Question 1

Which is not a feature of myasthenia gravis?

Accepted Answer

A)  motor weakness is usually of proximal extremities and bulbar
B)  there is usually no sensory loss
C)  there is usually no reflex loss
D)  symptoms are often worse as the day progresses
E)  it is due to anitibodies formed against acetylcholineesterase E

Question 2

What is NOT true of Guillian Barre Syndrome?

Accepted Answer

A)  frequently patients report an antecedent viral illness
B)  classical motor weakness is greater and earliest in the legs
C)  there is a lack of deep tendon reflexes
D)  there is peripheral sensory loss greater in the arms than the legs
E)  There may be autonomic disturbances D

Question 3

A patient presents with right sided arm weakeness and a R facial droop with aphasia. Which artery distribution is the likely to be the cause of her stoke?

Accepted Answer

A)  right MCA
B)  left MCA
C)  right anterior cerebral artery
D)  left anterior cerebral artery
E)  left vertebrobasilar system B

Question 4

Which statement is false regarding Bells Palsy?

Accepted Answer

A)  The use of steroids is well proven to decrease duration of illness
B)  Steroids are definitely not of use if the presentation is one week post symptom onset
C)  The feature that excludes it from an upper motor nerve lesion is the inability to furrow the forehead
D)  Other cranial nerves are always normal
E)  It involves the 7th cranial nerve

Question 5

How long should you wait to get an LP before giving antibiotics?

Accepted Answer

A)  give antibiotics immediately
B)  10 mins
C)  20 mins
D)  30 mins
E)  45 mins

Question 6

Which of these is not consistent with vestibular neuronitis?

Accepted Answer

A)  horizontal nystagmus
B)  dysarthria
C)  vomiting
D)  constant for eight hours
E)  vertigo

Question 7

Which of the signs or symptoms below would concern you that the cause of a patients vertigo was central?

Accepted Answer

A)  associated vomiting
B)  worsens with position change
C)  associated tinnitus
D)  vertical nystagmus
E)  sudden onset

Question 8

Which CSF finding is incorrect?

Accepted Answer

A)  antigenic studies are useful where partial treatment with antibiotics renders the CSF sterile on culture
B)  antigenic studies are more sensitive when urine and serum are used as opposed to CSF
C)  in viral meningitis the main white cells usually seen are monocytes
D)  you would expect to see a raised CSF pressure in bacterial meningitis
E)  in viral meningitis you would expect to see a low glucose and a high protein

Question 9

Which of the signs or symptoms below would concern you that the cause of a patients vertigo was central?

Accepted Answer

A)  associated vomiting
B)  worsens with position change
C)  associated tinnitus
D)  vertical nystagmus
E)  sudden onset

Question 10

Which statement is incorrect about prophylaxis in meningitis?

Accepted Answer

A)  there is no prophylaxis available for pneumococcus only meningococcus and Hib
B)  it does not need to be given to the index case
C)  it should include all household contact where there has been close contact eg. Share eating utensils
D)  it should be given to the attending medical staff only if they did mouth to mouth
E)  rifampicin or ceftriaxone or ciprofloxacin are in the drugs involved

Question 11

Which of the drugs below is not known to cause an exacerbation of myasthenia gravis?

Accepted Answer

A)  prednisolone
B)  lignocaine
C)  chlorpromazine
D)  lithium
E)  penicillin

Question 12

Which statement is FALSE about MS?

Accepted Answer

A)  30% of patients will initially present with optic neuritis
B)  CSF protein and gammaglobulin levels are reduced in MS
C)  nearly all patients will demonstrate some abnormality on MRI
D)  the overall life expectancy is not usually reduced with MS
E)  MS symptoms will often worsen with fever and exercise

Question 13

Which CSF finding is incorrect?

Accepted Answer

A)  antigenic studies are useful where partial treatment with antibiotics renders CSF sterile on culture
B)  antigenic studies are more sensitive when urine and serum are used as opposed to CSF
C)  in viral meningitis the main white cells usually seen are monocytes
D)  you would expect to see a raised CSF pressure in bacterial meningitis
E)  in viral meningitis you would expect to see a low glucose and a high protein

Exam 3: Neurological: LP, CSF, Meningitis, Vertigo, MS, and Stroke

Which is not a feature of myasthenia gravis?

What is NOT true of Guillian Barre Syndrome?

A patient presents with right sided arm weakeness and a R facial droop with aphasia. Which artery distribution is the likely to be the cause of her stoke?

Which statement is false regarding Bells Palsy?

How long should you wait to get an LP before giving antibiotics?

Which of these is not consistent with vestibular neuronitis?

Which of the signs or symptoms below would concern you that the cause of a patients vertigo was central?

Which CSF finding is incorrect?

Which of the signs or symptoms below would concern you that the cause of a patients vertigo was central?

Which statement is incorrect about prophylaxis in meningitis?

Which of the drugs below is not known to cause an exacerbation of myasthenia gravis?

Which statement is FALSE about MS?

Which CSF finding is incorrect?