Buy Diseases of the Nervous System

Buy Diseases of the Nervous System
Buy Diseases of the Nervous System
1066. A young female with pains and paresthesias in the right handand a prominence in the neck above the clavicle on the rightside probably has
A. a cervical rib B. carcinoma of the right lung
C. aneurysm of the right carotid D. thyroid carcinoma
E. lymphosarcoma
1067. Early signs of cord compression in extramedullar tumorsare all of the following EXCEPT
A. spastic weakness of the muscles below the level of the le- sion
B. loss of heat and cold sensation below the level of the le- sion C. impairment of cutaneous and proprioceptive sensationbelow the level of the lesion D. increase in the reflexes
E. impairment of bladder control
1068. Alzheimer’s disease (presenile dementia) is associated withA. atrophy of the frontal and temporal poles
B. atrophy of the entire frontal and temporal lobes C. cranial nerve palsies D. transient episodes of hemiplegia
E. hemianesthesia
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318 / Diseases of the Nervous System
1069. Chronic progressive chorea (Huntington’s) is characterizedby all of the following EXCEPT
A. hereditary disorder
B. childhood onset C. mental deterioration D. atrophy of the cortex
E. enlargement of the ventricles on pneumoencephalogram1070. Abscesses of the brain due to cranial trauma are most likelyto be caused by
A. Staphylococcus
B. Hemophilus influenzae C. Cryptococcus
D. Toxoplasma
E. Klebsiella-A erobacter
1071. The incubation period of rabies from animal bite to signs ofdisease is A. shortest when the wound is on the leg B. shortest when the wound is on the face C. prolonged by tetracycline but not prevented D. two years
E. one week
1072. Migraine headaches may be associated with all of the following focal neurologic signs EXCEPT
A. diplopia
B. dysphasia
C. paresthesia D. weakness
E. seizure
1073. A history of progressive loss of hearing, tinnitus, and ataxia is suspicious of
A. Meniere’s disease
B. acoustic neuroma
C. otitis media
D. increased intracranial pressure
E. cerebellar hemangioblastoma
Diseases of the Nervous System / 319
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1074. An elderly patient with onset of malaise, weight loss, in- creased ESR, and temporal arteritis probably has
A. glioblastoma multiforme
B. multiple sclerosis
C*. systemic lupus erythematosus
D. polymyalgia rheumatiea
E. meningitis
1075. A patient with amyotrophic lateral sclerosis develops a loss of emotional control with outbursts of laughing or crying that are inappropriate. The patient has probably developed
A. an agitated depression
B. schizophrenia C. brain stem infarction
I), a posterior fossa tumor
E. pseudobulbar palsy
1077. Myelography is of value A. in excluding a neoplasm of the cauda equina
B. in differentiating intramedullary tumors of the spinal cord
C. in diagnosing multiple sclerosis D. in determining the cause of subarachnoid hemorrhage
E. only when there is a complete block on spinal puncture
1078. Occlusion of the right posterior cerebral artery is most likely to cause
A. homonymous hemianopia
B. total blindness C. sudden death D. infarction of the right brain stem
E. a right-sided hemiplegia
320 / Diseases of the Nervous System
1079. In amyotrophic lateral sclerosis, one finds A. a long history of remissions and exacerbations
B. sensory loss in the distribution of peripheral nervesC. focal seizures D. signs of ventral horn and lateral column involvementE. cogwheel rigidity 1080. Transient episodes of vertigo, slurred speech, diplopia, andparesthesias suggest A. basilar artery insufficiency B. anterior communicating artery aneurysm
C. hypertensive encephalopathy D. pseudobulbar palsy
E. occlusion of the middle cerebral artery
1081. Hemorrhage into the extradural space is generally duetoA. anterior fossa bleeding
B. middle meningeal artery tear C. dural sinus tear D. bilateral bleeding
E. brain tumor
1082. The diagnosis of phenylketonuria is best made by
A. neurologic examination
B. electroencephalogram
C. serum phenylalanine D. spinal fluid protein electrophoresis
E. the excretion of burgundy-red urine
1083. A right homonymous hemianopia is due to a lesion oftheA. right optic nerve
B. chiasm
C. right optic radiations D. right occipital lobe
E. left optic radiations
1084. Neonatal meningitis is frequently due to A. a genitourinary infection in the mother
B. neonatal otitis media
C. a skull fracture D. septicemia at birth E. tuberculosis
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