Top 80+ Solved Neurological MCQ Questions Answer

a. female

b. 1st degree relative with SAH

c. polycystic ovaries

d. smoking

e. Marfans syndrome, coarctation of the aorta

a. 10%

b. 20%

c. 30%

d. 40%

e. 50%

a. 1

b. 2

c. 3

d. 4

e. 5

a. <12 hours =97.5% detection

b. 24 hours=95% detection

c. 1 week 50% detection

d. 3 days = 75% detection

e. 1 hour= 100% detection

a. Inspection of CSF with the naked eye reliably detects zanhtochromia

b. it is present in all CSF at 6 hours

c. it remains in CSF for 2 weeks

d. it is not present in a traumatic tap

e. it is detected with spectrophotometry

a. it usually occurs at day 4-14

b. it effects 30% of pts with SAH

c. it has a 30% morbidity and mortality untreated

d. hypertensive therapy with iv fluids and inotropes is contrindicated

e. the treatment of choice is Nimodipine

a. thrombolysis if less than 3 hours and normal CT

b. aspirin

c. specialized stoke unit

d. warfarin if atrial fibrillation

e. clopridogil

a. right MCA

b. left MCA

c. right anterior cerebral artery

d. left anterior cerebral artery

e. left vertebrobasilar system

a. streptokinase has the same risk benefit profile as tPA

b. the mortaility rate of tPA given within three hours of onset of ischemic stroke is lower than that of the stoke without thrombolysis

c. the mortality rate of tPA given within three hours of onset of ischemic stroke is higher than that of the stoke without thrombolysis

d. the long term disability rate in patients surviving their stoke is less if they were given tPA

e. the long term disability rate in patients surviving their stoke is higher if they were given tPA

a. in a patient with an anterior circulation ischemic event, the presence of a bruit suggests a moderately severe stenosis

b. in a patient with an anterior circulation ischemic event, the absence of a bruit dismisses a moderately severe stenosis

c. a symptomatic stenosis >70% is often operated upon

d. an asymptomatic stenosis of > 70% is usually not operated upon

e. all patient with stenoses < 30% should not be considered for endarterectomy

a. all

b. vertebro basilar ischemic stroke

c. anterior circulation ischemic stroke with no prior history of cerebrovascular disease

d. ischemic stroke or TIA secondary to proven cardioembolic source

e. lacunar infarct with 80% carotid stenosis

a. pathophysiology involves inflammation of the trigeminovascular system

b. serotonin plays an integral part

c. the aura, if present, should last less than 60 mins and be totally reversible

d. it is typically bilateral, pulsating and occipital

e. the headache usually last 4-72 hours

a. chlorpromazine is a first line agent

b. sumotriptan is a first line agent

c. dihydroergotamine should not be given if sumotriptan has already been taken

d. pethidine is not as effective in treatment and has a higher rebound c.f other agents

e. dexamethasone has been proven to decrease rate of recurrence

a. cluster headaches are short lived lasting 15-180 mins

b. oxygen can releve a majority of cluster headaches

c. temperal arteritis usually produces an ESR of 20

d. temporal arteritis can cause ischemic optic neuritis if left untreated

e. treatment of temperal arteritis involves oral prednisolone

a. 2.5%

b. 5%

c. 10%

d. 15%

e. 17.5%