Neurology MCQs

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10 yo unilat throbbing h/a, mother and sis with migraines, investigations

  • A. CT head
  • B. bld cx
  • C. EEG
  • D. nothing
  • Correct Answer: Option D

The following scenarios can be seen in a child with meningitis. For which one of the following children would you order a head CT?

  • A. 4 month old with a persistent fever 24 hours after admission
  • B. neonate with irritability and hypothermia
  • C. 5 year old with generalized tonic-clonic seizures on presentation
  • D. 15 year old with confusion for 24 hours after admission
  • Correct Answer: Option C

An 18 month old infant has recurrent febrile seizures. The mother wants a medication to prevent the development of Epilepsy. What do you offer her?

  • A. Phenobarb
  • B. Nothing
  • C. Phenytoin
  • D. Valproate
  • Correct Answer: Option B

Over a period of 3 days in March, a 5y old girl who lives in Manitoba begins to stumble and asks to be carried. Her mother states that the girl is becoming clumsy when she eats and he face seems to be losing its expression .PE reveals bilateral facial weakness, areflexia and ataxia when walking or reaching. The most likely diagnosis :

  • A. Botulism
  • B. Guillain barre syndrome
  • C. Myathenia gravis
  • D. tick bite paralysis
  • Correct Answer: Option D

After 12 days of URTI a 12 y old boy complains of weakness in his lower extremities over several days, the weakness progress to include his trunk. On PE: he has weakness described and no lower extremities deep tendon reflexes, muscle atrophy or pain. The most likely diagnosis :

  • A. Bell palsy
  • B. Muscular dystrophy
  • C. Guillain barre syndrome
  • D. viral infection
  • Correct Answer: Option C

A 12m previously healthy develops fever 39.5 and suffers a 2 min GTC seizure.PE reveals an alert child who has no abnormal neurologic findings. The likelihood that this child will develop epilepsy is closest to:

  • A. 1%
  • B. 10%
  • C. 25%
  • D. 40%
  • Correct Answer: Option A

Which is the best treatment for tension headaches?

  • A. acetaminophen
  • B. ibuprofen
  • C. Codeine
  • Correct Answer: Option B

20 month old child. Each time the parents say “no” child cries, turns blue and then passes out with some generalized tonic clonic movements. He recovers within 1 minute and the parents administer CPR. What do you recommend?

  • A. consistent discipline
  • B. do not upset the child
  • Correct Answer: Option A

Which of the following would be an indication for migraine prophylaxis:

  • A. Headaches impact on daily activities
  • B. Headaches are triggered by cold weather
  • Correct Answer: Option A

Adolescent with ascending leg reflex and arreflexia. Which of the following infectious agents would you worry about:

  • A. Campylobacter jejuni
  • B. E Coli
  • C. Yersinia
  • D. Cryptosporidium
  • Correct Answer: Option A