Neurology MCQs

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A 6 year old boy presents with 3 episodes of facial twitching and drooling at night. Each episode lasted 1-2 minutes. His EEG shows epileptiform discharges in the right or left central-temporal region What is the correct management?

  • A. Reassure family
  • B. Start ethosuxamide
  • C. Urgent MRI brain
  • D. Urgent Neurology referral
  • Correct Answer: Option A

12 month old boy presents with recurrent episodes of going limp and having some jerky movements. All of these episodes have occurred after minor injuries. He has had a normal EEG. What is the diagnosis?

  • A. Infantile spasms
  • B. Breath holding spells
  • C. Syncopal episodes
  • D. Benign myoclonic epilepsy
  • Correct Answer: Option B

4 month old who recently started feeds. Has developed constipation, poor feeding, facial weakness, weak cry, and has progressively worsening poor tone. What is the most likely diagnosis:

  • A. SMA
  • B. Botulism
  • C. Myasthenia Gravis
  • D. GBS
  • Correct Answer: Option B

10 mo first febrile seizure, no fam hx, what is their recurrence risk of febrile seizure?

  • A. 5%
  • B. 25%
  • C. 50%
  • D. 75%
  • Correct Answer: Option C

A 6 year old girl presents with recurrent episodes of staring. She has recently started to have learning problems at school. Her EEG shows generalized 3 Hz spike and wave discharges. What do you tell the family?

  • A. She has a high likelihood of developing GTC seizures
  • B. Treatment is not needed because of benign nature of condition
  • C. Treatment with carbazepine is recommended
  • D. She will likely outgrow these by adolescence
  • Correct Answer: Option D