PEDIATRICS NEUROLOGY RECALL

1. A 6 months old infant developed fever followed by generalized 8. Bacterial meningitis in a 4 years old child most likely presents
tonic clonic contractions of extremities lasting for 2 minutes. 20 initially as
minutes after another similar attack was noted prompting ER a. Headache and vomiting
consultation. Physical and neurological examinations were normal. b. Seizure
What is the most likely consideration? c. Altered consciousness
a. Viral encephalitis d. fever
b. Suppurative meningitis
c. Febrile seizure 9. The gold standard for diagnosing acute suppurative meningitis is
d. Metabolic encephalopathy one of the following
a. cranial CT-scan
2. In a 4 years old child with status epilepticus, what would be the b. Lumbar puncture
first step to take? c. Cranial MRI
a. position the patient properly d. Cranial Ultrasound
b. provide oxygen
c. assure adequate airway 10. One of the following is characteristic of the terminal stage of
d. give IV diazepam tuberculous meningitis
a. Seizures
3. A 6 hours old newborn with apgar score of 2,4 and 6 developed b. EOM palsy
seizures. The seizure in this group is usually c. Decerebrate rigidity
a. myoclonic d. Hemiparesis
b. subtle
c. clonic 11. Sarah, a 4 years old patient was brought for consultation due to
d. tonic clonic headache, nystagmus and ataxia? of one month duration. What is
your primary consideration?
4. Complex partial seizures respond most favorably to one of the a. Cerebral astrocytoma
following b. Craniopharyngioma
a. phenytoin c. Medulloblastoma
b. Phenobarbital d. Glioblastoma multiforme
c. carbamazepine
d. ethosuximab 12. The cranial nerve that is first to be affected in patients with
intracranial tumor is
5. Karen, a 5 years old female child was observed to have a blink a. CN III
stare blink attack occurring 50-100 times a day. When the patient is b. CN IV
asked to hyperventilate the attacks were provoked. What is the c. CN V
preferred drug for this type of seizure? d. CN VI
a. vigabatrin
b. clobazam 13. Charles, a 10 years old male patient was evaluated to have
c. Na Valproic bilateral hemianopsia associated with papilledema. One of the
d. phenytoin following is a consideration
a. Infratentorial tumor
6. Hydrocephalic changes in TB meningitis initially occurs during the b. Supratentorial tumor
a. stage of irritability c. Suprasellar tumor
b. stage of convulsion d. Midline tumor
c. terminal stage
d. None 14. One of the following infratentorial tumors is highly sensitive to
radiation
7. Febrile seizures may be treated prophylactically with a. Brainstem glioma
a. diazepam b. Cerebellar astrocytoma
b. ethosuximide c. Medulloblastoma
c. clonazepam d. Ependymoma
d. lorazepam

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 PEDIATRICS NEUROLOGY RECALL

15. Hemangioblastomas of the cerebellum

a. May be associated with polycythemia
b. Are seldom associated with renal cyst
c. Are usually solid
d. Tend NOT to be familial

16. Cynthia, a 7 years old female developed easy fatigability

becoming more prominent in the late afternoon. Physical
examination shows bilateral ptosis. What is your diagnosis?
a. Spinal muscular atrophy
b. Becker’s dystrophy
c. Myotonia congenital
d. Myasthenia gravis

17. Tonton, an 11 years old male started complain of numbness of

both lower extremities following 4 days of cough and colds. Two
days later he was unable to move his lower extremities. On
examination bilateral areflexia and hyposthesia was noted. What
diagnostic tool would you like to request to arrive at a diagnosis?
a. Lumbar tap
b. Cranial CT-scan
c. EEG
d. EMG-NCV

18. Guillain Barre syndrome is best managed with one of the

following
a. Steroids
b. Antibiotics
c. Intravenous Immunoglobulin
d. Aspirin

19. Juvenile spinal muscular atrophy is also known as

a. Kugelberg Wielander Disease?
b. Werdnig Hoffman Disease
c. Rett’s Syndrome
d. West Syndrome

20. One of the following may start manifesting at birth

a. Polyneuropathies
b. Duchenne’s muscular dystrophy
c. Werdnig Hoffman Disease
d. Botulism

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