325 Questions
Uncinate crisis is present in lesion of
temporal lobe
MRI angiography
it is an imaging method without radiation
Which of the following do not suggest brain structural abnormality in the origin of coma?
drop of the mouth angle
Pathway for temperature sensation
crosses behind central canal
Afferent pathways of deep sensation enters
into dorsal spinal columns
EEG cannot be used for differeciation or EEG cannot be used to differenciate
headache
The evoked potential (EP) test is based on
registration of impulse propagation along the nerve pathway, it is the response of the nerve structures to a precisely defined stimulus
Hypokinetic movement disorder is
parkinsonism
Myoklonus/myoclonus is
Simple involuntary jerky movements
Patients with cerebellar dysfunction have gait dysfunction with
Wider basis
Which statement about right hemianopsia is correct?
perimeter on the left eye shows loss of medical half of the optic field
Typical feature of bulbar palsy are
dysartria, dysphagia, tongue atrophy and fascicilations
Mark correct answer
villi arachnoidales are considered to be sites of the cerebrospinal fluid absorption
Mark correct answer
There is about 125mL of CSF at any one time, and about 500 mL is generated every day
Mark correct answer
positive oligoclonal bands (OCB) in cerebrospinal fluid are present in patients multiple sclerosis
Bicipital reflex
Reflex response is forearm flexion
Mark correct answer
spectrophotometric analysis of cerebrospinal fluid measures inc... subarachnoid hemorrhage
Extrapyramidal hyperkinesias are:
A,B,C
Electromyographic nerve conduction studies (NCS) in case of demyelinative lesion of a peripheral nerve
Decelerated conductivity of particular nerve’s segment, action potentials are of normal amplitudes
Electromyographic nerve conduction studies (NCS) in case of demyelinated axonal lesion of a peripheral nerve show:
decelerated conductivity of a particular nerve’s segment, action potential is of lower amplitude
Electromyographic nerve conduction studies (NCS) in case of axonal lesion of a peripheral nerve show:
Normal conductivity of a particular nerve’s segment, action potentials are of lower amplitude
Mark correct statements:
positive Babinski sign is extension of big toe elicited by irritation of lateral part of foot
Evoked potentials: BAEP are indicated in case where the patient is complaining about:
Dizziness, hearing loss or tinnitus
Evoked potentials BAEP the most common pathological findings are...
absence or prolonged latency of wave I , III or V
Which clinical features belong to the clinical picture of parkinsonism:
Bradykinesia
Hypoglossal nerve palsy on the left side in the case of presence spastic hemiparesis on the right :
hemiplegia/hemiparesis alternans inferior
Hypoglossal nerve palsy on the right side in the case of presence spastic hemiparesis on the left side could raise from:
Lesion in Medulla oblongata
Which of the following statement is true (intracranial brain vessels)
Anterior communicating artery connects both anterior cerebral art...
Mark correct answer
Corticospinal pathway passes through internal capsule
What are the clinical features of meningeal syndrome?
All are correct
Functional examination of brain is
Positron emission tomography (PET)
Dysdiadochokinesia means an inability of
Fast alternating movements
Tabic dissociation of sensation means
Defect of deep sensation
Tabic dissociation of sensation can clinically manifest with:
Loss of proprioception
Sign of a cerebellar lesion is
Ataxia
Smell pseudohalucinations are present or smell pseudohallucinations are present
In patients with uncus gyri parahipokampi lesion
Ischemic stroke in the territory of an anterior cerebral artery (ACA) manifests by:
Changes of behaviour – prefrontal syndrome
Severity of subarachnoid hemorrhage is scaled by (clinical symptoms):
Hunt-Hess scale
Glasgow coma scale examines:
Eye, verbal, and motor response
Non-modifiable risk factor of stroke is:
Race/ethnicity
Which of the following symptoms is typical for progressive supranuclear palsy?
Abnormal vertical vertical ocular saccades
The most frequent clinical form (disease course) of multiple sclerosis is:
Relapsing-remitting form
Early ischemic changes on brain CT does not involve:
Dilation of subarachnoid space
In the treatment of multiple sclerosis (relapse) attack are recommended to use:
Corticosteroids
Regarding S1 radiculopathy, which of the following is incorrect?
Pain and sensory deficit is localized to lateral aspects of thigh, leg, and dorsal aspect of foot
Mark incorrect statement for cluster headache:
Is more prevalent in women b.
Regarding C6 radiculopathy, which of the following is correct?
There is hyporeflexia of brachioradial reflex
Multiple sclerosis is typically manifested at the beginning under the image of:
Optic neuritis
which of the following is not true regarding metastatic brain tumors?
Tumors of lungs and skin do not metastase into brain
What would you expect to find on a FDG-PET scan in patients with Alzheimers disease
Hypometabolism in temporoparietal lobe
A severe form of epilepsy that appears during the first years of life is called:
Lennox Gastaut syndrome
Spine X-ray is used to visualise
Degenerative lesion of vertebrae
Skull X-ray does not show
Brain bleeding
Mark the correct answers
Optic disc swelling is present with intracranial hypertension syndrome
Lesion in internal capsule is manifested by
contralateral hemiparesis and central palsy of facial nerve on contralateral side
Normal wakeful EEG can consist of
frontal beta, temporal delta and occipital alpha activity
Evoked potentials: pathological findings in the BAEP examination may reveal early stages of:
tumor affecting statoacustic nerve (n. vestibulocochlearis)
The EMG (electromyography) method, called STEMG (repetitive nerve stimulation EMG), is used in a case of suspected
myasthenic syndrome – there is pathological decrement of the action potential amplitudes in the repeated muscle response
Which statement is not correct?
k-complexes point at the localization of the epileptic focus
Choose the correct statement
EEG is used in the diagnostic assessment of epilepsy and lost of the consciousness
Hemiplegia alternans superior is also called:
Weber I
For hemiplegia alternans superior is (correct/incorrect?):
Lesion of CN.III homolaterally
For hemiplegia alternans superior is not true:
Contralaterally is present lesion of facial nerve
In superior alternating hemiplegia is present
Ipsilateral lesion of n III
Which from following is NOT true in case of superior alternating hemiplegia
contralateral lesion of n VII is present
Hemiplegia alternans media is also called:
Milliard-Gubler
For hemiplegia alternans media
homolateraly is present peripheral lesion of facial nerve
For hemiplegia alternans media is not valid:
Goes with lesion of the pyramidal tract in the area of the medulla oblongata (? or spinal cord?)
Hemiplegia alternans media syndrome:
Is manifested with facial nerve palsy-peripheral type on the homolateral side with lesion
Middle alternating hemiplegia is called
Millard - Gubler syndrome
Hemiplegia alternans inferior is also called:
Jackson II
For hemiplegia alternans inferior is valid:
Lesion of hypoglossal nerve homolaterally
For disorders of sensibility in lesions of brainstem (?) is true:
For lesions in the area for nucleus tractus spinalis arises disorders of (unknown word)
Lesion in the area of upper brainstem manifest as:
Disturbed both types of sensation in the contralateral half of the body including the face
For disorders of sensation within brainstem lesions is not true:
doesn't happen with disturbances of sensation in the area of the face
The most often etiological agent of bacterial meningitis:
Neisseria meningitis
TBC meningitis:
In CSF in hypoglykorrachia
Glykorachia, mark the correct answer
hypoglykorachia is present in patients with tuberculotic meningoencephaliti
Meningitis:
Clinical diagnosis is established on the basis of clinical examination and examination of CSF
For meningitis in newborns is true
Bulging fontanel can be present
For clinical feature of meningitis is true:
All are correct
Neurological forms of syphilis are:
Meningitis, tabes dorsalis, endarteritis and progressive paralysis
Secondary hypernosmias are NOT caused by:
Brain tumors
It is true, that in narcolepsy:
Multiple Sleep Latency Test (MSLT) is used for diagnostic assessment
Clinical feature of brain hemorrhage:
Autonomic symptomatology is frequently present in patients with stroke
Brain haemorrhage on CT is
White
Structures with higher density than CSF are on the brain CT
white and gray
Therapy of hemorrhagic stroke
large cerebellar hemorrhage is indicated for surgery treatment
Advantage of brain CT over brain MRI is:
Possibility to examine the patients with metal implant
Electrophysiological investigation methods:
Brainstem acustic evoked potentials (BAEP) are useful in diagnostic process of statoacustic nerve tumors
Epileptic seizures can be:
All are correct
Epileptic seizure can be triggered by:
Chronic alcohol overuse
Mark correct answers about the Mini-mental state examination (MMSE):
All are correct
Which non-motor symptoms can be present in parkinsons disease
B,C
Mark correct answers:
DaT SPECT can distinguish Parkinsons disease from essential tremor
Mark correct answers for the treatment of Parkinsons disease
In case the patient is initially treatment with dopamine agonists, motor fluctuations usually occur sooner than on levodopa monotherapy
Mark incorrect answers for atypical parkinsonisms:
Progressive supranuclear palsy is a typical disease of childhood
Wilsons disease
Is an autosomal recessive disorder
Huntingtons disease is an:
Autosomal dominant disease
Huntingstons disease or huntington:
B,C
Huntingtons disease
genetic disease
Huntingtons disease is an
autosomal dominant disease
Choose the correct statement
EEG is used in the diagnostic assessment of epilepsy and loss of the consciousness
Ultrasound examination of extracranial cerebral arteries is used in diagnosis
Internal carotid artery stenosis
Peripheral motor neuron lesion is characterized by?
Muscle atrophy
Peripheral ( lower ) motor neuron lesion is characterized by
Muscle atrophy
Aphasia:
A,B
Fluent aphasia is related to lesion of
Left temporal lobe
Frontal lobe syndrome is associated with
affected conjugate movement of the eyes
Temporal lobe syndrome is associated with
the lesion of the visual field
In the clinical picture of peripheral vestibular syndrome
Patient with closed eyes falls down towards lesion side
Indicate incorrect answers related to symbolic cerebral cortical functions
Autotopagnosia is a form of agnosia, characterized by an inability to recognize subject by touch different parts of the body
Anozognosia is = person with some disability seems unaware of its existence
Is present in the lesion of nondominant, it means right hemisphere
Indicate incorrect answers related to symbolic cerebral cortical functions:
A,B
Cerebellar ataxia presents with:
Negative Romberg sign
What type of sensation problem will be present in case of hemisection of the spinal cord
Loss of deep sensitivity on the homolateral side of the body under the lesion
Mark what is typical for neocerebellar syndrome
Intentional tremor on the side homolateral to the lesion
Edema of optic nerve papilla can present with:
Blurred vision
Hyperkinetic movement disorder is:
Dystonia
Which of the following hyperkinetic movements is characterized as a complex patterned movement/posture?
Dystonia
MRI angiography
it is an imagining method without radiation
Structural abnormality in case of bulbar palsy is localised
Cranial nerves IX – XII ncc. Localised in the bulbar brain stem
Routinely we use ultrasound examination in diagnosis of
Cerebrovascular diseases
Postural and kinetic tremor is most associated with
Essential tremor
Bradykinesia means
Difficulties to initiate voluntary movements
Typical sign of parkinsonian syndrome is
Resting tremor
In case of bulbar paralysis in the brain lesion is located
In the medulla oblongata
Every child with dystonia and diurnal fluctuations (better in the morning and worse in the evening) should try a trial with
Levodopa
The most common genetic disorder primarily associated with chorea is
Huntington’s disease
Mark correct statement about rigidity
it worsens by the movement of contralateral limb
Millard-Gubler syndrome is also called
Middle alternating hemiplegia
Which of the following statements are true for rigidity?
Rigidity worsens with co-activation of contralateral limbs
What are the clinical features of meningeal syndrome?
All are correct
What are the causes of intracranial hypertension syndrome?
Brain abscess
Which finding does not belong to ictal/interictal epileptic abnormality?
generalized discharges of spike-wave complexes
Which of the following symptoms is typical for multiple system atrophy?
Autonomic dysfunction (e.g., orthostatic hypotension)
Peripheral lesion of n.VII cranial nerve is present in
Middle alternating hemiplegia
In parietal lobe syndrome of nondominant hemisphere is not present
Speech problem
Mark the correct statement: vestibular nerve and cochlear nerve (n.VIII)
they emerge through the meatus acusticus internus and enter the brainstem in the ponto- cerebellar angle
Key clinical feature of Parkinson’s disease (must be present in 100% of patients) is
Bradykinesia
EEG cannot be used to differenciate
headache
The lesion of the cochlear nerve is manifested by
Hearing deficit - from hypacusis to anacusis
Hypokinetic movement disorder is:
Parkinsonism
Mark the most specific (clinical) symptom of prodromal Parkinsin’s disease:
REM sleep behavior disorder (RBD)
Which of the following symptoms is not a feature of neocerebellar syndrome?
Oculomotor abnormalities
Half side spinal cord lesion in c3 presented with
ipsilateral spastic hemiparesis and respiratory problems
Brain MRI is essential in diagnosis of, or Brain MRI is the first choice for:
multiple sclerosis
What is the most virulent cause of meningitis?
Pneumoniae
The EMG (electromyography) method, called STEMG (repetitive nerve stimulation EMG), is used in a case of suspected
myasthenic syndrome – there is pathological decrement of the action potential amplitudes in the repeated muscle response
Electromyographic nerve conduction studies (NCS) in case of axonal lesion of a peripheral nerve show:
Normal conductivity of a particular nerve’s segment, action potentials are of lower amplitude
Which from the following statements is true considering Duplex ultrasound examination of extracranial:
Uses B-mode and Doppler mode for display (of blood vessels) – doppler for the velocity
Neuropathic pain
Can appear in lesion of both the central and peripheral nervous systems
In the case of Weber 's syndrome, the lesion located in:
Midbrain
Upper brainstem lesion manifests as or Upper brainstem lesion is manifests as:
Deficit of both sensation modalities on contralateral half of body and homolateral half of the face
Frequent causes of intracranial hypertension syndrome are:
Brain tumors
Isolated defect in deep sensitivity occurs within
Lesion of the posterior columns
Right side hemianopsia is present in lesion of
left optic tract
Which part of a tongue is innervated by the Facial nerve (n. VII) regarding the taste?
Ipsilateral anterior two thirds of a tongue
Bicipital reflex
Reflex response is forearm flexion
Plane x-ray of the spinal column is indicated or plane Xray
In present is not used very frequently
Which of the following statements are NOT true for freezing in Parkinson’s disease?
Freezing of gait is often not very responsive to dopaminergic medication
Autoimmune chorea is typical for which age?
Late adulthood
Short steps and decreased arm swing during the gait is
Parkinsonism
Tics may be differentiated from the hyperkinetic movement by the following statement
They may partially voluntarily suppressible, are preceded by inner urge and followed by relief of inner tension
A lesion of half of the spinal cord (right or left) at the level of the spinal cord segment C3, is manifested by
Spastic hemiparesis ipsilaterally
Lesions of the vermis will be primarily related to ataxia of
Standing and walking
Body of the upper motor neuron lies in
Precentral gyrus
Clinical picture of pseudobulbar palsy shows, or pseudobulbar palsy shows:
Dysartria, dysphagia, increased masseter reflex, positive pathological axial reflexes
Hemiparesis/hemiplegia means the weakness of
Right/left limbs
Digital subtraction angiography (DSA)
Is invasive diagnostic method of brain arteries
Which pathway crosses in area of central spinal canal (comissura alba anterior)?
Pathway for temperature
Which of the following is a typical feature of palleocerebellar syndrome?
All statements are correct
Which imagine technique will show acute ischemic stroke:
CT
Middle alternating hemiplegia is characterized by
Ipsilateral peripheral n.VII lesion and contralateral hemiparesis
Mark incorrect statement about spasticity
Deep brain stimulation is therapy of a choice
Dysarthria and dysphagia are present within the following syndrome:
Pseudobulbar palsy
In lesion of left n. II
On the left side is not present direct FR and on the right side is not present consensual FR
Tetraparesis/tetraplegia means the weakness of
all four limbs
Pathway for temperature sensation:
Crosses behind central canal
Mark correct statement
Primary motor cortex is localized in praecentral gyrus
Mark incorrect statement for chorea:
has constant, stereotypic pattern
Vestibular (n.VIII) nerve
Conduct information from receptors in the labyrinth
Transtentorial brain herniation (temporal conus):
occurs when the uncal area is moved downward through the tentorium cerebelli
Which statement about right hemianopsia is correct?
Is connected with the stroke in the right hemisphere
Regarding C5 radiculopathy, which of the following statements is correct?
Pain is localized to the lateral aspect of arm
Nystagmus is defined as
rapidly repetitive, rhythmic movement of the eyes, or twitch of the eyeballs which occurs in lesions of the vestibular nerve or vestibular pathways
Patients with cerebellar dysfunction have gait dysfunction with
Wider basis
Body of the lower motor neuron which innervates the limbs lies in
Anterior horn of spinal cord
Vestibular ataxia: when testing a patient's posture (Rhomberg) or Vestibular ataxia: in patient’s posture test:
the ataxia worsens when the eyes are closed, the Romberg test is positive
Devic’s disease. Neuromyelitis optica (NMO) is:
A demyelinating disease manifesting with optic neuritis and myelitis
Lesion to the XII. cranial nerve on the left side manifests as
Hypotrophy of the left half of the tongue, paralysis of the left half of the tongue, tip of the tongue deviates to the left side
Central palsy is characterized by
muscles’ hypertonia
Facial nerve (VII) lesion –peripheral type is manifested with or Facial nerve lesion – peripheral type is manifested with:
Inability to make forehead wrinkles, elevate eyebrow, close the eye and nasolabial wrinkle is re.. mouth angle drop is present, and related to lesion localization, also taste deficit can be present
Hypoglossal nerve palsy on the right-side manifests as
Aphasia
Syringomyelic dissociation of sensitivity is manifested by
Lesion of pain and thermic sensitivity
Central palsy is characterized by
Babinski sign is present
Spastic paraparesis could come from
Parasagittal growing tumor
Chorea is:
An involuntary unpredictable complex hyperkinetic movement
Which statement is true for Essential tremor?
It is associated with action (postural and kinetic) tremor
In the facial nerve (n.VII) lesions, innervation of facial muscles, upper branch, is clinically manifested by
Inability to open the eye, raise eyebrows and wrinkle the forehead on the side of the lesion
Genetic origin of movement disorders should be considered especially if
Symptoms start in early childhood, adolescence, or early adulthood
Electromyographic nerve conduction studies (NCS) in case of demyelinated axonal lesion of a peripheral nerve show:
decelerated conductivity of a particular nerve’s segment, action potential is of lower amplitude
What is not a clinical feature of meningeal syndrome?
Hanzal’s sign
Nerve VII consists of mixed fibers
Sensorics (taste), vegetative (slinenie, sizenie), motor and sensitive
Divergent stabism is present in lesion of or divergent strabismus:
n. III
Anterior spinal artery syndrome is not manifested by
Lesion of dorsal column pathway
Choose the correct statement
The vagus nerve carries the parasympathetic fibers
Myoclonus may originate:
Can be cortical, subcortical, or spinal
What method is used for objective measurement of hearing impairment?
Audiometric examination
Mark the correct statement
anterior communicating artery connects both anterior cerebral arteries
Mark correct answer
positive oligoclonal bands (OCB) in cerebrospinal fluid are present in patients’ multiple sclerosis
Which of the following symptoms is typical for a neocerebellar disorder?
Limb hypermetria
Which of following findings is present in inferior alternating hemiplegia
Protruded tongue is deviated to ipsilateral side
Mark the correct statement regarding brain CT:
Is used primarily for diagnosis of acute ischemic stroke
Which of the following symptoms of Parkinson’s disease is often resistant to levodopa treatment?
Postural instability
Carotid sonography cannot reveal:
The presence of a soft atherosclerotic plaque in the cervical part of internal carotid artery
Brocca center is in:
left frontal lobe
What diagnoses are presented by meningeal syndrome?
Subarachnoid bleeding
Uncinate crisis is present in lesion of:
temporal lobe
Vestibular nerve:
Leads information from receptor organ – labyrinth (sacculus, utriculus, canales semicirculares)
Positive Chvostek’s sign means or A positive Chvostek’s sign means that the patient has
Tetania – tetanic syndrome
Dysmetria means
Problem with aiming
If we find a smooth nasolabial line on one side during a neurological examination of the facial nerve innervation and a drop of mouth angle it means:
Central type of facial nerve (n. VII) lesion
Inferior alternating hemiplegia is called:
Jackson II syndrome
In case of complete transversal spinal cord lesion in level C5 which of following cannot be present:
spastic quadriparesis
Cerebellar disorder manifests:
At ipsilateral side of a body
XI.cranial nerve innervates
Neck’s muscles (m. sternocleidomastoideus, m. trapezius)
An abnormal painful sensitive perception is called:
Dysesthesia
Bradykinesia is typical sign of:
Parkinson’s disease
In case of superior alternating hemiplegia a lesion of which cranial nerve is present?
III. cranial nerve
Which type of tremor is characteristic for Parkinson’s disease
Resting
Mark correct statements:
positive Babinski sign is extension of big toe elicited by irritation of lateral part of foot
Epidural bleeding on CT is seen as:
Hyperdense biconvex lens-like shape lesion
Weber's syndrome is characterized by
Ipsilateral III. nerve palsy and contralateral hemiparesis
Transtentorial brain herniation (temporal conus)
Is manifested by loss of the consciousness and ipsilateral mydriasis
Axon of the lower motor neuron terminates at the
Striated muscle
The nuclei of the cranial nerves IX., X., XI. XII. are in
Medulla oblongata
Which of the following statements for cerebellum is true?
It has strictly a motor function
Mark the correct statement
The internal carotid artery divides into the middle cerebral artery and anterior cerebral artery
Electromyographic nerve conduction studies (NCS) are used to measure action potentials
After stimulation of peripheral nerve, recording is over the nerve or muscle
Mark correct statement about spasticity
Botulinum toxin is used in the treatment of spasticity
Syringomyelic dissociation of sensitivity occurs within:
Lesion to spinothalamic tract in the area of central spinal canal
Mark correct answer (written also “protein-cytological)
Proteino-cytological association is present in patients with bacterial CNS infections
Intentional tremor is typical for:
Cerebellar dysfunction
Vertebro-basilar stroke is not manifested by:
Aphasia
Which of the following is not a feature of cerebellar dysfunction?
Rigidity
A lesion of half of the spinal cord (right or left) at the level of the Th8 spinal cord segment is manifested by:
sensitivity disturbance below the lesion site ipsilaterally for superficial and less also for deep sensitivity and LL monoparesis
Vestibular ataxia in the peripheral vestibular syndrome
The patient has tonic deviations of the limbs on the side of the affected vestibular apparatus, it is also called "vestibular harmonic syndrome"
Vestibular nerve lesion presents with:
Nausea, vomit, vertigo, nystagmus, and vestibular ataxia
Typical features of REM sleep are:
muscle atonia, saw tooth waves
Typical tremor in Parkinson’s disease is (typical temporal Parkinson’s disease is)
Resting
Which of the following belongs to hyperkinetic movement disorders?
Myoclonus
Which of the following is pathognomonic for functional tremor?
None of the statements is true
In the case of half spinal cord (right or left) lesion in the level of Th10 which of following is not present
superficial ipsilateral sensation deficit below the lesion
Convergent strabismus is present in lesion of:
n. VI
Digital subtraction angiography (DSA) is not used for diagnosis of
the source of epidural bleeding
Mark correct answer:
cerebrospinal fluid flows from the third ventricle through cerebral aqueduct into the fourth ventricle
Duplex sonography of extracranial brain vessels
Has no significant contraindication
Weber’s syndrome is also called:
Superior alternating hemiplegia
Mark INCORRECT statement for rigidity
Depends on velocity of a passive movement of a limb
What diagnoses are not causes of intracranial hypertension syndrome?
atrophy of hippocarpal area
Dyssynergy means:
Problem with coordination between muscle groups in a more complex movement
Mark correct statement: vestibular nerve and cochlear nerve (VIII)
both nerves came out of the pyramid bone through the meatus acusticus internus and they enter the brain stem on the midbrain level
Paraparesis/ paraplegia means the weakness of or paraparesis/paraplegia means the weakness of
Lower limbs
CSF examination is indicated:
In patients with Guillain-Barré syndrome
Bilateral pyramid tract lesion in C3 level of spinal cord presents with:
spastic quadruparesis/quadruplegia
Magnetic resonance imaging is the method of first choice:
In the diagnosis of CNS demyelinating diseases
CT angiography. Which of following statement is true:
It is a minimal invasive examination
Mark the correct statement regarding Doppler effect or Which from the following statement considering Doppler affect is true:
If the blood moves towards the probe, the frequency of the reflected wave increases
Which of the following is not a typical feature of palleocerebellar syndrome?
Intentional tremor
Which of the following statement is not true (DSA- digital subtraction angiography):
DSA is not using X-ray radiation
Mark the false statement regarding Doppler effect
Based on Doppler effect, we can determine the direction and speed of particles within blood vessel
Glasgow coma scale examines:
Eye, verbal, and motor response
Chorea is defined as:
Complex involuntary, often twisting movements that do not have a typical pattern and are unpredictable movement
Mark incorrect statement about paresis:
It is a complete loss of a muscle’s strength
Transversal complete spinal cord lesion at the level of L3 segment doesn’t present
Sphincter disorders
Right cerebellar hemisphere lesions will be primary related to:
Ataxia in contralateral limbs
Maintenance of stability normal function of the following is not required for:
V. cranial nerve
Non-modifiable risk factor of stroke is:
Race/ethnicity
A complete transversal spinal cord lesion at the level of Th10 segment is manifested by
Disorder of sphincter control disorder of superficial sensitivity below the lesion on both sides and paraparesis of LL
Archicerebellum includes the:
Flocculonodular lobe
Nuclear and/or infranuclear lesion of the cranial nerves IX., X., XII. manifests as:
Bulbar paralysis
Ptosis is present in
n.III
Which of the following symptoms is typical for progressive supranuclear palsy?
Abnormal vertical vertical ocular saccades
Evaluation of the brainstem reactivity in coma patient we do not use
Babinski sign
Which from following statement is true
right common carotid artery diverges from brachiocephalic trunk
For detection of amyloid angiopathy we use:
Brain MRI gradient echo sequence
Mark the correct statement about common carotid artery:
It is a direct branch of aortic arch on the left side
Palleocerebellum includes the
Vermis
The most frequent clinical form (disease course) of multiple sclerosis is:
Relapsing-remitting form
Electromyographic nerve conduction studies (NCS) in case of demyelinative lesion of a peripheral nerve show:
Decelerated conductivity of particular nerve’s segment, action potentials are of normal amplitudes
Mark correct answer:
villi arachnoidales are considered to be sites of cerebrospinal fluid absorption
Which statement is true for Essential tremor?
Many patients have positive family history of tremor
Which statement about meningeal syndrome is correct?
Nuchal rigidity/neck stiffness is a part of the clinical picture
Early ischemic changes on brain CT does not involve:
Dilation of subarachnoid space
We routinely do not use duplex ultrasound exam of extracranial blood vessels
For control exam of patients after carotid artery stenting or carotid endarterectomy
Which of the following do not suggest brain structural abnormality in the origin of coma?
drops of the mouth angle
Patients with cerebellar dysfunction typically fall:
Backwards
Signs of upper alternating hemiparesis (Weber’s syndrome) include:
divergent strabismus
Mark incorrect answer
brain MRI of patients with multiple sclerosis shows T1 hyperintense lesions
In the treatment of multiple sclerosis (relapse) attack are recommended to use:
Corticosteroids
Central palsy is characterized by:
Babinski sign is present
Signs of lower alternating hemiparesis (Jackson’s syndrome) include
protruded tongue deviates to the ipsilateral side to the lesion
Mark correct answer:
MRI has 3 main weight sequences: T1 T2 FLAIR
Which of the following symptoms is typical for progressive supranuclear palsy?
Abnormal vertical vertical ocular saccades
Temporal (uncal, transtentorial) herniation manifests with:
Anisocoria: mydriasis of ipsilateral pupil
Regarding S1 radiculopathy, which of the following is incorrect?
Pain and sensory deficit is localized to lateral aspects of thigh, leg, and dorsal aspect of foot
Mark correct answers:
obstruction of CSF circulation can lead to hydrocephalus
Syringomyelic sensation deficit occurs when lesion is located in:
Anterior half of spinal cord
Complete oculomotor nerve (n.III) palsy on the left side is manifested with:
Absence of direct pupillary light reaction on the left eye
Diplopia, nasal deviation of the left eyebulb looking straight ahead are caused by:
Abducent palsy on the left side
Mark incorrect statement for cluster headache:
Is more prevalent in women
Evoked potentials: BAEP are indicated in case where the patient is complaining about:
Dizziness, hearing loss or tinnitus
Myoclonus is:
Simple involuntary jerky movements
Early ischemic changes on brain CT does not involve:
Dilation of subarachnoid space
Mark correct answers
Meningeal syndrome can be present in patients with subarachnoidal bleeding
Afferent pathways of deep sensation enters
into dorsal spinal columns
Regarding C6 radiculopathy, which of the following is correct?
There is hyporeflexia of brachioradial reflex
MRI- angiography of brain arteries or In MRI angiography of brain arteries or in MRI-angiography of brain vessels:
It is possible to visualize brain arteries, without using contrast medium
Mark correct statement for needle EMG(electromyography) finding in case ...
myopathic pattern means reduced duration of motor units action
Mark correct answer:
MRI in comparison to CT is more sensitive in depicting of a soft tissue’s pathology
Multiple sclerosis is typically manifested at the beginning under the image of:
Optic neuritis
Mark a false statement regarding CT angiography:
Is not recommended in patients with ischemic stroke
The principle of the investigation of evoked potentials (EP) is:
Registration of the nerve impulse propagation along a certain neural path, it is a response of nerve to a precisely defined stimulus
Evoked potentials – BAEP are used for:
The detection of auditory (hearing) pathway disorders
Test your knowledge of neurological assessment with this quiz covering topics such as uncinate crisis, brain structural abnormalities, temperature sensation pathway, deep sensation pathways, and EEG differentiation.
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