289 Questions
CT angiography of cerebral blood vessels is indicated in case of:
Subarachnoid bleeding - together with ischemic stroke, transient ischemic attack and cerebral parenchymal hemorrhage
CT angiography of cerebral blood vessels is contraindicated in:
Pregnancy
Mark the correct statement regarding digital subtraction angiography (DSA)
It is an invasive imaging method, which uses a contrast agent directly administered into arterial blood vessels
Mark a false statement regarding CT angiography
Not recommended in patients with ischemic stroke
Mark the correct statement regarding digital subtraction angiography (DSA)
It is a diagnostic and therapeutic method
Mark the correct statement about MR angiography (MRA)
Does not use radiation
During MRA - MR angiography
For more detailed blood vessel visualization, gadolinium may be used
MR angiography is absolutely contraindicated in:
Patients with implanted steel material
Which EEG finding supports epileptic origin of paroxysmal loss of consciousness (epileptic seizure)?
Spike-wave complexes
EMG (electromyography): nerve conduction studies - NCS show
In the case of a demyelinating-axonal lesion, a slowing down of the conduction velocity of a given part of nerve and a normal amplitude of the action potential
EMG (electromyography) in NCS (nerve conduction studies) show:
In the case of an axonal lesion, we find the normal conduction velocity of a given part of the nerve and a decrease in the amplitude of the action potential of the responses
EMG (electromyography) in NCS (nerve conduction studies) show:
In the case of a demyelinating lesion of the peripheral nerve, a slowing down of the conduction velocity of a given part of the nerve and a normal amplitude of the action potential
Central (upper) motoneuron lesion is characterized by:
Hypereflexia of tendon reflexes
Glasgow coma scale evaluates:
Eye-opening, verbal, motor responses
EMG (electromyography) - NCS (nerve conduction studies) show:
Are used to measure action potentials abnormalities after stimulation of peripheral nerves
EMG (electromyography) is an examination method that allows to locate a lesion:
In muscle or spinal cord, spinal root, plexus, and peripheral nerve
EMG (electromyography) - needle EMG:
We insert a needle into the muscle and then observe observe spontaneous muscle activity, in the next step voluntary activity (muscle contraction)
Mark the correct statement for needle EMG (electromyography):
Needle is inserted into the particular muscle and spontaneous resting and voluntary activity of supplied muscle is observed
If pathological spontaneous activity is detected in the examined muscle by needle EMG (electromyography):
It means a myasthenic syndrome with a decrement of the amplitude of action potentials
EMG (electromyography) - needle EMG method: What do we observe in a case of myopathy?
A myopathic pattern as shortening the duration of the action potential of motor units and decreasing the amplitude of the response
Mark the correct statement for EMG:
Myopathic pattern means reduced duration of motor unit's action potentials and decreased amplitude of a motor response
Mark correct statement for needle EMG (electromyography) finding in case of myopathy:
Denervation potentials called fibrillation or fasciculations
Mark correct statement:
Spinal cord lesion can be manifested by contralateral hemiparesis
The evoked potentials - BAEP (Brainstem auditory EP) are used for:
Detection of conduction disturbances in the auditory tract
Evoked potentials - BAEP are used for:
The detection of auditory (hearing) pathway disorders - in brainstem
Evoked potentials: using SEP (somatosensory EP) we investigate:
The function of the sensitive pathway on its part of the peripheral nerve, spinal roots, spinal cord, brainstem and cerebral cortex
Evoked Potentials - SEP:
Median nerve and tibial posterior nerve stimulation is the most often used in practice SEP evaluation
Evoked potentials - SEP are used for examination:
Of sensitivity pathway ranging from the peripheral nerve, spinal roots, spinal dorsal columns, brainstem, thalamus, and cerebral parietal cortex
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
VEP - Visual evoked potentials:
Physiological finding after eye stimulation is a complex of three waves N-P-N, of which the most important is the latency of the wave P100
VEP - visual evoked potentials are mainly used for:
Detection of disorders of the optic pathway, especially part of the optic nerve
VEP - visual evoked potentials are mainly used for:
Detection of anterior and posterior visual pathway disorder. Mainly in optic nerve disorder
VEP - Visual evoked potentials (incomplete question)
Stimulating the eye uses a structured trigger
Hyperproteinorachia:
Can be present in patients with meningoencephalitis
Main indications of cerebrospinal fluid analysis:
Autoimmune encephalitis, meningeal carcinomatosis. multiple sclerosis, myelitis
What diseases lead to the positive intrathecal synthesis of Ig-G:
Multiple sclerosis
Mark the correct answer about Spectophotometric analysis of CSF:
It detects the presence of blood in cerebrospinal fluid (SAH - Subarachnoid Hemorrhage)
Mark the incorrect answer about MRI:
It is more sensitive than CT, in depicting bone tissue pathology
Mark the correct answer about CSF examination:
CSF examination is indicated in patients with suspicion of demyelinating disorders
What is true about MRI?
It is more sensitive in depicting soft tissue pathology, in comparison with CT
Mark the correct answer about MRI:
Brain MRI of patients with multiple sclerosis shows T2/FLAIR hyper intense lesions
Mark the incorrect answer about MRI:
Brain MRI of patients with multiple sclerosis shows T1 hyper intense lesions
What can we see on plane X-Ray?
Bones
Mark the correct answer about psychogenic movement disorders:
Physiotherapy might help
MRI:
Displays demyelinating lesions in multiple sclerosis
MRI:
In T2 imaging visualizes hyper intense demyelinating lesions
MRI is the first method of choice in:
Diagnosis of acute ischemic stroke (1st multiple sclerosis)
Mark the correct answer:
CSF is displayed as hyperintense on T2-weighted MR image
Mark the incorrect statement about sonography of extracranial vessels:
It is not used for diagnosis of acute ischemic stroke
Mark the correct statement about B-mode sonography of extra cranial vessels:
It can depict structures under the probe based on reflected ultrasound waves
Vertebral arteries:
They divert from subclavian artery
What is true about transcranial sonography of cerebral arteries?
The examination is carried out through the so-called acoustic bone windows
We routinely do not use duplex ultrasound exam of extra cranial blood vessels in:
Control exam of patients after carotid artery stoning or carotid endarterectomy
Duplex USG examination of extra cranial brain vessels is not commonly used for:
Patient with hemorrhagic stroke (Bain hemorrhage)
Duplex ultrasound examination of extracranial blood vessels is contraindicated:
Ultrasound has no contraindications
Duplex sonography of extracranial brain vessels is contraindicated in:
No significant contraindications
Which from the following statements is true considering Duplex ultrasound examination of extracranial vessels?
Usage of B-mode and Doppler mode for display (of blood vessels)
Which of the following statement is true considering duplex ultrasound examination of extra cranial vessels?
It uses B mode and Doppler mode for display of blood vessels
Routinely we use ultrasound examination in diagnosis of
Cerebrovascular diseases
Carotid sonography cannot reveal
Presence of a soft atherosclerotic plaque in the cervical part of internal carotid artery
Typical features of NREM sleep are not:
Rapid eye movement
Typical features of REM sleep are:
Muscle atonia, saw tooth waves
Typical feature of NREM sleep are
Sleeping (slow wave, deep-delta sleep)
Epidural bleeding on CT is seen as:
Hyperdense biconvex lens-like shape lesion
What is true about brain ischemia on CT?
In acute stage, brain ischemia is hyperdense
Dysdiadochokinesis means
Problem with rapid alternating movements
Which of the following is NOT a feature of cerebellar dysfunction?
Rigidity
Cerebellar dysfunction may present with:
Gait with narrow basis and decreased armswing
Which of the following is a feature of neocerebellar syndrome?
All of the above
Which of the following is NOT a feature of neocerebellar syndrome?
Trunk assynergy
Patients with cerebellar dysfunction typically fall:
Backwards
Dysmetria means
Problem with aiming
Neocerebellum includes:
Cerebellar hemispheres
Lesions of vermis will be primarily related to ataxia of:
Standing and walking
Mark the correct statement:
The internal carotid artery divides into the middle cerebral artery and anterior cerebral artery
Mark the correct statement about common carotid artery:
It is a direct branch of aortic arch on the left side
Which of the following statements is true?
Right common carotid artery diverges directly from brachiocephalic trunk
Which pathway crosses in the area of central spinal canal (comissura alba anterior)?
Pathway for temperature (lateral spinothalamic tract)
Neuropathic pain:
Can appear in lesions of both the central and peripheral nervous systems
Neuropathic pain
Anticonvulsant and antidepressant have fine effect
What diagnoses are presented by meningeal syndrome? (which disorder)
Subarachnoidal bleeding
Isolated defect in deep sensitivity occurs within
Lession of posterior columns
An abnormal painful sensitive perception is called:
Dysesthesia
Bradikynesia means:
Slowness of movements
Parkinsonian syndrome is:
Bradykinesia in combination with rigidity and/or resting tremor
Typical sign of parkinsonian syndrome is:
Resting tremor
Typical tremor in Parkinsons disease is (typical temporal Parkinsons disease is):
Resting
Which of the following is true for rigidity?
Rigidity worsens with co-activation of contralateral limbs
What is incorrect about rigidity?
Depends on velocity of a passive movement of a limb
Upper brainstem lesion is manifested as:
Deficit of both sensation modalities on contralateral half of body and homolateral half of the face
Which of the following is pathognomonic for functional tremor?
None of the above
Which of the following belongs to hyperkinetic movement disorders?
Myoclonus
Hypokinetic movement disorder is:
Parkinsonism
Chorea is:
An involuntary unpredictable complex hyperkinetic movement
Chorea is defined as:
Complex involuntary, often twisting movements that do not have a typical pattern and are unpredictable movement
Which age is autoimmune chorea typical for?
Late adulthood - median age
The most common genetic disorder primarily associated with chorea is:
Huntington's disease
Which of the following statements isNOT true for freezing in Parkinson's disease?
Freezing of gait is often not very responsive to dopaminergic medication
Postural and kinetic tremor is most commonly associated with:
Essential tremor
Key clinical feature of Parkinson's disease (present in 100% of patients is):
Bradykinesia
Intentional tremor is typical for:
Cerebellar dysfunction
In lesion of left CNII it is:
On the left side is not present direct FR and on the right side is not present consensual FR
In lesion of right n.III
On the right side is not present direct FR and on the left side is present consensual FR
Complete oculomotor nerve (n.III) palsy on the left side is manifested with:
Absence of direct pupillary light reaction on the left eye
Oculomotor nerve palsy on left side manifestations
Indirect light reflex
What method is used for objective measurement of hearing impairment?
Audiometric examination
Cochlear nerve lesion is manifested by:
Hearing deficit - from hypoacusis to anacusis
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
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 (n.VIII) nerve:
Conducts information from receptors in the labyrinth
Vestibular nerve:
Leads informations from receptoric organ (labyrinth)
In the facial nerve (n.VII) lesions, innervation of facial muscles, upper branch, is clinically manifested by:
Inability to close the eye, raise eyebrows and wrinkle the forehead on the side of the lesion
Facial nerve (VII) lesion - peripheral type is manifested with:
Inability to wrinkle the forehead, raise the eyebrows and close the eye, there is a drop of mouth angle and the perception of taste may also be reduced
The facial nerve (n.VII) innervates or Facial nerve (n. VII) innervates:
Taste ipsilaterally, anterior two thirds of the tongue
Which part of the tongue is innervated by the Facial nerve (n. VII) regarding the taste?
Ipsilateral anterior two thirds of a tongue
The facial nerve (n. VII) is a mixed nerve and contains fibers:
Sensory for taste, vegetative (salivation, tearing), motor innervating face and sensitive
Damage to the vestibular nerve manifests as:
Nausea, vomiting, vertigo, nystagmus and vestibular ataxia
Lesion to the XII. cranial nerve on the left side manifests as:
Hypotrohpy and paralysis of the left half of the tongue, tip of tongue deviates to left side
In case of bulbar paralysis in the brain, lesion is located:
In medulla oblongata
Choose the correct statement about vagus nerve:
It carries the parasympathetic fibers
Peripheral palsy is characterized by:
Fasciculations
Peripheral palsy is characterized by:
Hyporeflexia/areflexia
Mark incorrect statement about plegia:
It is a partial loss of a muscle's strength
Body of the upper motor neuron lies in:
Precentral gyrus
Paraparesis/ paraplegia means the weakness of:
Lower limbs
Hemiparesis/hemiplegia means the weakness of
Right/left limbs
Mark incorrect statement about spasticity:
Deep brain stimulation is therapy of a choice
Signs of inferior alternating hemiparesis (Jackson's syndrome) include:
Protruded tongue deviating to ipsilateral side of the lesion
Signs upper alternating hemiparesis (Weber's syndrome) include:
Flaccid hemiparesis on the limbs
Ptosis is present in:
nIII
Divergent stabism is present in lesion of or divergent strabism:
n III
Convergent strabismus is present in lesion of:
n VI
Peripheral lesion of n.VII cranial nerve is present in:
It does not occur with any syndrome
Weber's syndrome is also known as:
Superior alternating hemiplegia
Inferior alternating hemiplegia is called:
Jackson II syndrome
Which of following findings is present in inferior alternating hemiplegia?
Protruded tongue is deviated to ipsilateral side
Which of following findings is NOT present in inferior alternating hemiplegia?
Protruded tongue is deviated to contralateral side
In the case of Weber 's syndrome, the lesion is located in:
Midbrain
Weber's syndrome is characterized by
Ipsilateral nerve III. palsy and contralateral hemiparesis
Occipital brain herniation (occipital conus):
Occurs when frontal lobe moves down into the foramen magnum
Transtentorial brain herniation (temporal conus)
Is manifested by loss of the consciousness and ipsilateral mydriasis
Temporal (uncal, transtentorial) herniation manifests with:
Anisocoria: mydriasis of ipsilateral pupil
Intracranial hypertension syndrome is associated with:
Headache
What can cause intracranial hypertension syndrome?
Brain abscess and brain tumour
Select the correct answer:
Meningeal syndrome can be present in patients with subarachnoidal bleeding
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
Bilateral pyramid tract lesion in C3 level of spinal cord presents with:
Spastic quadruparesis/quadruplegia
Half spinal cord lesion in C3 presents with:
Ipsilateral spastic hemiparesis and respiratory problems
A lesion of half of the spinal cord (right or left) at 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
A complete transversal spinal cord lesion at the level of the C2-3 segment is manifested by:
Flaccid quadruparesis
Bulbar syndrome manifests with:
Dysarthria
Half spinal cord lesion (right or left) at the level of the C5 spinal cord segment is manifested by:
Ipsilateral hemiparesis, flaccid or mixed in UL, spastic in LL
In case of complete transversal spinal cord lesion in level C5 which of following CANNOT be present:
Quadriparesis - flaccid of mixed on upper limbs, spastic on lower limb
Regarding C5 radiculopathy, which of the following statements is correct?
Pain is localized to the lateral aspect of arm
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
In the case of half spinal cord (right or left) lesions in Th10 level, which of the following is not present?
Superficial ipsilateral sensation deficit below the lesion
Transversal completa spinal cord lesion at the level of L3 segment does NOT present:
Spastic paraparesis of lower limbs
Digital subtraction angiography (DSA) is not used for diagnosis of:
Source of epidural bleeding
In the case of half spinal cord lesion in level of L2 segment, which of following is correct?
Ipsilateral flaccid monoparesis of lower limb
Which of the following statement is not true (DSA- digital subtraction angiography)?
In DSA, commonly through femoral a., diagnostic catheter is inserted
Digital substracción angiography (DSA) is:
Invasive diagnostic method of brain arteries
Which finding does not belong to ictal/interictal epileptic abnormality?
Generalized discharges of spike-wave complexes
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
Evoked potentials: BAEP (Brainstem auditory EP) - the most common pathological findings are:
Complete absence of some evoked response (wave), or prolonged latency of wave I., III. or V.
Mark correct answer
CSF flows from the third ventricle through cerebral aqueduct into th fourth ventricle
Select the correct answer:
Lymphocytic pleocytosis is present predominantly in patients with viral meningitis
Brain MRI is essential in diagnosis of or Brain MRI is the first choice for:
Multiple sclerosis
Mark the correct statement regarding Doppler effect:
If the blood moves towards the probe, the frequency of the reflected wave decreases
Select the incorrect statement regarding Doppler effect:
If the blood moves away from the probe, the frequency of the reflected wave decreases
Brain CT is NOT a method of choice in:
Multiple sclerosis
What density has an acute intracerebral bleeding on CT?
Hyperdense, comparing to brain tissue
Which of the following is a typical feature of palleocerebellar syndrome?
All of the above
Which of the following symptoms is typical for a neocerebellar disorder?
Limb hypermetria
Cerebellar disorder manifests:
At ipsilateral side of the body
Which of the following does not belong to the cerebellar symptoms?
Paresis
Archicerebellum includes the
Flocculonodular lobe
Willis circle is formed by:
Anterior communicating artery
Mark the correct statement:
Anterior communicating artery connects both anterior cerebral arteries
Mark correct statement
Primary motor cortex is localized in precentral gyrus
Syringomyelic dissociation of sensitivity occurs within:
Lesion to spinothalamic tract in the area of central spinal canal
Syringomyelic dissociation of sensitivity is manifested by:
Lesion of pain and thermic sensitivity
Syringomyelic sensation deficit occurs when lesion is located in:
Anterior half of spinal cord
In case of brainstem lesion, which of the following statement is NOT true regarding...?
when lesion is located in upper part of brainstem superficial and contralateral half of face
Which of the following statements is true for fluctuation in Parkinson's disease?
They typically occur and worsen over the course of the disease
Anterior spinal artery syndrome is not manifested by:
Lesion of dorsal column pathway
Symptoms of thalamic syndrome consists of:
Hemianosmia
Mark correct statement about parkinsonian tremor:
it absents in approx. 30% of patients with Parkinson's disease
Which type of tremor is characteristic for Parkinson's disease?
Resting
Mark incorrect statement of Parkinson's disease:
Dyskinesia is present in under-dosed patients - complex association bounds to LT side
Select incorrect statement about spasticity:
Botulinum toxin is used in the treatment of spasticity
Select the correct statement about rigidity:
It worsens by the movement of contralateral limb
Which statement is true for Essential tremor?
It is associated with action (postural and kinetic) tremor
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
Myoclonus may originate:
Its origin can be cortical subcortical, or spinal
Which of the following hyperkinetic movements is characterized as a complex patterned movement/posture?
Dystonia
Genetic origin of movement disorders should be considered especially if:
Symptoms start in early childhood, adolescence or early adulthood
Uncinate crisis is present in lesion of:
Temporal lobe
Mark the correct statement: vestibular nerve and cochlear nerve (n.VIII)-.
They emerge from the pyramid bone through the meatus acusticus externus at the ponto-cerebellar angle
Mark correct statement : vestibular nerve and cochlear nerve (VII):
Both nerves came out of the pyramid bone through the meatus acusticus externus and they enter the brain stem in the ponto-celebellar angle
Vestibular ataxia - when testing a patient's posture (Rhomberg):
The ataxia worsens when the eyes are closed, the Romberg test is positive
Vestibular ataxia - when testing a patients posture (Romberg):
Ataxia worsens when closing eyes, Romberg's sign is positive
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
XI. cranial nerve innervates:
Neck's muscles (m. sternocleidomastoideus, m. trapezius)
Nuclear and/or infra nuclear lesion of the cranial nerves IX, X, XII manifest as:
Bulbar paralysis
Structural abnormality in the case of bulbar palsy is localised:
Cranial nerves IX - XII's nuclei localized in the bulbar brainstem
Typical features of the bulbar palsy are:
Dysarthria, dysphagia, tongue atrophy and faciculations
Tetraparesis/tetraplegia means the weakness of:
All 4 limbs
Central palsy is characterized by:
Muscle's hypertonia
Central palsy is characterized by:
Babinski sign
In case of superior alternating hemiplegia a lesion of which cranial nerve is present:
CN III
Middle alternating hemiplegia is characterized by:
Ipsilateral peripheral n. VII lesion and contralateral hemiparesis
Millard-Gubler syndrome is also called:
Middle alternating hemiplegia
Select the correct answer:
CSF obstruction can lead to hydrocephalus
What diagnoses are not causes of intracranial hypertension syndrome?
Atrophy of hippocampal area
CSF examination in patients with:
Guillain-Barré syndrome
Select the correct answer about proteins-cytology:
Proteino-cytological association is present in patients with bacterial CNS infections
Select the correct statement regarding brain CT:
Is used primarily for diagnosis of acute ischemic stroke
Which of the following statements about cerebellum is true?
It has a strictly motor function
Dyssynergy means:
Problem with coordination between muscle groups in a more complex movement
Which of the following is not a typical feature of palleocerebellar syndrome?
Intentional tremor
Palleocerebellum includes the:
Vermis
Right cerebellar hemisphere lesions will be primary related to:
Ataxia on ipsilateral limbs
Mark the correct statement:
Hemisection of spinal cord is manifested by ipsilateral motor paralysis and contralateral loss of proprioception
Select the correct statement:
Lesion to dorsal column leads to spinal ataxia
Bradykinesia is typical sign of:
Parkinson's disease
Every child with dystonia and diurnal fluctuations (better in the morning and worse in the evening) should try a trial with:
Levodopa
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 on inner tension
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
Mark the correct statement - Axial reflexes:
Pathological are sucking reflex, nasolabial and mentolabial reflexes
Axial reflexes - mark correct statement:
Nasopalpepbral reflex is physiological, nasolabial, mentolabial and sucking reflexes are pathological
The nuclei of the cranial nerves IX.,X.,XI. XII. are located in:
Medulla oblongata
Signs of middle alternating hemiparesis (Millard-Gubler's syndrome) include:
Peripheral palsy of n. VII
Axon of the lower motor neuron terminates at the:
Striated muscle
Inferior alternating hemiplegia is characterized by:
Ipsilateral lesion of hypoglossal nerve and ipsilateral hemiparesis
In parietal lobe syndrome of non-dominant hemisphere is not present:
Speech problem
What are the clinical features of meningeal syndrome?
Neck opposition
What is not a clinical feature of meningeal syndrome?
Hanzal's sign
Subacute onset of movement disorder is characteristic for the following etiology:
Autoimmune and paraneoplastic
Alexia:
Is unability to understand to written test
What is hyposmia?
Low sense of smell
CT angiography contraindications:
heart failure, heart valve problems, and chronic kidney disease
Where do cerebellar lesions manifest?
Ipsilaterally to the lesion site
What does a lower motoneuron lesion produce?
Muscle atrophy
In MRI-angiography of brain vessels:
It is possible to visualize brain arteries, without using contrast medium
Electromyography nerve conduction studies (NCS) are used to measure action potentials:
After stimulation of peripheral nerve, recording is over the nerve or muscle
In evaluation of the brainstem reactivity in coma patient we do not use:
Babinski sign
Chipault rule. If patient has a sensation deficit in Th4, lesion is located in the level of:
Th2
Vestibular nerve lesion presents with:
Nausea, vomit, vertigo, nystagmus and vestibular ataxia
Short steps and decreased arm swing during the gait is typical for:
Parkinsonism
Nerve VII consists of mixed fibers
Sensory (taste), vegetative (slinenie, sizenie), motor and sensitive
In lesion of right n. III:
On the right side is not present direct FR and on the left side is present...
Hypoglossal nerve palsy on the right side manifests as:
Hypertrophy of the right half of the tongue, while protruded the apex turns to the right
Which of following findings is present in inferior alternating hemiplegia?
Protruded tongue is deviated to ipsilateral side
Transversal complete spinal cord lesion in the segments C1-C4 is associated with:
Central paresis of lower limbs
Transversal complete spinal cord lesion on the level Th12 manifests with:
Flaccid paraparesis
Spastic paraparesis could come from:
Parasagittal growing tumour
Mark correct answer:
Paresis can be the clinical manifestation of upper and lower motoneuron lesion
For detection of amyloid angiopathy we use:
Brain MRI with gradient echo sequence
Which imagine technique will show acute ischemic stroke:
MRI-DWI
What is the most virulent cause of meningitis?
S. Pneumoniae
Classic symptoms of meningitis usually include:
Fever, headache, stiff neck
What of the following symptoms of Parkinson's disease is often resistant to levodopa treatment?
Postural instability
Vertebro-basilar stroke is not manifested by:
Aphasia
Diplopia, nasal deviation of the left eyebulb looking straight ahead are caused by:
Abducent palsy on the left side
Devic's disease. Neuromyelitis optica (NMO) is:
A demyelinating disease manifesting with optic neuritis and myelitis
Mark correct statement for neurinoma (Schwannoma):
Commonly occurs in vestibular part of n. VIII
Which of the following symptoms is typical for multiple system atrophy?
Autonomic dysfunction (e.g. orthostatic hypotension)
Mark the most specific (clinical) symptom of prodromal Parkinson's disease:
REM sleep behavior disorder (RBD)
Right side hemianopsia is present in lesion of:
Left optic tract
Category of primary headaches does not include:
Paroxysmal hemicrania
Spectrophotometric analysis of cerebrospinal fluid is for:
Xanthochromia and subarachnoid hemorrhage
Mark correct answer:
MRI has 3 main weight sequences : T1 T2 FLAIR
Plain x-ray of the spinal column is indicated:
In the present, it is not used frequently
For maintenance of stability normal function of the following is not required:
V. cranial nerve
Positive Chvostek's sign means that the patient has:
Tetania - tetania syndrome
Clinical picture of pseudobulbar palsy shows:
Dysartria, dysphagia, increased masseter reflex, positive pathological axial reflexes
Dysarthria and dysphagia are present within the following syndromas:
Pseudobulbar palsy
Brocca center is in:
Left frontal lobe
CT angiography- which of following statement is true:
It's a minimally invasive examination
"Drunk man" (ataxia) gait with broadened basis typical for:
cerebellar lesion
MRI angiography
it is an imagining 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 in front of central canal in comissura anterior alba
Afferent pathways of deep sensation enter:
Into dorsal spinal columns
Mark incorrect statement for chorea:
It has constant, stereotypic pattern
EEG cannot be used for differeciation of:
Headache
Hyperkinetic movement disorder is:
Dystonia
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
Some of the PP
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