Neuroscience Final Exam SAWA Summarizing Group

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					              Neuroscience Final Exam 2008
1. A patient came to you to the emergency department at 2:00 am, with headache that
   awaked him from sleep, watery eye and nasal congeseion, what will you do for him:
   a. O2.

2. All of the following are true regarding cluster headache except:
   a. Always bilateral.

3. The most common presentation for multiple sclerosis is:
   a. Blurred vision.
   b. Fatigue.
   c. Weakness.

4. Most common tumor that affects spinal cord is:
   a. Metastatic.
   b. Astrocytoma.

5. The commonest tumor that bleeds in the brain and causes apoplexy is:
   a. Coriocarcinoma.
   b. Menengioma.
   c. Pituitary adenoma.

6. Young patient with history of rapidly ascending paraplegia with abdominal pain and
   diarrhea, next step is:
   a. High dose steroids.
   b. Monitor respiratory function.

7. Young with Involuntary neck movement, what you give him:
   a. Botulism toxin.
   b. Beclofan.

8. Romberg test is used to asses:
   a. cerebellum
   b. loss of proprioception

9. All of the following is a red flag in low back pain except:
   a. Pain coming at rest.
   b. Immunecompromised patient.
   c. History of back surgery.
   d. History of malignancy.
   e. Intermittent claudication

10.A patient presented to you with asymmetrical face, on examination, for corneal reflex
   the right eye only responded and the patient said that he could feel the touch on both
   eyes, the most likely nerve affected is:
   a. Left facial nerve.
   b. Right trigeminal.
   c. Left trigeminal.

11.Patient with direct head trauma, presented with bradycardia, left dilated pupil and right
   hemiparesis, the most likely diafnosis is :
   a. Left epidural hematoma.
   b. Acute Right subdural hematoma.

12.A patient X and a patient Y, patient X is more likely to be diagnosed with multiple
   sclerosis because:
   a. X has 9 lesion on MRI while Y has no one.
   b. X from China whereas Y from Denemark.
   c. X is 1 year younger than Y.

13.All of the following are associated with subarachnoid hemorrhage except:
   a. Polycystic kidney disease.
   b. Marfan syndrome.
   c. Ehlers dan los syndrome.
   d. Cavernous angioma.

14.Most prevalent risk factor for patient with stroke is:
   a. HTN.
   b. Hyperlipidemia.
   c. Smoking.
   d. Previous history of TIA

15.Most common site for bleeding in the brain is:
   a. Thalamus.
   b. Pons.
   c. Putamen

16.All of the following are complication of sub arachnoid hemorrhage except:
   a. Bleeding.
   b. Ischemic stroke.
   c. Vasospasm.
   d. Hypernatremia.
   e. Seizure.

17.All of the following can be find in MS patient except:
   a. Muscle atrophy.

18.A diabetic patient with prostatic hypertropgy comes with LBP, what to give him:
   a. amitryptaline
   b. Gabapentine

19.All of the following are present Normal Pressure Hydrocephalus except:
   a. Abnormal gait.
   b. Urinary incontinence.
   c. Dementia.
   d. Normal MRI.
   e. Dysphasia.

20.Most common presentation of CTS:
     a- pain and parasthesia in the affected hand
     b- muscle weakness
     c- atrophy

21. most common cause of painless foot drop:
     a- L5 radiculopathy
     b- L4 radiculopathy
     c- superficial peroneal mononeuropathy
     d- common peroneal mononeuropathy

22- All are correct aboout depressed fracture except:
    a- surgery must be performed

23- most common cause of congenital hydrocephalus is:
    a- aqueductal stenosis

24- most common cause of microcrania
a- brain atrophy
b- coronal craniosynostosis
c- anencephaly

25- the inclusion associated with parkinson’s disease:
    a Lewy bodies
26 one is correct about Huntington’s:
a- result from CAG repeat
b- result from CTG repeat
c- its onset in elderly
d- AR

  26- 14y old has some motor tics, with a history of ADHD, the test that has to be done:
  a- serum seruloplasmin
  b- MRI for brain
  c- Nothing has to be done

   27- one is false about Chiari malformation:
a-     Chiari 1 carries a high mortality
b- Chiari 1 associated with syrigiomylia
c- Chiari 2 associated with meningiomyelocele
d- Chiari 1 is descent of cerebellar tonsil below foramen magnum
e- Chiari 2 descent of cerebellar tonsil with brain stem

  28- one of the following is not a treatable cause for dementia:
    a- pick’s disease
    b- HIV
    c- vitamin B12 defeciency
    d- alcohol abuse
    e- NPH

  29- one is false about colloid cyst:
                     a- mostly accidentally found
                     b- surgery is the treatment
                     c- arise in the 3rd ventricle

  30- Most common pituitary adenoma:
  A- Nonfunctioning
  B- GH secreting
  C- Prolactinoma
  D- ACTH secreting
                          ‫نتمنى لكم التىفيق والنجاح في امتحاناتكم النهائية‬
                                        2002 ‫إخىانكم في دفعة‬
                       ‫خطاب مصعة القطى، غانم الباشا، محمد حسن المحمىد‬
                                      ‫دمتم في رعاية اهلل وحفظه‬

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