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Neurology > Nervous System Infections > Flashcards

Nervous System Infections Flashcards

1
Q

A 30-year-old patient with limb pain and reduced distal muscle strength. A
lymphocyte examination shows elevated proteins and lymphocytosis. What is
it?
a. multiple sclerosis
b. Guillain-Barre syndrome
c. Borrelia radiculoneuropathy

A

c. Borrelia radiculoneuropathy

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2
Q

Subacute sclerosing panencephalitis is caused by:
a. measles virus
b. Rubella virus
c. mumps virus
d. JC virus
It is
characterised
by:
e. cognitive decline
f. myoclonus
g. epileptic seizures
h. all of the above
and prove it by:
i. characteristic changes in the EEG, periodic sharp waves
j. isolation of the virus from liquor
k. positive IgG antibodies to measles virus in the blood
l. positive IgG antibodies to measles virus in the lymph

A

a. measles virus
h. all of the above
l. positive IgG antibodies to measles virus in the lymph

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3
Q

Progressive multifocal leukoencephalopathy (PML) is not seen in patients:
a. treated with interferon beta
b. treated with natalizumab
c. with AIDS
d. after liver transplantation

A

a. treated with interferon beta

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4
Q

Signs of tuberculous meningitis do not include:
a. brain nerve involvement
b. cachexia
c. paraparesis
d. temperatures over 39°C

A

d. temperatures over 39°C

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5
Q

Which bacteria does not cause meningitis?
a. Clostridium tetani
b. Borrelia burgdorferi
c. Mycobacterium tuberculosis
d. pneumococcus
e. meningococca

A

e. meningococca

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6
Q

HIV dementia is not specific to HIV:
a. the most common neurological syndrome in AIDS
b. cortical dementia
c. subcortical dementia
d. apathy

A

b. cortical dementia

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7
Q

The most common cause of acute bacterial meningitis in adults is:
a. pneumococcus
b. meningococcal
c. Staphylococcus aureus
d. Listeria monocytogenes

A

a. pneumococcus

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8
Q

Bacterial meningitis is treated when we receive the diagnosis:
a. CT heads
b. hemogram
c. staining for bacteria in the liquor
d. Basic Liquor Report

A

d. Basic Liquor Report

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9
Q

The drug of choice for bacterial meningitis if the causative organism is not isolated is:
a. acyclovir
b. ciprofloxacin
c. cefotaxime
d. vancomycin

A

c. cefotaxime

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10
Q

We will administer an antibiotic for bacterial meningitis:
a. per person
b. intrathecally
c. intramuscular
d. intravenous

A

d. intravenous

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11
Q

Herpes zoster most commonly affects:
a. cervical segments
b. thoracic segments
c. lumbar segments
d. Sacred segments

A

b. thoracic segments

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12
Q

The area of the brain most commonly affected by the herpes virus:
a. temporal lobe
b. Occipital chain
c. limbic chain
d. parietal chain

A

a. temporal lobe

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13
Q

What is the most common neurological manifestation of borreliosis?
a. facial nerve involvement
b. meningoencephalitis
c. meningoradiculitis

A

b. meningoencephalitis

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14
Q

All of these diseases cause cognitive decline. Early diagnosis is most
important for:
a. tuberculous meningitis
b. Creuzfeldt-Jakob disease
c. Alzheimer’s disease
d. progressive supranuclear palsy
Why?
e. because dementia is reversible

A

a. tuberculous meningitis
e. because dementia is reversible

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15
Q

In the prodromal phase of tuberculous meningitis, we may find:
a. Cerebral nerve impairment
b. meningeal signs
c. behavioural changes
d. long stripes, especially pyramidal
e. vomiting

A

c. behavioural changes

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16
Q

EEG features in herpetic encephalitis:
a. periodic lateralising epileptiform seizures
b. generalised delta activity
c. outbreak-mutiny pattern
d. beta activity

A

a. periodic lateralising epileptiform seizures

17
Q

Incidence of classic CJD:
a. 1 per 1,000,000

A

a. 1 per 1,000,000

18
Q

Herpetic encephalitis is not characteristic:
a. headache
b. epileptic seizures
c. behavioural disorders
d. paraparesis

A

d. paraparesis

19
Q

The drug of choice for herpetic encephalitis is:
a. acyclovir per os
b. acyclovir i.v.
c. ganciclovir
d. penicillin

A

b. acyclovir i.v.

20
Q

The clinical picture of subdural empyema does not include:
a. hemiparesis
b. haemianopsis
c. disorders of consciousness
d. hearing impairment

A

b. haemianopsis

21
Q

It is rarely found in brain abscesses:
a. edem papile
b. hemiparezo
c. disorders of consciousness
d. paraparezo

A

d. paraparezo

22
Q

Neuroborreliosis is treated by:
a. penicillin
b. metronidazole
c. ceftriaxone
d. Clindamycin

A

c. ceftriaxone

23
Q

Monocytes and normal glucose concentrations are found in the fluid. What is it?
a. for bacterial meningitis
b. for viral meningitis
c. for tuberculous meningitis
d. for carcinomatosis of the menin

A

b. for viral meningitis

24
Q

What is the most common sign of cysticercosis?
a. epileptic seizure
b. headache
c. focal neurological deficit
d. nausea and vomiting

A

a. epileptic seizure

25
Q

Who causes cysticercosis?
a. Taenia solium
b. Taenia saginata
c. Echinococcus granulosus
d. Toxoplasma gondii

A

a. Taenia solium

26
Q

Argyll-Robertson pupil occurs in:
a. neuroborreliosis
b. neurosyphilis
c. tuberculous meningitis
d. Creutzfeldt-Jakob disease

A

b. neurosyphilis

27
Q

In AIDS, papovavirus infection leads to:
a. subacute sclerosing panencephalitis
b. progressive multifocal leukoencephalopathies
c. viral encephalitis
d. inclusion encephalitis

A

b. progressive multifocal leukoencephalopathies

28
Q

The consequences of herpes encephalitis:
a. aphasia
b. amnesia
c. epilepsy

A

c. epilepsy

29
Q

Which virus causes progressive multifocal leukoencephalopathy?
a. HBV
b. BK virus
c. JC virus
d. EBV

A

c. JC virus

30
Q

Who do we ask about childhood diseases?
a. acute haemiplegia
b. secondary school student with acute fever and headache
c. a secondary school student who has been experiencing a decline in
concentration, occasional twitching and visual disturbances in
recent months
Which disease are we suspecting?
d. on subacute sclerosing panencephalitis
e. Alzheimer’s disease
f. Huntington’s disease

A

c. a secondary school student who has been experiencing a decline in
concentration, occasional twitching and visual disturbances in
recent months
d. on subacute sclerosing panencephalitis

31
Q

Tabes dorsalis does not go with:
a. syphilis
b. the last roots
c. ataxijo
d. alpha cells of the spinal cord
e. none of the above

A

d. alpha cells of the spinal cord

32
Q

What is the name of the disease affecting the dorsal columns of the spinal
cord and the dorsal roots that occurs in neurosyphilis?
a. tuberous syphilis
b. meningovascular syphilis
c. tabes dorsalis
d. syphilitic gum

A

c. tabes dorsalis

33
Q

Who do we do a CT scan with before a lumbar puncture?
a. a gentleman with severe unconsciousness, fever and stiff neck.

A

a. a gentleman with severe unconsciousness, fever and stiff neck

34
Q

The image of the spinal cord, some coloured with blue contrast, some not. What is it?
a. vitamin B6 deficiency
b. lues
c. polyradiculopathy
d. none of the above

A

b. lues

35
Q

A picture of one totally bleeding brain, we can see the temporal lobe in particular is
bleeding, but from the looks of it, there is probably further bleeding on the upper side
of the brain as well. The patient has:
a. psychosis
b. temperature
c. apraxia of dress
d. a and b
e. none of the above

A

d. a and b

36
Q

What develops after Campylobacter jejuni infection?
a. polymyositis
b. polyarteritis
c. polyneuritis
d. polyarthritis

A

c. polyneuritis

37
Q

What is the most common symptom of a brain abscess?
a. headache
b. epileptic seizure

A

a. headache

38
Q

19-year-old admitted to the field for visual and auditory hallucinations. He came in
with fever, headache and numb neck. What is wrong with him?
a. herpetic encephalitis
b. toxoplasmosis
c. HIV
d. temporal lobe epilepsy
e. none of the above

A

a. herpetic encephalitis

39
Q

Which medicine is not effective for CIBD:
a. electrophoresis
b. immunoglobulin
c. immunosuppressive drugs
d. corticosteroids
e. everything works

A

e. everything works

Neurology (22 decks)

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