NEUROLOGY MULTIPLE CHOICE QUESTIONS (1)

                                                             NEUROLOGY



1.       Most common pathogen involved in Meningitis in Newborns group:

a)      Listeria monocytogenes

b)      Haemophilus influenzae

c)       E. coli

d)      Group B Streptococcus

D

2.       Most common pathogen involved in Meningitis in teens group:

a)      Haemophilus influenza

b)      Streptococcus pneumonia

c)       Neisseria meningitides

d)      Enterovirus

C

3.       Most common pathogen involved in Meningitis in adults:

a)      Enterovirus

b)      Neisseria meningitidis

c)       Streptococcus pneumonia

d)      Listeria monocytogenes

C

4.       Most common pathogen involved in Meningitis in immunocompromised patients:

a)      Herpes simplex virus

b)      Cryptococcus spp.

c)       Listeria monocytogenes

d)      Gram negative bacilli

C

5.       Best empiric treatment for Bacterial Meningitis in infants < 1 month and hyperbilirubinemia:

a)      Vancomycin plus ampicillin plus Cefotaxime

b)      Vancomycin plus ampicillin plus Ceftriaxone

c)       Gentamicin plus ampicillin plus Cefotaxime

d)      Gentaicin plus ampicillin plus Ceftriaxone

C

6.       Best empiric treatment for Bacterial Meningitis in patients  > 1 month to < 50 years:

a)      Vancomycin plus ceftriaxone

b)      Gentamicin plus ampicillin plus Cefotaxime

c)       Gentamicin plus ampicillin plus Ceftriaxone

d)      Vancomycin plus ampicillin

A

7.       Best empiric treatment for Bacterial Meningitis in patients  > 50 years:

a)      Gentamicin plus ampicillin

b)      Gentamicin plus ampicillin plus vancomycin

c)       Vancomycin plus Cefotaxime

d)      Vancomycin plus ampicillin plus ceftriaxone

D

8.       Patient with contralateral weakness and sensory loss in the face and upper limbs PLUS hemispatial neglect. What is the affected artery?:

a)      Anterior cerebral artery in the non-dominant hemisphere

b)      Anterior cerebral artery in the dominant hemisphere

c)       Middle cerebral artery in the non-dominant hemisphere

d)      Middle cerebral artery in the dominant hemisphere

C

9.       Patient with contralateral weakness and sensory loss in the face and upper limbs PLUS Broca’s aphasia PLUS right homonymous superior quadrantanopia. What is the most likely affected artery?

a)      Left posterior cerebral artery

b)      Right posterior  cerebral artery

c)       Right middle cerebral artery

d)      Left middle cerebral artery

D

10.   Patient with left hypoglossal palsy PLUS right hemiparesis AND right proprioception loss. What is the affected artery?:

a)      Left paramedian branch of anterior spinal artery

b)      Right paramedian branch of anterior spinal artery

c)       Left superior cerebellar artery

d)      Right anterior inferior cerebellar artery

A

11.   The localization of lesion in Lateral medullary (Wallenberg) syndrome?:

a)      Nucleus ambiguus, vestibular nuclei, lateral spinothalamic tract, and inferior cerebellar peduncle

b)      Nucleus ambiguus, vestibular nuclei, lateral spinothalamic  tract, and superior cerebellar peduncle

c)       Nucleus ambiguus, vestibular nuclei, lateral corticospinal tract, and superior cerebellar peduncle

d)      Nucleus ambiguus, vestibular nuclei, anterior corticospinal tract, and inferior cerebellar peduncle

A

12.   Which artery is occluded in Lateral medullary (Wallenberg) syndrome?:

a)      Anterior inferior cerebellar artery (AICA)

b)      Posterior inferior cerebellar artery (PICA)

c)       Superior cerebellar artery

d)      Anterior spinal artery

B

13.   Which condition is secondary to occlusion of the Basilar artery?:

a)      Lateral pontine syndrome

b)      Wallenberg syndrome

c)       Dejerine syndrome

d)      Locked-in syndrome

D

14.   Patient with Lacunar infarcts. What are the affected artery and the risk factors associated with this patient’s condition?:

a)      Lenticulostriate artery – Chronic hypertension and thoracic aortic aneurysm

b)      Lenticulostriate artery – Chronic hypertension and abdominal aortic aneurysm

c)       Middle cerebral artery - Chronic hypertension and thoracic aortic aneurysm

d)      Middle cerebral artery - Chronic hypertension and abdominal aortic aneurysm

A

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