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neurology exams
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Neurology 24/12/2016
 (A) Complete the following sentences with suitable words
1- Performing lumber puncture may be complicated by (1) ………………………(2)………………………..(3)…………..(4) ……………
2-Bell's palsy may be secondary to ……….infection.it is more common in ……….. and  during ……….…. It often follows exposure to ……………
3-Extensor planter reflex (Babinski sign) is asure sign of
4- parkinsonism is a syndrome characterized by (1)……………(2)……………………and (3) …………………..
5- The two main types of migraine are ……………and …………………

(b) Check the following sentences either right (t) or wrong (F)
1- Vasomotor , trophic and sweating disturbances may be observed I a paraplegia patient .
2- Each cerebral hemisphere is divided into three lobes.
3- Weakness and wasting that are usually more distal is a characteristic of muscle disease.
4- Difficulty to perform rapid alternating movement is called "rebound phenomenon"
© Give reasons (explain ) the following :
1- Urinary bladder disorders can lead to chronic renal failure.
2-An IV line should be kept open in every patient with impaired consciousness .
(D) Choose the most appropriate completion from a,b,c or d
1- The seizure type most commonly occurring in adults is :
A.   Complex partial
B.   Generalized tonic clonic
C.   Generalized absence
D.   Simple partial
2- the commonest cause of hemiplegia are :
A.   Congenital causes
B.   Trauma
C.   Vascular causes
D.   Demyelinating disease
3- The following deficiency disorders are common causes of peripheral neuropathy except:
A.   Pellagra
B.   Rickets
C.   Beri-beri
D.   Pernicious anemia
4- The commonest cause of dementia is :
A.   Hypothyroidism
B.   Vit B12 deficiency
C.   Alzhemeir's disease
D.   Multiple cerebral infarcts
5-The two major component of the C.N.S are
A.   Brain and spinal cord
B.   Brain and peripheral nerves
C.   Cerebellum and spinal cord
D.   Brain and brain stem
6-Phenytoin is given to a patient in status epilepticus as a loading dose at rate of
A.   10 mgm/min
B.   30 mgm/min
C.   20 mgm/min
D.   30 mgm/min
7-……………. Suggest (s) a serious cause of headache:
A.   A prolonged course
B.   Frequent attacks
C.   A recent onset
D.   Non-throbbing charater
8- In systemic polyneuropathy, the following groups of muscles are more commonly affected:
A.   Distal flexors
B.   Distal extensors
C.   Proximal flexors
D.   Proximal extensors
9- In mysathenic patient weakness I usually worse
A.     After period of rest
B.     At the end of the day
C.     Early at the morning
D.     At periods of remissions
10- Blood tests indicated as investigation for a suspected CNS  infection include all of the following except :
A.     Serum electrolytes
B.     Serology for syphilis
C.     Serum CPK
D.     Blood culture.
Neurology 2014
Complete the following sentences with suitable words:
1- Headache due to increase intracranial pressure may be caused by
1-……………2………………….3………………….4……………………….
2- The two main contraindication for performing  lumber puncture are
1………………..2………………
3- Broad-spectrum of old antiepileptic is 1-…………………. While new Broad-spectrum of new antiepileptic is 2-…………………
4- Treatment of tension type headache include 1-…………….
2……………………..3-………………………….
5- Extensor planter reflex (Babinski sign) is sure sign of 1-……………..
6- Treatment of Parkinson disease include 1- …………2…………….3…………
7-The brain is formed of 1……………….2……………….3……………….
8- Encephalitis means infection of the 1-………………..….. While Myelitis is the infection of  2-…………….
Choose the most appropriate completion  from a,b,c  or d :
1-All the following structures are intracranial except:
a. Cerebral                                        b. Pons
c. Medulla oblongata                     d. Spinal cord
2- All the following neurologic findings may associate UMN weakness except:
a. Spasticity                                          b. Hyperreflexia
c. Clonus                                                       d. Babinski sign
3- The most causes of hemiplegia is:
a. Multiple sclerosis                                     b. Head trauma
c. Cerebral infraction                                    d. Meningitis.
4- The Total score of Glasgow coma scale range between:
a. 12 marks                                                         b. 3-15 marks
b. 0-15                                                                  d. 3-30
5-The lobe of the brain that’s contains the primary cortex is :
a. Frontal lobe.                                                      B. Parietal lobe
b. Temporal lobe                                                   c. Occipital lobe.
Check the following sentences either right or wrong and correct the wrong ones:
1- Hearing center is found in the frontal lobe . (    )

2- Multiple Sclerosis (M.S) is a disease of gray matter (   )

3- Classic migraine is more frequent than common migraine (   )

Neurology2011
A) complete the following sentences with suitable word(s):
1- the spinal cord is formed of ........segments including …....cervical,……… Thoracic. Lumbar, ……….sacral and ..........coccygeal segments.
2- the performance of lumber puncture may be complicated by:(1)…………………
        (2)…………………………..(3)……………………………and (4)…………………………………….
3 –MS usually presents with one of three major syndromes which are: (1)………..
2…………………………………….(3)  ……………………………
4- In Parkinson's disease, hand writing is usually ………..and speech is .................
B)check the following sentence either true (T) or false (F) :
1-The normal csl.pressure is 80-160mm Hg.
2-Dysdiadichoknesia is an impairment of rapid
3- paralysis of UMN. Type usually affects muscle groups more than
 individual muscles.
4- Migraine's attacks are never associated with nausea or vomiting.
c) choose the most appropriate completion from a,b,c,or d
1- All the following cranial nerves are exclusively except:
           a-Cr.N.X.                                 b- Cr.N.I.
           c- Cr.N.II                                 d. Cr.N.VIII.
2- The commonest cause of hemiplegia is :
a-multiple sclerosis.                                     b- head


Neurology2009
A) complete the following sentences with suitable word(s):
1-the brainstem is formed of three main structure which are the ………………………..and …………………….
2-The indications of lumber puncture include :
(1)………………………….……… (2)…………………………………..(3)……………………………………
3- The gait of a patient of peripheral neuropathy is either ………........or…………….
4 -  Vertebral causes of cords compression include :
  (1)……………………………..(2)…………………………….(3)………………………………
  (4)………………………….….(5)…………………………
5- parkinsonism is syndrome characterized by (1)……………..
  (2)……………………(3)………………
6- MS usually presents with one of three major clinical syndromes which are:
  (1)……………………………(2)……………......(3)……………………
(B)Check the following sentences either right or wrong and correct  the wrong one
1-sensory area is found in the parietal lobe.
2- The normal C.S pressure =80-160 mmHg.
3- Eye movement by the superior oblique muscle is a function of the
trochlear nerve .
4- Muscles of mastication are supplied by the facial nerve.
5- Differently to perform rapid alternating movement is called rebound phenomenon.
6-Migrainous attack are nerve associated with nausea and vomiting.
(c) Give reasons (explain) the following statement:
1-Increased intracranial tension is a contraindication for lumbar puncture .
2- Urinary bladder disorders can lead to chronic renal failure
3- The skin should be cured of in a paraplegic patient .
(D) Choose the most appropriate completion from a,b,c,or d
1- The two cranial nerves which are not peripheral are :
a.  Olfactory and trigeminal nerves.
b.  Optic and facial nerve.
c.  Olfactory and optic nerve.
d.  facial and vagus nerve.
2- The first steps in the management of a newly comatose patient is :
a. Checking serum electrolytes.
b. Searching underlying cause .
k.  keeping airway patient
d. Determining of level of coma.
 3- In a parkinsonian patient ,the tremor is evident when limb is at rest , when
The patient falls sleep :
a. it becomes more rapid
b. it disappears .
c. it increases in amplitude.
d. it transforms to choreic movement .

4- Sydenham's chorea is a reversible chorea that develops as a
Consequence of :
a. sub acute bacteria endocarditis
b. Typhoid fever.
c. Brucellosis.
d. Rheumatic fever.
5- The most obvious site of disease in myasthenia grave is:
a.  Anterior horn cell.
b. Neuromuscular junction.
c. Parasympathetic ganglion.
d. Sensory ganglion.
6- The commonest cause of hemiplegia is :
a- Multiple sclerosis.
b- Head trauma.
c- Cerebral infarct.
d- Meningitis.
7-the total score of Glasgow coma scale range between
a- 12 marks.
b-3
c- 0-15 marks.
d- 3-30 marks



8- In infancy . Urine is voided under the control of :
a- Frontal lobes.
b- Pyramidal tracts.
c- Local parasympathetic.
d- local parasympathetic reflex.
9- Weakness due to muscle disease is always associated with:
a- Hypotonia.
b- Fasciculation.
c- Sensory changes.
d- Sphincter disturbances.
10-the commonest cause of dementia is :
a- Hypothyroidism.
b- Vit.B12 deficiency.
c- Alzheimer's disease
d- Multiple cerebral infarcts.
11- Features of meningitis involvement in meningitis include all of the following except:
a- High fever.
b- Photophobia.
c- Nystagmus.
d. Stiff neck.
12- …………..Suggest(s) a serious cause of headache:
a- A prolonged course.
b- Frequent attack.
c- A recent onset.
d- Non-throbbing character.

Neurology2007
A) complete the following sentences with suitable word(s):
1- The MRI is superior to cranial CT in diagnosis of …..…….and……………………
2- The program of bladder dysfunction include (1)……….....(2)……………
(3)………………………………(4)…………………………………….
3- Parkinsonism is a syndrome characterized by (1)…………..(2)……………(3)………….
4-  consciousness depends upon the normal function of ………………………………..
5- causes of meningitis include (1)…………………….(2)……………………….
(3)…………………………(4)……………………………….(5)…………………………..
B)check the following sentences either right or wrong and  
Correct the wrong once:
1-sensory cortical area is found in parietal lobe of the brain.
2-the normal CSF pressure 80-160 mmHg.
3- Eye movement by superior oblique muscle is a function of trochlear nerve.
4-Muscle of mastication are supplied by the facial nerve.
5- Paralysis of upper motor neuron type usually affects muscle individually.
6- Vasomotor , trophic  and sweating disturbances may be observed in a paraplegic  patient .
(c) Give reasons (explain) the following statement:
1-Increased intracramat tension is a contraindication for lumber.
2-The skin should be cared of in paraplegic patient.
3- Status epilepticus carries a risk of acute death.
D) Calculate the score on Glasgow coma scale for:
        A patient with impaired consciousness opens his eyes spontaneously and
Withdraws his limb to pain but verbally responds by in appropriate words.
E)choose the most appropriate completion
1- The special sense carried by the cranial nerve VII is :
a) Vision              b) Taste              c) hearing              d) Smell
2- Dysdiadochokinesia is an impairment of :
a) Successive finger movement.
b) Rapid alternating movement
d) Tremor suppression.
d) Tremor suppression
3- The most obvious site of the disease in myasthenia graves is :
a) Anterior                                               c) Parasympathetic ganglion
b) Neuro-muscular junction                 d) Sensory ganglion
4- All the following signs may be present in a hemiplegic patient during
The neuronal shock stage except:
a) Spasticity                                             c) Different swallowing
b) Hypo-reflexia                                     d) Aphasia
5- The commonest neoplasm to be manifested by peripheral neuropathy is :
a) Prostatic cancer                                    c) Ovarian tumor
b) Bronchogenic carcinoma                     d) Parotid gland tumor
6- Progressive muscles dystrophy is a term applied to the disease of muscles
That are :
a) Endocrinal                                             c) due to malignancy
b) Toxic in origin                                       d) Genetically determined
7- The no neurologic complication of bacterial meningitis include all the
Following except :
a) Hypertension                                        c) coagulation
b) Shock                                                      d) bacterial endocarditis
8- …………………….. Suggests a serious cause headache:
a) A prolonged course                                c) A recent onset
b) Frequent attack                                      d) Non associate with vomiting
9- Headache due to raised intracranial pressure is :
a) Worse on awakening                                 c) Not associate with vomiting
b) Never dull-aching                                        d) worse at night
good luck

Neurology2006
1- Write short accounts of :
1-causes of focal spinal paraplegia.
2- C.S.F profile in CNS infection.
3- Glasgow coma scale.
2- choose a single proper completion from a, b, c, d for each of the following:
1 – The lobe of brain that contain the hearing center is :
       a. The frontal lobe.
b. The parietal lobe.
c. The temporal lobe.
d. The occipital lobe.
2- The special sense carried by the Cr VII is:
         a.vision.                                         c.Hearing
         b.Taste                                            d.Smell
3- All the following neurologic finding may associate LMN weakness except:
         A .Muscle atrophy                           c. fasciculation
         b. Hyperreflexia                             d. Babinski's sign
4- All of the following are feature of classic migraine except:
           a.Nausea and/or vomiting          c.Hemicranial headache
           b.Papillocdema                             d.visual phenomena
5- The following drugs are commonly used in treatment of status
epilepticus except:
            a.phenobarbital                                c. aminophylline
            b. phenytion                                      d. Diazepam
6- The first step in the management of newly comatose patient is:
            a. checking serum electrolytes 
            b. Searching underlying cause
            c. Keeping airway patient
            d. Determination of level coma
7- In a parkinsonism patient , the tremor evident when limb is at rest
When the patient falls asleep:

       a.It becomes more rapid.
       b. It disappears.
       c. It increase in amplitude
       d. It transforms to choreicmovement
8-Sydenham's  chorea is a reversible chorea that develop as a consequence of :
       a. Subacute bacteria endocarditis.
        b. Typhoid fever
        c. Brucellosis
        d. Rheumatic fever
9- The commonest neoplasm to be manifested by peripheral neuropathy is:
       a.Prostatic cancer
       b. Bronchogenic carcinoma
       c. Ovarian tumor
       d. Parotid gland tumor



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