Nervous System Infections

Question 1

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

Answer 1

c. Borrelia radiculoneuropathy

Question 2

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

Answer 2

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

Question 3

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

Answer 3

a. treated with interferon beta

Question 4

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

Answer 4

d. temperatures over 39°C

Question 5

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

Answer 5

e. meningococca

Question 6

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

Answer 6

b. cortical dementia

Question 7

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

Answer 7

a. pneumococcus

Question 8

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

Answer 8

d. Basic Liquor Report

Question 9

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

Answer 9

c. cefotaxime

Question 10

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

Answer 10

d. intravenous

Question 11

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

Answer 11

b. thoracic segments

Question 12

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

Answer 12

a. temporal lobe

Question 13

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

Answer 13

b. meningoencephalitis

Question 14

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

Answer 14

a. tuberculous meningitis
e. because dementia is reversible

Question 15

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

Answer 15

c. behavioural changes

Question 16

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

Answer 16

a. periodic lateralising epileptiform seizures

Question 17

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

Answer 17

a. 1 per 1,000,000

Question 18

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

Answer 18

d. paraparesis

Question 19

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

Answer 19

b. acyclovir i.v.

Question 20

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

Answer 20

b. haemianopsis

Question 21

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

Answer 21

d. paraparezo

Question 22

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

Answer 22

c. ceftriaxone

Question 23

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

Answer 23

b. for viral meningitis

Question 24

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

Answer 24

a. epileptic seizure

Question 25

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

Answer 25

a. Taenia solium

Question 26

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

Answer 26

b. neurosyphilis

Question 27

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

Answer 27

b. progressive multifocal leukoencephalopathies

Question 28

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

Answer 28

c. epilepsy

Question 29

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

Answer 29

c. JC virus

Question 30

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

Answer 30

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

Question 31

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

Answer 31

d. alpha cells of the spinal cord

Question 32

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

Answer 32

c. tabes dorsalis

Question 33

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

Answer 33

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

Question 34

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

Answer 34

b. lues

Question 35

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

Answer 35

d. a and b

Question 36

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

Answer 36

c. polyneuritis

Question 37

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

Answer 37

a. headache

Question 38

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

Answer 38

a. herpetic encephalitis

Question 39

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

Answer 39

e. everything works