Neurology

Question 1

A 66 year old, left handed, woman presents with ataxia and in-coordination. Where would you suspect
her lesion to be?

Left frontal lobe
Right frontal lobe
Brain stem
Cerebellum

Answer 1

Cerebellum

Question 2

What are the 5 commonest tumours to spread to brain?

Answer 2

renal cell carcinoma
lung carcinoma
breast carcinoma
malignant melanoma
GI tract

Question 3

Gliomas are derived from?

Answer 3

Astrocytes

Question 4

Most aggressive and malignant Glioblastoma Multiforme?

Answer 4

Glioblastoma Multiforme

Question 5

Mengiomas features (2)

Answer 5

Found in Arachnoid

Benign

Question 6

Most common type of pituitary tumour?

Answer 6

Adenoma

Question 7

Which nerves have palsies in Raised ICP (2)

Answer 7

3rd and 6th

Question 8

Hydrocephalus produces how much csf per day?

Answer 8

400-450

Question 9

A 44 year old, right handed, woman presents with acalculia, agraphia, finger agnosia and right/left confusion. Where would you suspect
her lesion to be?

Left parietal lobe
Right parietal lobe
Left occipital lobe
Cerebellum

Answer 9

Left parietal lobe

Question 10

A 30 year old, right handed, man presents with a bi temporal hemianopia. Where would you suspect
his lesion to be?

Right frontal lobe
Pituitary
Left optic nerve
Right occipital lobe

Answer 10

Pituitary

Question 11

A epileptic fit in someone with a brain tumour indicates the tumour is where?

Answer 11

Above the Tentorium

Question 12

What medication can be used in Brain Tumours?

Answer 12

Corticosteroids (Dexamethasone)

Question 13

What chemotherapy in Glioblastoma Multiforme?

Answer 13

Temazolamide

Question 14

Can a Glioblastoma multiforme be removed?

Answer 14

No

Only Biopsy or Debulk

Question 15

Low Grade Astrocytomas Life Expectancy?

Answer 15

Long

Question 16

High Grade/GBM Life Expectancy?

Answer 16

Average 1 Year Survival

Question 17

Menegioma Life Expectancy?

Answer 17

Commonly cured by surgery

Question 18

What test should you not do when signs/symptoms to suggest intracranial mass?

Answer 18

Lumbar Puncture

Question 19

A cerebral abscess is a complication of? (1)

Answer 19

Acute Sinusitis

Question 20

How does a cerebral abscess present? (3)

Answer 20

Recent Acute Sinusitis
Fever
Tender on Palpation of Maxillary and Frontal Sinuses

Question 21

Normal ICP is?

Answer 21

5-15

Question 22

Cerebral Perfusion Pressure is the difference between?

Answer 22

Mean Arterial Pressure and Intracranial Pressure

Question 23

PaC02 has a significant influence on what part of the brain?

Answer 23

Cerebral Blood Flow

Question 24

Brain tissue uses what two substances exclusively for metabolism?

Answer 24

Glucose and Ketones

Question 25

What does GCS measure?

Answer 25

Cerebral Perfusion

Question 26

What does looking at a neurosurgical patient's pupils measure?

Answer 26

Cerebral Herniation

Question 27

Where is the Pre-Central Gyrus?

Answer 27

Frontal Lobe

Question 28

What controls the bladder in the frontal lobe?

Answer 28

Parecentral Lobule

Question 29

Name 4 UMN Signs?

Answer 29

``` Weakness Increased Tone Brisk Reflexes Upgoing Plantars Pronator Drift ```

Question 30

What does the Stroop Test measure?

Answer 30

Colour

Question 31

What does the Dorsolateral Prefrontal Cortex measure?

Answer 31

Order

Question 32

Which part of the brain controls language, numeracy and visuospatial coordination?

Answer 32

Parietal Lobe

Question 33

Dysgraphesthesia is part of which part of brain?

Answer 33

Parietal Lobe

Question 34

Two Point discrimination is part of which part of brain?

Answer 34

Parietal Lobe

Question 35

Gerstman Syndrome affects which part of brain?

Answer 35

Parietal Lobe

Question 36

Gertsman Syndrome (Parietal Lobe) Features (4)

Answer 36

Dyscalculia Finger Anomia Left/Right DisorientationA graphic

Question 37

The Heschl Gyrus is made up of what part of brain?

Answer 37

Temporal Lobe

Question 38

What does the Heschl Gyrus control?

Answer 38

Auditory Input

Question 39

The Hippocampus is found where?

Answer 39

Temporal Lobe

Question 40

Which part of the brain controls encoding declarative long term memory?

Answer 40

Hippocampus in Temporal Lobe

Question 41

Where is the Amygdala found?

Answer 41

Temporal Lobe

Question 42

Which part of brain controls emotion?

Answer 42

Amygdala in Temporal Lobe

Question 43

Meyer's Loop controls?

Answer 43

Visual Fields in Temporal lobe

Question 44

Slurred Speech is found where?

Answer 44

Cerebellum

Question 45

Nystagmus is found where?

Answer 45

Cerebellum

Question 46

Myelopathy Features? (3)

Answer 46

Bilateral Motor and Sensory UMN

Question 47

Myelopathy affects the?

Answer 47

Cord

Question 48

Radiculopathy affects the?

Answer 48

Nerve Root

Question 49

UMN Features (6)

Answer 49

``` Clonus Upgoing Plantars Increased Tone Hoffman Sign Brisk Reflexes Romberg Test ```

Question 50

Radiculopathy features? (4)

Answer 50

Unilateral Single Myotome Single Dermatome LMN

Question 51

Radiculopathy Presentation? (3)

Answer 51

Pain in Single Dermatome Weakness in Myotome Loss of Reflex

Question 52

Peripheral Nerve features? (3)

Answer 52

Unilateral Motor and Sensory lMN Glove and Stocking

Question 53

What would be present on the skin in Lyme's Disease?

Answer 53

Erythema Chronica Migrans

Question 54

What would be present on the skin in Sarcoidosis?

Answer 54

Erythema Nodosum

Question 55

Ramsay Hunt Syndrome is caused by?

Answer 55

Varicella Virus