Neurology and Neurosurgery for PLAB-1 and AKT Doctors
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Questions and Answers

A 35-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm and leg. She has a past medical history of thyroid cancer and has had recent radiation therapy. What is the most likely diagnosis?

  • Metastatic spinal cord compression
  • Radiation-induced brachial plexus neuropathy (correct)
  • Thoracic disc herniation
  • Cervical spondylotic myelopathy

    • A 40-year-old man presents with a history of headaches, seizures, and right hemiparesis. Imaging reveals a left frontal lobe tumor. What is the most likely diagnosis?

  • Oligodendroglioma (correct)
  • Metastatic melanoma
  • Glioblastoma multiforme
  • Meningioma

    • A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate management?

  • Observation with serial imaging
  • Stenting
  • Endovascular coiling (correct)
  • Surgical clipping

    • A 50-year-old man presents with a 6-month history of progressive gait disturbance, urinary incontinence, and lower back pain. Imaging reveals a compressive lesion at L1. What is the most likely diagnosis?

    <p>Cauda equina syndrome (A)</p> Signup and view all the answers

    A 30-year-old woman presents with a 3-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate management?

    <p>IV antibiotics and steroids (B)</p> Signup and view all the answers

    A 60-year-old man presents with a 3-month history of cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?

    <p>Normal pressure hydrocephalus (D)</p> Signup and view all the answers

    A 25-year-old woman presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 5-mm aneurysm of the anterior communicating artery. What is the most appropriate initial management?

    <p>Endovascular coiling (B)</p> Signup and view all the answers

    A 45-year-old man presents with a 3-month history of progressive numbness and weakness in his left arm and leg. Imaging reveals a C5-C6 herniated disk. What is the most likely diagnosis?

    <p>Cervical spondylosis (B)</p> Signup and view all the answers

    A 20-year-old woman presents with a 1-day history of sudden onset of severe headache, confusion, and seizures. Imaging reveals a subarachnoid hemorrhage. What is the most likely underlying diagnosis?

    <p>Berry aneurysm rupture (D)</p> Signup and view all the answers

    A 70-year-old man presents with a 2-month history of progressive weakness in his right arm and leg. Imaging reveals a compressive lesion at C3-C4. What is the most likely diagnosis?

    <p>Cervical spinal stenosis (B)</p> Signup and view all the answers

    A 40-year-old man presents with a 2-week history of progressive weakness in his right arm and leg. He has a past medical history of HIV infection. Imaging reveals a space-occupying lesion in the spinal cord at T10. What is the most likely diagnosis?

    <p>Intraspinal lymphoma (D)</p> Signup and view all the answers

    A 60-year-old woman presents with a 3-month history of progressive cognitive decline, memory loss, and gait disturbance. Imaging reveals a non-enhancing, low-density lesion in the frontal lobe. What is the most likely diagnosis?

    <p>Normal pressure hydrocephalus (C)</p> Signup and view all the answers

    A 35-year-old man presents with a 2-day history of severe headache, nausea, and vomiting. Imaging reveals a 7-mm aneurysm of the posterior communicating artery. What is the most appropriate initial management?

    <p>Endovascular coiling (C)</p> Signup and view all the answers

    A 50-year-old woman presents with a 6-month history of progressive numbness and weakness in her left arm. Imaging reveals a C6-C7 herniated disk. What is the most likely diagnosis?

    <p>Cervical radiculopathy (B)</p> Signup and view all the answers

    A 30-year-old man presents with a 2-day history of severe headache, fever, and stiff neck. Imaging reveals meningitis. What is the most appropriate empirical antibiotic regimen?

    <p>Ceftriaxone and vancomycin (D)</p> Signup and view all the answers

    Flashcards

    PLAB and AKT Exams

    PLAB-1 and AKT are exams for doctors who want to register with the GMC in the UK.

    What does 'GMC' stand for?

    The GMC (General Medical Council) is the regulatory body for doctors in the UK.

    What does "AKT" stand for?

    The Applied Knowledge Test (AKT) is a part of the PLAB exam.

    What does "PLAB" stand for?

    The PLAB (Professional and Linguistic Assessments Board) exam is required for international medical graduates to register with the GMC.

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    What format is used for exam preparation?

    A quiz format containing 20 multiple-choice questions focused on Neurology and Neurosurgery.

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    What type of questions are used in practice?

    The questions in the exam preparation quiz should be in the form of clinical scenarios.

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    How challenging should the practice questions be?

    The difficulty level of the practice questions should match the difficulty level of the actual PLAB-1 and AKT exams.

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    Who needs to take the PLAB-1 and AKT exams?

    International medical graduates taking the PLAB-1 and AKT exams need to pass the exams to register with the GMC.

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    How should the questions be structured?

    The questions should be written in a way that simulates the real exam format.

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    What's the purpose of the PLAB-1 and AKT exams?

    The goal of the PLAB-1 and AKT exams is to ensure that international medical graduates have the required skills and knowledge to practice medicine in the UK.

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    What topics should be included in the preparation quiz?

    The quiz should include topics in Neurology and Neurosurgery that are relevant to the PLAB-1 and AKT exams.

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    How are the correct answers identified?

    The correct answer to each question in the quiz should be clearly marked.

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    What's the overall purpose of the practice quiz?

    The practice quiz should help doctors prepare for the actual PLAB-1 and AKT exams by providing them with practice questions and simulating the exam format.

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    What should be included with the answers?

    Answers should be provided with explanations for both correct and incorrect options.

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    Should all questions be equally hard?

    The practice quiz should include questions of varying difficulty levels.

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    What should the quiz aims to achieve?

    The practice quiz should be designed to help doctors develop their knowledge and understanding of Neurology and Neurosurgery.

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