Everand Logo

Welcome to Everand!

  • Discover millions of ebooks, audiobooks, and so much more with a free trial

    Only $11.99/month after trial. Cancel anytime.

    Neurology Multiple Choice Questions With Explanations: Volume II
    Neurology Multiple Choice Questions With Explanations: Volume II
    Neurology Multiple Choice Questions With Explanations: Volume II
    Ebook138 pages1 hour

    Neurology Multiple Choice Questions With Explanations: Volume II

    By Dr P A Shah

    5/5

    ()

    Read preview

    About this ebook

    ‘Neurology Multiple Choice Questions with Explanations (Volume II)’ is meant for medical students, residents and other healthcare professionals. This volume contains 136 questions covering epilepsy, stroke, EEG, acute confusional states, headache and related disorders. Each question is followed by a brief discussion, answer and references.
    LanguageEnglish
    PublisherBookBaby
    Release dateApr 22, 2015
    ISBN9781483553610
    Neurology Multiple Choice Questions With Explanations: Volume II

    Read more from Dr P A Shah

    Related to Neurology Multiple Choice Questions With Explanations

    Related ebooks

    Medical For You

    View More
    View More

    Related podcast episodes

    Related articles

    • Article

      UHL’s Anomaly: A Rare Form of Congestive Cardiac Failure in Early Childhood

      Sep 1, 2022

      1Department of Paediatric Cardiology, Aster Ramesh Hospitals, Vijayawada, India Dr Murtaza Kamal, Consultant Paediatric Cardiology, Room no: 10, Aster Ramesh Hospitals, Vijayawada, India; Email: murtaza.vmmc@gmail.com UHL’s anomaly; congestive cardia

      6 min read

    • Article

      Beating Adrenal Fatigue

      Jan 22, 2023

      Beating Adrenal Fatigue
      4 min read

    • Article

      A Time Of Change

      Feb 27, 2020

      A Time Of Change
      7 min read

    • Article

      Expert Opinion

      Aug 18, 2023

      IN the UK, claims havess been made that FND as a disorder has been ‘brushed under the carpet’, and described as a ‘crisis for neurology’. Neuropsychiatrist Dr Anersha Pillay was the medical professional who finally diagnosed Zephné and put her on the

      2 min read

    • Article

      Cerebellar Stroke Presenting With Positive Head Impulse Test And Centripetal Nystagmus

      Mar 1, 2022

      1 Aster Specialty clinic, Department of Neurology, International city, Dubai, UAE 2 Medinova Diagnostic center, Department of Radiology, Dubai, UAEC Cerebellar strokes are one of the sinister causes of ‘acute vestibular syndrome’(AVS)1. In an emergen

      3 min read

    • Article

      Hope FOR Alzheimer’s

      Mar 8, 2022

      Hope FOR Alzheimer’s
      6 min read

    • Article

      Sharp Again

      Nov 22, 2020

      Sharp Again
      8 min read

    • Article

      Electrosensitivity

      Oct 9, 2019

      Today much of humanity lives in a sea of electromagnetic energies, or EM fields. Radio and TV signals are now joined by mobile phone towers and communications masts. Closer to home are mobile phones, Wi-Fi and smart meters. According to Swedish exper

      7 min read

    • Article

      Multiple Sclerosis: Experience In A Single Center In The UAE

      Jul 30, 2020

      Dr Rahashekher Garikapati, Neurologist, Aster Hospital, Mankhool Dr Mahendra Ramadas, Neurologist, Aster Clinic, Bur Dubai, Dubai Dr Amit Arora, Neurologist, Aster Clinic, Al Muteena, Deira, Dubai Dr Pawan Kumar Maniyar, Radiologist, Aster Hospital,

      16 min read

    • Article

      Research, Education & Medicine

      Aug 8, 2017

      Common symptoms: Both ear barotraumas and inner-ear DCS can cause vertigo (a severe spinning sensation), hearing loss, tinnitus (ringing in the ear), nausea and vomiting. How to tell the difference: Ear barotrauma symptoms occur abruptly during desce

      2 min read

    • Article

      Medical Marvels

      Jul 9, 2020

      Medical Marvels
      3 min read

    • Article

      How to Unlearn a Disease: Medicine’s Latest Cure Is Forgetting You’re Sick.: Medicine’s latest cure is forgetting you’re sick.

      May 14, 2015

      My father, a neurologist, once had a patient who was tormented, in the most visceral sense, by a poem. Philip was 12 years old and a student at a prestigious boarding school in Princeton, New Jersey. One of his assignments was to recite Edgar Allan P

      8 min read

    • Article

      How To Unlearn A Disease: Medicine’s latest cure is forgetting you’re sick.

      Jul 14, 2021

      My father, a neurologist, once had a patient who was tormented, in the most visceral sense, by a poem. Philip was 12 years old and a student at a prestigious boarding school in Princeton, New Jersey. One of his assignments was to recite Edgar Allan P

      8 min read

    • Article

      Diseased Heart Muscle Cells Have Oddly Short Telomeres

      Aug 31, 2018

      People with cardiomyopathy have abnormally short telomeres in the muscles that contract the heart. Researchers say the discovery could lead to new pathways for drug discovery. A telomere is a DNA sequence that serves as a protective cap on the ends o

      3 min read

    • Article

      SEIZURES Not Always Epileptic!

      Jul 30, 2020

      SEIZURES Not Always Epileptic!
      13 min read

    • Article

      In Your Right Mind

      Nov 21, 2021

      In Your Right Mind
      11 min read

    • Article

      What Becomes Of The Broken Hearted?

      Nov 2, 2022

      What Becomes Of The Broken Hearted?
      3 min read

    • Article

      Inflammation: Medicine’s Next Big False Trail?

      Sep 26, 2021

      Medicine has a nasty habit of accusing the wrong guy. For years, it was convinced that ‘bad’ LDL cholesterol was responsible for cardiovascular disease and especially atherosclerosis, when arteries become blocked and stiffen from a plaque buildup, bu

      5 min read

    Related categories

    Reviews for Neurology Multiple Choice Questions With Explanations

    5/5

    2 ratings0 reviews

    What did you think?

    Tap to rate

    Review must be at least 10 words

      Book preview

      Neurology Multiple Choice Questions With Explanations - Dr P A Shah

      EEG

      CHAPTER 1 - APPROACH

      1.

      A 60-year-old patient presents with pain, numbness, and an impaired sensation over half of the face, along with ataxia, nystagmus, dysphagia, and hoarseness of the voice. His pain and thermal sensations on the opposite half of his body are impaired. Horner’s syndrome is present. The likely cause of the disease is thrombosis of which vessel? (AIIMS)

      AICA (anterior inferior cerebellar artery)

      PICA (posterior inferior cerebellar artery)

      Basilar artery

      Pontine vessels

      DISCUSSION:

      This is a clinical presentation of lateral medullary syndrome. It presents with the following features on the side of the lesion: cerebellar ataxia, decreased skin sensation in the ipsilateral half of the face, Horner’s syndrome, vertigo, and weakness of the soft palate, larynx, and pharynx. On the opposite side of the body, there is numbness due to the involvement of the spinothalamic tract.

      Lateral medullary (Wallenberg) syndrome is commonly seen due to thrombosis of the vertebral and posterior inferior cerebellar arteries.

      ANSWER:

      ‘PICA (posterior inferior cerebellar artery).’

      REFERENCES:

      English JD, Johnston SC. Chapter 370. Cerebrovascular Diseases. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th edition; 2012.

      Bates D. Chapter 24.9. Brainstem syndromes. In: Warrell DA, Cox TM, Firth JD, eds. Oxford Textbook of Medicine. 5th edition; 2010.

      2.

      A patient receiving therapy for pulmonary tuberculosis develops generalized tonic–clonic seizures. Which of the following antitubercular drugs is most likely to produce seizures? (AIIMS)

      Rifampicin

      Isoniazid (INH)

      Pyrazinamide

      Ethambutol

      DISCUSSION:

      Isoniazid (INH) is most often associated with nervous system side effects, most prominently peripheral neuropathy, psychosis, and seizures. Other side effects of antitubercular drugs involving the nervous system include optic neuropathy with ethambutol, ototoxicity, and neuromuscular blockade with aminoglycosides.

      Rifampicin is mainly associated with hepatitis, while pyrazinamide is associated with joint pain and hepatitis.

      ANSWER:

      ‘Isoniazid (INH).’

      REFERENCES:

      Kass JS1, Shandera WX. Nervous system effects of antituberculosis therapy. CNS Drugs. 2010 Aug;24(8):655-67.

      Perkin G D. Chapter 24.5.1. Epilepsy in later childhood and adulthood. In: Warrell DA, Cox TM, Firth JD, eds. Oxford Textbook of Medicine. 5th edition; 2010.

      3.

      A 75-year-old woman was admitted to hospital after having suffered a cerebrovascular accident. On physical examination it was found that she was not responding to any visual, auditory, or tactile stimuli on the left side of her body. In addition, she had a deficit involving only the inferior portion of the left visual field in both eyes. A CT scan showed a non-hemorrhagic infarction in the right hemisphere. Which lobe of this patient’s brain had been principally affected by the stroke? (AIIMS)

      Frontal

      Occipital

      Parietal

      Temporal

      DISCUSSION:

      This patient had non-dominant parietal lobe involvement. Parietal lobe lesions are associated with contralateral hemisensory loss, astereognosis, agraphesthesia, and contralateral homonymous lower quadrantanopia. In addition, dominant parietal lobe lesions show a combination of finger agnosia, acalculia, and right-left confusion, while non-dominant parietal lobe lesions are associated with hemispatial neglect, spatial disorientation, constructional apraxia, and dressing apraxia.

      ANSWER:

      ‘Parietal.’

      REFERENCES:

      Gijn van J. Chapter 24.10.1. Stroke: cerebrovascular disease. In: Warrell DA, Cox TM, Firth JD, eds. Oxford Textbook of Medicine. 5th edition; 2010.

      English JD, Johnston SC. Chapter 370. Cerebrovascular Diseases. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th edition; 2012.

      4.

      A patient experiences loss of central vision in both eyes followed by a throbbing, unilateral headache. He is suffering from: (AIIMS)

      Amaurosis fugax

      Classical migraine

      Tension headache

      Delirium tremens

      DISCUSSION:

      This is a typical presentation of classical migraine, which is characterized by an aura followed by a unilateral, throbbing headache, sometimes associated with nausea and vomiting.

      Tension headache is featureless. Amaurosis fugax is not associated with headache. Delirium tremens is an acute confusional state precipitated by alcohol withdrawal.

      ANSWER:

      ‘Classical migraine.’

      REFERENCES:

      Ivan Garza I et al. Chapter 69. Headache and Other Craniofacial Pain. In: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC. eds. Bradley’s Neurology in Clinical Practice, 6th edition; 2012.

      Ropper AH, Samuels MA, Klein JP. Chapter 10. Headache and Other Craniofacial Pains. In: Ropper AH, Samuels MA, Klein JP. eds. Adams & Victor’s Principles of Neurology, 10th edition; 2014.

      5.

      A 65-year-old woman has had several episodes consisting of impaired vision in her right eye and numbness of the left side of her body, each lasting up to 4–5 minutes. Which of the following is the likely cause? (PGI)

      Internal carotid artery insufficiency

      Posterior cerebral artery aneurysm rupture

      Parasagittal meningioma

      Frontal lobe tumor

      DISCUSSION:

      Involvement of the internal carotid artery is often suggested by the presence of hemispheric signs (like hemiparesis or hemianesthesia) on one side and recurrent transient monocular blindness or amaurosis fugax (due to ophthalmic artery involvement) on the other side.

      Aneurysm rupture usually produces sudden onset, severe symptoms. Parasagittal meningioma and frontal lobe tumor both produce slowly progressive symptoms. Parasagittal meningioma often produces paraparesis, while frontal lobe tumor may produce contralateral hemiparesis.

      ANSWER:

      ‘Internal carotid artery insufficiency.’

      REFERENCES:

      Gijn van J. Chapter 24.10.1. Stroke: cerebrovascular disease. In: Warrell DA, Cox TM, Firth JD, eds. Oxford Textbook of Medicine. 5th edition; 2010.

      English JD, Johnston SC. Chapter 370. Cerebrovascular Diseases. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine. 18th edition; 2012.

      6.

      The combinations of disorientation, polyneuritis, loss of recent memory, and a tendency to confabulate are most likely due to: (AIIMS)

      Pernicious anemia

      Charcot–Marie–Tooth disease

      Alcoholism

      Tabes dorsalis

      DISCUSSION:

      An important effect of chronic alcohol misuse is Wernicke–Korsakoff syndrome. It results from damage to the mamillary bodies, dorsomedial nuclei of the thalamus, and adjacent areas of the periventricular grey matter caused by a deficiency of thiamin (vitamin B1). In addition, peripheral neuropathy is a common complication of alcoholism due to both nutritional deficiency

      Enjoying the preview?
      Page 1 of 1