N

Question 1

Acoustic neuroma

Answer 1

8,5-corneal reflex
7-facial palsy

Question 2

Normal pressure hydrocephalus

Answer 2

Dementia
Gait abnormality
Uninary incontinence
Enlarged fourth ventricle in MRI

Question 3

Focal impaired awareness seizure

Answer 3

Lamotrigine -first line
Topomiramate-cognitive side effects n risk of renal stones
Clonazepam- more severe cases of epilepsy

Question 4

Motor neuron disease

Answer 4

Extensor planters+absent ankle jerk-mixed UMN

Question 5

Degenerative cervical myelopathy

Answer 5

Bilateral paresthesia in both radial aspects (C6 dematome)
Spasticity of lower limbs
Can’t botton shirts or hold cup
Sphincter dysfunction-incontinence
Carpel tunnel syndrome not healing with splints and steroid

Question 6

Chorea

Answer 6

Huntington
SLE
Pregnancy
Thyrotoxicosis
Polycythemia rubra vera
Carbon monoxide

Question 7

Idiopathic Parkinson’s disease

Answer 7

Akinesia
Tremor
Rigidity
Postural instability

Question 8

Temporal lobe lesion

Answer 8

Wernicke’s aphasia
Auditory agnosia
Superior homonymous quadrantanopia
Prosopagnosia

Question 9

Parietal lobe lesions

Answer 9

Sensory inattention
Apraxia
Astereognosis
Inferior homonymous quadranatopua

Question 10

Occipital lobe lesion

Answer 10

Homonymous hemianopia
Cortical blindness
Visual agnosis

Question 11

Frontal lobe

Answer 11

Inability to generate a list
Disinhibitions

Question 12

Medial longitudinal fasciculus

Answer 12

Internuclear opthalmoplegia-seen in MS
-inability to adduct and contra lateral eye nystagmus

Question 13

Forster Kennedy syndrome

Answer 13

Ipsilateral optic atrophy and papiloedema of contralateral side
It’s a frontal lobe tumor

Question 14

Von hippel linda syndrome

Answer 14

Bilateral vitreous hemorrhage
Retinal and cerebellar hemangioblastoma
Young people
Progressive ataxia

Question 15

Lateral medullary syndrome

Answer 15

PICA lesion
Contralacteral sensory loss of limbs and cerebellar signs
Ipailateral Horner’s

Question 16

Anterior inferior cerebellar lesion

Answer 16

Central vestibular loss

Question 17

Miosis causes

Answer 17

Old age
Argyll Robertson pupil-small irregular pupils not reacting to light but accommodate
Horner’s syndrome
Pontine hemorrhage-damage to descending sympathetic pathways in brain stem

Question 18

Vestibular neuronitis

Answer 18

Acute onset vertigo following viral infection.
Self limiting
No auditory symptoms
Unilateral
Preservation of hearing (cochlear portion )

Question 19

Myasthenia graves exercebation drugs

Answer 19

Gentamicin
Beta blockers
Quinidine-blocks K channels
Penicillamine-induced autoimmune response
Lithium
Phenytoin
Tetracycline
Procainamide

Question 20

Steven’s johnson syndrome

Answer 20

Flu like illness
Fever
Ulcerative lesions involving mucosa
Lamotrigine can cause

Question 21

Brocas dysphasia

Answer 21

Not fluent speech
Repetition impaired
Comprehension normal
Inferior frontal gyrus affected

Question 22

Right 3rd nerve palsy

Answer 22

All rectus and inferior oblique muscles
Inability to adduct,eye going downward and outwards when looking forward.
Double vision
Ipsilateral eye

Question 23

6th nerve palsy

Answer 23

Innervate only lateral rectus
Deviate inward
Difficulty abducting affected eye

Question 24

4th nerve palsy

Answer 24

Vertical diplopia which worsens looking down
No difficulty in adduction

Question 25

Anti GAD

Answer 25

Stiff person syndrome

Question 26

Drugs for neuropathic pain

Answer 26

Gabapentine Duloxetine-SNRI Amitriptyline

Question 27

Brown sequared syndrome

Answer 27

Lateral hemisection lesion Ipsilateral weakness Loss of propioception and vibration Ipsilateral(dorsal column ) Losss of pain and temperature contralateral(spinothalamic tract) Upgoing plantar(UMN lesion)