Top 80+ Solved Neurological MCQ Questions Answer

a. 20 mins

b. 30 mins

c. 40 mins

d. 50 mins

e. 60 mins

a. the loading dose is 15-20 mg/kg

b. if a pt on phenytoin arrives in status epilepticus then the full loading dose should still be given

c. side effects include hypotension and bradyarrythmias

d. it is extremely effective in alcohol induced seizures

e. it is contraindicated in 2nd and 3rd degree heart block

a. there is little evidence to support any particular one

b. the dose of clonazepam in a child is 0.5 mg, and an adult 1mg

c. diazepam can be safely used PR, IM or IV

d. the rectal dose of diazepam for a 3 year old is about 5mg

e. the IV dose of diazepam in a 1 year old is about 2-3mg

a. rhythmic thrusting of the pelvis

b. extremity movements out of phase bilaterally

c. head rolling from side to side

d. recall of events during the seizure

e. tongue biting

a. Ceftriaxone 2gm and Benzylpenicillin 1.8gm

b. Ceftriaxone 2gm

c. Benzylpenicillin 1.8gm

d. Ceftriaxone 2gm and Benzylpenicillin 1.8gm and Vancomycin 500mg

e. Ceftriaxone 2gm and Vancomycin 500mg

a. give antibiotics immediately

b. 10 mins

c. 20 mins

d. 30 mins

e. 45 mins

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

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

a. associated vomiting

b. worsens with position change

c. associated tinnitus

d. vertical nystagmus

e. sudden onset

a. horizontal nystagmus

b. dysarthria

c. vomiting

d. constant for eight hours

e. vertigo

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

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

a. prednisolone

b. lignocaine

c. chlorpromazine

d. lithium

e. penicillin

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

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