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Neurology Case Studies and Questions

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0% found this document useful (0 votes)
10 views13 pages

Neurology Case Studies and Questions

Uploaded by

medicolover001
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

A 40-year-old female came to ER with complaints of high-grade fever with sweating for last 5 days.

On
examination, she was drowsy with neck rigidity. Cerebrospinal fluid showed web-like pellicle in the fluid.
What is the most likely diagnosis?

a. Multiple sclerosis

b. Viral meningitis

c. Tubercular meningitis

d. CNS malignancy

A 55-year-old male, known case of diabetes, presented in the neurology clinic with the history of stroke
involving the posterior limb of internal capsule. Which of the following tract is most likely to be
involved?

a. Thalamicortical fibers to frontal lobe

b. Corticopontine fiber

c. Corticobulbar fibers

d. Frontopontine fibers

[3/15, 11:15 PM] AbuBakar Mwt: Proprioceptor are those receptors, that senses

a. Body equilibrium

b. Body temperature
c. Muscle's length and tension

d. Deep pain sensation

[3/15, 11:16 PM] AbuBakar Mwt: Cerebellar lesions results in:

a. Loss of deep reflex

b. Dysmetria

c. Mask face

d. Positive plantar reflex

[3/15, 11:16 PM] AbuBakar Mwt: An 80 year old male was brought to the Neurology OPD with the
complaints of shaking, rigidity, slowness of movement, and difficulty in walking. Which neurotransmitter
is likely to be depleted in the brain?

a. Norepinephrine

b. Serotonin

c. GABA

d. Dopamine

[3/15, 11:16 PM] AbuBakar Mwt: Which of the following fibers connect motor speech area with
temporal lobe of brain?
a. Cingulum

b. Stria medullaris thalami

c. Uncinate fasciculus

d. Habenular commissure

[3/15, 11:16 PM] AbuBakar Mwt: The secretion of cerebrospinal fluid by choroid plexus occurs by:

a. Passive transport of chloride ions

b. Facilitated diffusion of potassium ions

c. Co-transport of bicarbonate ions

d. Active transport of sodium ions

[3/15, 11:18 PM] AbuBakar Mwt: The tracts traversing through the anterior part of the pons are:

a. Medial and spinal lemniscus

b. Corticospinal & corticonuclear

c. Inferior and middle cerebellar peduncle

d. Medial longitudinal fasciculus and fasciculus gracile


[3/15, 11:18 PM] AbuBakar Mwt: Which dietary lipid consumption reduces risk of cardiovascular
disease?

a. Cholesterol ester

b. Trans fat

c. Polyunsaturated fat

d. Saturated fat

[3/15, 11:18 PM] AbuBakar Mwt: The neurotransmitter released by fast pain fibers is:

a. Enkephalin

b. Serotonin

c. Substance P

d. Glutamate

[3/15, 11:19 PM] AbuBakar Mwt: The cutaneous receptors which is sensitive to fine touch and pressure:

a. Ruffini endings

b. Pacinian corpuscle

c. Meissner corpuscle
d. Krause bulb

[3/15, 11:19 PM] AbuBakar Mwt: The tract which is concerned with the tone of the flexor muscles is:

a. Rubrospinal

b. Tectospinal

c. Corticospinal

d. Reticulospinal

[3/15, 11:19 PM] AbuBakar Mwt: Anterograde amnesia refers to:

a. Inability to form new memories

b. Inability to recall events shortly

c. Relatively intact short-term memory

d. Ability to recall experiences from his childhood

[3/15, 11:20 PM] AbuBakar Mwt: A dye was injected into the blood of 45 years old male, which entered
directly into the region of hypothalamus devoid of blood brain barrier. Which of the following part of
the hypothalamus will receive the dye?

a. Supraoptic nuclei
b. Mamillary body

c. Median eminence

d. Suprachiasmatic nuclei

[3/15, 11:20 PM] AbuBakar Mwt: Which of the following structures passes through Foramen Spinosum?

a. Mental Nerve

b. Zygomaticofacial Nerve

c. Emissary Vein

d. Middle Meningeal Artery

[3/15, 11:20 PM] AbuBakar Mwt: Signs & symptoms of occlusion of Anterior Spinal artery include:

a. Loss of position & vibratic

16/34

b. Monoplegia

c. Loss of bladder and bowel control

d. Unilateral thermo anesthesia & analgesia


[3/15, 11:20 PM] AbuBakar Mwt: In the sympathetic nervous system, the neurotransmitterat pre-
synaptic ganglionic endingis:

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a. Acetylcholine

b. Noradrenaline

c. Histamine

d. Serotonin

[3/15, 11:21 PM] AbuBakar Mwt: Subconscious execution of learned patterns of movement, is the
feature of

18/34

a. Caudate and Globus pallidus circuit

b. Putamen circuit

c. Caudate circuit

d. Caudate and putamen circuit

[3/15, 11:21 PM] AbuBakar Mwt: A 50-year-old male developed impaired cognitive abilities and
peripheral neuropathy. He is a chronic alcoholic and has no eating well for several weeks. Whic. 19/34
following vitamins is likely to be deficient in this patient?
a. Thiamine

b. Vitamin K

c. Biotin

d. Cobalamine

[3/15, 11:21 PM] AbuBakar Mwt: A person with bilateral destruction of amygdala results in Kluverbucy
syndrome, which is characterized by

a. Strong memory

b. Very low sexual drive

c. Placing everything in the mouth

d. Fear of every thing

[3/15, 11:22 PM] AbuBakar Mwt: Which of the following artery/arteries are responsible for more than
70% of the blood flow to the brain?

a. Vertebral

b. Basilar

c. External carotid
d. Internal carotid

[3/15, 11:22 PM] AbuBakar Mwt: During the development of forebrain, insula appears as a depressed
area between which of the following lobes of cerebral cortex?

a. Frontal & parietal

b. Parietal & occipital

c. Occipital & temporal

d. Frontal & temporal

[3/15, 11:22 PM] AbuBakar Mwt: Which of the following Thalamic nuclei receives pain and temperature
sensations from body?

a. Ventral posteromedial

b. Ventral posterolateral

c. Lateral geniculate

d. Medial geniculate

[3/15, 11:22 PM] AbuBakar Mwt: Which of the following is the arteries supply the dorsal part and genu
of the posterior limb of internal capsule?

a. Posterior superior cerebellar


b. Posterior cerebral

c. Anterior cerebral

d. Middle cerebral

[3/15, 11:23 PM] AbuBakar Mwt: Glucose is extremely essential for survival and functioning of neural
tissues. Which of the following mechanism is involved in its transport?

a. Simple diffusion

b. Facilitated diffusion

c. Active transport

d. Osmosis

[3/15, 11:23 PM] AbuBakar Mwt: Which of the following lateral outgrowth appears after the closure of
the rostral neuropores?

a. Primary vesicles

b. Otic vesicles

c. Optic vesicles

d. Hypophyseal diverticulur

[3/15, 11:24 PM] AbuBakar Mwt: Which of the following is most appropriate regarding the connections
of corpus callosum?
a. Genu connects the occipital lobe

b. Connects with the fornix by lamina terminalis

c. Interconnects symmetrical areas of cerebral cortex

d. Has association type of connectior

[3/15, 11:24 PM] AbuBakar Mwt: In which of the following conditions there is absence of major portion
of brain and skull at birth, due to a developmental defect?

a. Meningocele

b. Exencephaly

c. Meningomyelocele

d. Microencephaly

[3/15, 11:24 PM] AbuBakar Mwt: To perform precise skilled voluntary movements, somatic motor
cortex receives numerous afferent fibers from the:

a. Basal ganglia

b. Cerebrum

c. Hypothalamus
d. Motor areap

[3/15, 11:25 PM] AbuBakar Mwt: A 50-year-old male presented to the OPD with the complaints of loss
of sensation in his legs and feet. On examination, there is loss of sensation of vibration, light touch and
position. His MRI revealed ischemia of tracts carrying these sensation in the spinal cord. Which of the
following artery is most likely damaged?

a. Radicular

b. Anterior spinal

c. Posterior spinal

d. Segmental spinal

[3/15, 11:25 PM] AbuBakar Mwt: The Delta waves of EEG appear in:

a. Disappear on closing the eye

b. Deep sleep

c. Intense mental activity

d. Normal individual during physical activity

[3/15, 11:25 PM] AbuBakar Mwt: Parasympathetic stimulation leads to:

a. Decrease overall salivary secretion


b. Bronchoconstriction

c. Increase force of cardiac contraction

d. Decrease intestinal motility and secretion

[3/15, 11:26 PM] AbuBakar Mwt: From which of the following structures does the motor part of
trigeminal nerve emerge?

a. Upper half of medulla oblongata

b. Lower half of medulla oblongata

c. Midbrain

d. Pons

[3/15, 11:26 PM] AbuBakar Mwt: Which of the following cranial nerves is involved in parasympathetic
outflow?

a. Abducent

b. Trochlear

c. Facial

d. Hypoglossal

Common questions

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Dopamine is the neurotransmitter that is likely to be depleted in the brain. These symptoms are characteristic of Parkinson's disease, which is associated with a deficiency of dopamine .

Thiamine deficiency is likely in this patient. Chronic alcoholism and poor nutrition commonly lead to a deficiency in thiamine, which causes cognitive impairment and peripheral neuropathy .

The median eminence will receive the dye as it is a part of the hypothalamus devoid of the blood-brain barrier, allowing substances in the blood to interact directly with the hypothalamus .

The uncinate fasciculus connects the motor speech area with the temporal lobe of the brain, playing a significant role in language processing .

Exencephaly is the condition characterized by the total absence of a major portion of the brain and skull at birth, resulting from a developmental defect .

The posterior spinal artery is most likely damaged, as it supplies the dorsal columns responsible for these sensory modalities .

Facilitated diffusion is responsible for the transport of glucose into neural tissues, which is crucial for their survival and functioning .

The most likely diagnosis is tubercular meningitis. The presentation of high-grade fever, drowsiness, neck rigidity, and a web-like pellicle in the cerebrospinal fluid is characteristic of tubercular meningitis rather than other types of meningitis or neurological conditions .

The corticobulbar fibers are most likely involved when a stroke affects the posterior limb of the internal capsule. This region contains important tracts, including the corticobulbar fibers that communicate motor signals .

The ventral posterolateral nuclei of the thalamus receive pain and temperature sensations from the body .

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