MCQ Part

1) The following conditions are associated with raised intracranial pressure except A- Drowsiness is seen with a rapidly increasing
pressure B- Convulsions are a common presentation C- The headache is worse on movement D- There may be a sixth nerve palsy E- Signs take longer to develop in young children than in adults Answer (B) 2) In Spastic cerebral palsy all of the following are commonly present except: A) B) C) D) E) Mental Retardation Sensation are free True bulbar palsy Not progressive Exaggerated deep tendon reflexes is commom.
Answer (C) 3) All of following characterize febrile convulsions except: A) B) C) D) E) Occur between 6 months to 5years of age. Precipitated by rapid rise of temperature Attack lasts seconds to 10 minutes Seizures are clonic and generalized Permenant EEG changes.
Answer (E) 4) Increased intracranial pressure may present with all of the following except A) Bulging anterior fontanell B) projectile Vomiting C) Convulsions D) Headache E) Nystagmus Answer (E) 5) Flaccid paralysis is seen in all except A) Poliomylitis B) Cerebral diplegia C) Werding hoffmann disease D) Post diphtheric paralysis E) Acute infectious polyneyritis
Answer (B) 6) One of the followinng is not a feature of Werding hoffmann disease A) Progressive hypotonia B) Chocking and dysphagia C) Muscle wasting D) Tongue fasciculations E) Mental retardation Answer (E) 7) In post-infectious polyneuropathy , all are true except A) Ascending paralysis B) Sensory symptoms may be present C) CSF protein is usually normal D) IV immunoglobuline is one of lines of therapy E) Symmetrical paralysis Answer (C) 8) All of the following are suggestive of Guillain Barre syndrome except A) Acute onset of paresthesias in lower extremities B) marked weakness and tenderness of muscles C) Bulbar muscles may be paralysed D) Characteristic intermittent fever for 2 weeks E) elevated CSF protein Answer (D) 9) Which of the following is not a clinical sign of Duchenne Myopathy? A) Waddling gait B) Positive Gower sign C) Hyperreflexia D) Cardiomyopathy E) Pseudohypertrophy of the Calf muscles Answer (C) 10) All of the following statements regarding Kernicterus are true except: A. Choreoathetoid cerebral palsy B. Basal staining of the ganglia C. Present in the first few days of life
D. Is increased if the mother is given sulfonamide E. Is worse in subsequent pregnancy Answer (E) 11)All of the following statements regarding Duchenne muscular dystrophy are true except: A- It is the most common hereditary neuromuscular disease B- It is inherited as an autosomal dominant trait C- Symptoms are rarely present at birth or in early infancy D- The serum creatine kinase is consistently greatly elevated E- It is more common in males Answer (B) 12) A 2-yr-old boy with the spastic diplegia form of cerebral palsy is being evaluated. MRI of his brain is most likely to show: a- Multicystic encephalomalacia B- Periventricular leukomalacia C- Normal anatomy D- Basal ganglia abnormalities E- Agenesis of the corpus callosum Answer (B) 13) To be effective for preventing myelomeningocele, administration of folic acid needs to begin: A- By 3 months of gestation B- At the first missed period C- Before conception D- By 30 days of gestation E- At 3 months prior to delivery Answer (C) 14) A 4-yr-old has difficulty in climbing stairs, slow motor development, and hypertrophied calf muscle The most likely diagnosis is: a- Myasthenia gravis b- Myotonia congenita c- Duchenne muscular dystrophy d- Hypokalemic periodic paralysis e- Central core disease Answer (C)
15) The best way to make a diagnosis in a young male with myopathic symptoms and a myopathic examination is: A) Muscle Biopsy B) MRI of Muscle C) Mutation Analysis D) CPK E) LDH Answer (C) 16) Which of the following brain tumors is NOT likely to cause early increased intracranial pressure? A)Brain stem glioma B)Cerebellar astrocytoma C)Medulloblastoma D)ependymoma E)Choroid plexus papilloma Answer (A) 17) The most common sequela associated with bacterial meningitis is A. B. C. D. E. Mental retardation Chronic seizure disorder Impaired vision Impaired hearing Behavioral disturbance
Answer (D) 18) Causes of megalocephaly include all of the following except: A. Thalassemia B. Chronic subdural effusions C. Hydrocephalus D. Congenital CMV infection E. Familial factors Answer (D) 19) Contraindication to lumber puncture include: A. Bulging fontanelle in neonates. B. platelet count of 300,000. C. Skin infection over the lumber space D. Marked uncooperativeness of the child E. All children with meningococcal sepsis. Answer (C)
20) All of the following statements regarding Toe-walking in an 18month old child are true except: A) Is sometimes abnormal B) Spinal cord imaging may be indicated C) Serum creatine kinaseshould bemeasured D) Does not need to be investigated in a girl E) May be a sign of cerebral palsy Answer (D) 21) Which of the following is a common clinical manifestation of myasthenia gravis? A. B. C. D. E. Cardiomyopathy Intellectual impairment Weakness of respiratory muscles Scoliosis Headache
Answer (C) 22) Which of the following is the earliest and most consistent sign of myasthenia gravis? A. B. C. D. E. Gowers sign Trendelenburg gait Ptosis and extraocular muscle weakness Respiratory muscle weakness Head lag
Answer (C) 23) A serious complication of the treatment of hypernatremic dehydration is: A. B. C. D. E. Cerebral thrombosis Cerebral edema Hyperchloremia Hypoglycemia None of the above
Answer (B) 24) Common identifiable causes of mental retardation include all of the following except: A. B. C. D. E. Trisomy 21 Hypothyroidism Fetal alcohol syndrome Fragile X syndrome Cystic fibrosis
Answer (E) 25) Characteristics of simple partial seizures include all of the following except: A. Loss of consciousness B. Versive seizures C. Duration of 10-20 sec D. No postictal state E. Abnormal EEG findings Answer (A)

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1) The following conditions are associated with raised intracranial pressure except A- Drowsiness is seen with a rapidly increasing

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