Neurology 2

An 86-year-old woman has a 5 month history of cognitive dysfunction. Presence of which of the following symptoms is most suggestive of normal pressure hydrocephalus?

A 45-year-old male presents for a routine physical. His mother and father both had ischemic strokes in their 70’s. He is a non- smoker. His blood pressure is 128/80 mmHg, pulse 78/minutes and regular, respiratory rate of 12/minute. He has an unremarkable cardiac exam and no bruits. Which of the following studies should be ordered to further evaluate this patient’s risk of stroke?

A 23-year-old man who takes no medicine has a generalized seizure that does not respond to intravenous administration of phenytoin. Which of the following is the most likely cause of the seizure?

In addition to tremor, which of the following are cardinal symptoms of Parkinson’s disease?

A 40-year-old man has recently diagnosed cluster headaches. During a headache, which of the following is least likely to be noted on examination?

A 63-year-old man has low back pain radiating around the anterior aspect of his right thigh to the knee. Which of the following signs upon examination is most suggestive of L2/L3/L4 radiculopathy?

A 60-year-old man comes to you accompanied by his wife who is concerned about his health. A few months ago he started “acting out his dreams”, kicking, hitting and crying out in his sleep. More recently, he has developed a resting tremor of his hand which has interfered with his eating and handwriting. On exam, you observe his tremor and also note bradykinesia and a paucity of spontaneous arm movements when testing his gait. Which of the following is the most likely diagnosis?

An 18-month-old presents to the ER with a fever of 104.2 degrees F. rectally. His medical history is obtained from the mother and reveals a 48-hour duration of upper respiratory symptoms, acute onset of a fever two hours ago and then a seizure lasting ~5 minutes. The child is up to date on his immunizations and sees his pediatrician regularly for well checkups. The mother denies any developmental delays or recent trauma. The mother is concerned about epilepsy but you know that a simple febrile seizure is distinguished by which of the following?

A 78-year-old man has a 2 week history of left-sided headaches. Which of the following laboratory values is most consistent with a diagnosis of giant cell arteritis?

A 36-year-old woman has a 2 week history of generalized headaches. The presence of which of the following is a danger sign raising suspicion that the patient has a serious disorder?

Organisms causing viral encephalitis include all of the following except:

Which of the following is true regarding the antiparkinsonian agent pergolide?

A 16-year-old girl complains of facial stiffness and a “pulling sensation” on one side of her face on waking this morning. She also complains of difficulty eating due to food getting caught in her cheek. Which of the following is the most likely diagnosis?

A 48-year-old computer operator complains of numbness and tingling of his right thumb and right index and middle fingers for the past month. He also has difficulty grasping his coffee cup. On physical examination, he has a positive Phalen’s test and Tinel’s sign. First-line management of this patient includes which of the following?

After a complete history and physical examination, you believe your patient has neurosyphilis. You order a CSF-VDRL, and it comes back nonreactive. Which of the following statements is true?

Characteristics of myasthenia gravis include all of the following except:

A 62-year-old man comes to the office complaining of slow movements and tremors of his hands when he is sitting and watching television. On physical examination, he shows stooped posture, cogwheel rigidity, drooling, and a festinating gait. Which of the following is the most likely diagnosis?

A 19-year-old woman complains that she feels as if the room is spinning around even when she is not moving. Given this symptom, all of the following are true except:

A 54-year-old diabetic patient complains of numbness and tingling of the feet, lower legs, and hands especially at night and associated with intermittent facial pain. Which of the following is appropriate in the management of this patient?

A 29-year-old woman complains of an insidious onset of diplopia, difficulty chewing, ptosis, dysphagia, nasal speech, regurgitation of fluids, and weak limbs. Which of the following is the most likely diagnosis?

A 54-year-old male presents with memory loss, social withdrawal, and lack of interest in personal hygiene. Physical exam reveals increased rigidity in the muscles and loss of coordination. MRI reveals atrophy in the anterior temporal lobe. Based on the patient’s presentation, physical examination, and test results, which of the following is the most likely diagnosis?

Which of the following medications is used as treatment for generalized nonconvulsive, or absence, seizures?

For patients who have suffered a subarachnoid hemorrhage, which of the following describes the appearance of cerebrospinal fluid?

Stroke therapy with recombinant tissue plasminogen activator is most effective when administered within how many hours after the initial onset of symptoms?

Which of the following medications is used to reduce the damage caused by a stroke?

Patients who are treated with monoamine oxidase inhibitors (MAOIs) are advised to stay away from foods that contain which of the following compounds?

Which of the following types of stroke is associated with evidence of brain stem dysfunction such as coma, drop attacks, vertigo, nausea, vomiting, and ataxia?

Which of the following radiologic imaging modalities is required to differentiate between ischemic and hemorrhagic strokes?

Which of the following anti-seizure medications is used primarily when patients are unresponsive to other anti-seizure medications?

Which of the following types of medications is an appropriate intervention for a seizure lasting longer than 30 minutes?