. carotis interna

c)

A. vertebralis

d)

A. basilaris

104.

A-27 year old female complained of headaches and decreased mental function for several months and later she has experienced onset of generalized seizures and this been persisted for several weeks. A Head CTscan showed a 2 cm mass in the right cerebral hemisphere. The Sterotactic biopsy of this lesion shown in this microscopic

Based upon your microscopic examination, which of following that most

likely did happened?

a)

Abscess Cerebri

b)

Hemangioma Cavernosum

c)

Ruptured aneurysm

d)

Arteriovenous malformation

e)

Gliosis

105.

What is the function of this cell?

a)

Supporting cell

b)

Forming myeling sheath

c)

Immune system in central nervous system

106.

What is the name of this cell?

a)

Purkinje cell

b)

Satellite cell

c)

Ganglion cell

107.

What is the function of this structure?

a)

Gross pressure/vibration receptor

b)

Light touch receptor

c)

Pain receptor

108.

A 65-year old male was fallen from a stair but not losing consciousness.

While being examined in ER, about 4-hoursafter the incident he was then

unconscious state. The examination observed a scalp contusion on the left

temporal. When taken to surgery, the exploration found a blood clot.

From the microscopic examination here, which of the following that most

likely did happened?

a)

Subdura hematoma

b)

Arteriovvenous malformation

c)

Intra-cerebral hematoma

d)

Epidural hematoma

e)

Ruptured saccular aneurysm

109.

Where is the location of this tissue?

a)

Peripheral nervous system

b)

Autonomic nervous system

c)

Central nervous system

110.

A young girl was diagnosed with ventriculitis after an VP shunt surgery.

LCS specimen was taken for microbiology examination. The result are

performed on fig. 1, and 2QUESTION:

According to the microbiology examination, what is the causative

microorganism?

a)

.Cryptococcus neoformans

b)

.Pseudomonas aeruginosa

c)

.Escherichia coli

d)

Salmonella typhi

e)

Klebsiella pneumoniae

111.

A young boy was diagnosed with ventriculitis after a VP shunt surgery. LCS

specimen was taken for microbiology examination. The result are

performed on fig. 1, 2, and 3

QUESTION:

According to the microbiology examination, what is the causative

microorganism?

a)

.Candida albicans

b)

Streptococcus pneumoniae

c)

.Escherichia coli

d)

Staphylococcus epidermidis

e)

.Methicillin Resistant Staphylocococcus aureus

112.

A 45-year-old woman has had unilateral headaches on the right for the

past 5 months. Physical examination yields no remarkable findings. The

mass is surgically removed. What is the most likely diagnosis

a)

Meningioma

b)

Astrocytoma

c)

Metastasis

d)

Ependymoma

e)

Tuberculoma

113.

A 45-year man addressed complaint for his unilateral headaches. The

head CT scan showed a 2-cm mass, well circumscribed, in his temporal

cerebral hemispheres. After been removed by neurosurgeon, the mass

was sent to a pathologic laboratory.

From the microscopic appearance here, which of the following will best

describe your diagnosis?

a)

Astrocytoma

b)

Meningioma

c)

Oligodendroglioma

d)

Glioblastoma

e)

Ependymoma

114.

Wrist drop is a disorder caused by ……………… (Choose the correct one from

the picture) palsy.

a)

A

b)

B

c)

C

d)

D

e)

E

115.

Female, 58 years old, with prior history of diabetes mellitus, suddenly had

complaint of double vision. The physician reported there were infarct areain left abducens nerve nuclei that caused inability of the left eye to move

laterally. Where the infarct lesion is possibly located?

a)

1

b)

2

c)

3

d)

7

e)

8

116.

This anatomical structure is:

a)

Falx Cerebelli

b)

Tentorium Cerebelli

c)

Falx Cerebri

d)

Diaphragma sellae

117.

What is the name of this tissue?

a)

Perineurium

b)

Epineurium

c)

Endoneurium

118.

Male, 62 years old, presented with sudden onset of speech disturbance

and right sided weakness. He suddenly felt that he could not understand

the conversation, but his wife noticed he still be able to form complete

words without context. Which structure of the brain that might

correspond as the causes of the speech disturbance?

a)

A

b)

B

c)

C

d)

D

e)

E

119.

A 20-year old female has 7 scattered of 1-3 cm nodule with irregular borders hyperpigmented skin lesions on her extremities and torso. The best diagnostic of her disease based on microscopic here is,

a)

Depth Fibromatosis

b)

Neurofibroma

c)

Schwannoma

d)

Dermatofirbromatosis

120.

What is the name of this structure?

a)

Meissner corpuscle

b)

Pacini corpuscle

c)

Merkel cospuscle

121.

Which layer is this cell are located?

a)

Molecular layer

b)

Ganglionar layer

c)

Granular layer

122.

Specify your interpretation of bacteria in the figure 1 according the result of

Gram-stain!

a)

Gram positive rod, Gram positive cocci in pairs, and Gram negative

comma

b)

Gram positive cocci in cluster, Gram negative bacilli, and acid fast

bacilli

c)

Gram positive spore-forming, Gram negative bacilli, and Gram positive

cocci in chain

d)

Gram negative fusiform rods, budding spores, and Gram positive

bacillus

e)

Gram positive cocci in pairs, budding spores, and Gram negative

bacilli

123.

What is the name of this cell?

a)

Satellite cell

b)

Ganglion cell

c)

Purkinje cell

124.

Having been experiencing headaches for three weeks now, a 8-year age

boy then has sudden onset of vomiting and comatous. The head CT scan

showed the presence of a 3-cm mass in the region left ventricle

lateralis. Cytology to CSF that produced after a lumbal puncture

apparently showed no malignant cells. An operation on his mass was then

performed.

The best diagnostic is

a)

Ependymoma

b)

Glioblastoma multiforme

c)

Adenoma hipofisis

d)

Astrocytoma

e)

Meningioma