Neurology Comprehensive Quiz
Test your knowledge on Neurology by answering the questions provided in this quiz.
1.
Multiple lucent skull lesions are found on a skull radiograph. Which of the following is the least likely diagnosis?
2.
A 62 year old man has a resting tremor, rigidity and bradykinesia. What is the most appropriate first line pharmacological treatment for his condition?
3.
Which of the following is NOT a sign of acute cerebral infarction?
4.
A 76-year-old male patient presents with history of sudden loss of consciousness, left sided hemiplegia and right sided facial nerve palsy for the last 12 hours. The most appropriate initial radiological examination when available would be:
5.
A 35 year old patient presents with a history of a fall from a height with a GCS of 5/15 and paraplegia. What is the most appropriate imaging modality for such a case?
6.
A 21-year old woman presents to the emergency department. She has a 2 day history of left sided ear pain and facial paralysis. Her mouth is drooping downwards on the left and she cannot completely close her left eye. You suspect Bell’s Palsy. What findings would you expect if you asked the patient to raise her left eyebrow and why?
7.
Which one of the following is not a suitable access site for a cranial ultrasound in an infant:
8.
A 24 year old presents to the A/E unit after being involved in a road traffic accident. A CT scan of the head is performed and shows an extradural hematoma. Which of the following statements is TRUE?
9.
Which of the following statements regarding the use of triptan agonists in the treatment of migraine is INCORRECT?
10.
Diffuse axonal injury(DAI) is a type of traumatic brain injury pattern where presentation includes altered neurological status with a severely depressed GCS. Which of the following is the imaging modality of choice to evaluate suspected DAI?
11.
Which of the following statements is not true concerning normal skull variants at radiography?
12.
Which of the following structures is not in the midline?
13.
A 25 year old female presents with sudden onset vision loss in the right eye and pain with eye movement. She reports episodes of numbness in her legs over the past year. MRI shows periventricular white matter lesions. What is the most likely diagnosis?
14.
A 45 year old male presents with sudden onset right sided weakness and slurred speech. Which artery is most likely affected?
15.
The listed structures can be identified on a sagittal T1 weighted MRI of the brain except?
16.
A 20 year old is admitted to the emergency department following an isolate head injury which was sustained in a fist fight. He is intoxicated with GCS of 14. There is no final neurological deficit, but he does keep vomiting. What is the best imaging strategy?
17.
A mother presents to OPD with complaints that the head of her 1 year old child seems to be growing progressively larger. She says the child was treated for meningitis four months ago. Which one is the most appropriate imaging modality?
18.
A patient presents complaining of double vision. When he looks forward his right eye turns downwards and outwards. On looking left he is unable to adduct the right eye and double vision worsens. On looking right the angle of the squint is less. What is the most likely diagnosis?
19.
A 60 year old man presents with sudden onset “worst headache of his life”. A CT scan shows blood in the basal cisterns. What is the most appropriate next step in management?
20.
Indications of cranial sonography include the following except?
21.
The following statement is true concerning intracranial hemorrhage at CT?
22.
Which neurotransmitter is most commonly depleted in Parkinson's disease?
23.
A 41-year-old man with history of epilepsy diagnosed 30 years ago calls to ask about driving regulations for people with epilepsy. His last seizure was 4 years ago. He is currently taking sodium valproate monotherapy. What is the minimum length of time he must be seizure free before driving?
24.
A 30 year old man was involved in road traffic accident. He presented to the Accident and Emergency Department with history of confusion. A CT scan was ordered. The image is as presented here. What is the diagnosis?
25.
A 65 year old known diabetic and hypertensive patient who has been on follow up at the medical outpatient clinic is brought into casualty with a reduced GCS score. Cerebral vascular accident is suspected and a CT scan of the head is requested and performed. A hyper dense intraparenchymal lesion suggestive of acute haemorrhage is seen. Which of the following is the LEAST likely location of the bleed?
26.
A 30-year old woman with a history of hypothyroidism presents complaining of arm weakness for the past 4 months. She develops double vision towards the end of the day despite having a normal examination at the optician. What is the most likely diagnosis?
27.
A 40 year old is involved in a road traffic accident and is brought into the A/E unit. He is confused and has deep cuts on his scalp. A skull radiograph does not reveal any fractures. Which modality is the most appropriate for further imaging?
28.
The following statement is true concerning scalp masses at CT?
29.
An 82 year old woman who was previously well suffered several falls in the last 2-3 months. She has become increasingly confused but there are no localising neurological deficits on physical examination. A diagnosis of bilateral subdural hematoma is made using a head CT. Which of the following best describes the CT findings?
