ABPN Neurological Examination and Conditions 3

Question 1

A patient presents with sudden weakness of the entire right face, arm, and leg, plus aphasia. Which vascular territory is most likely involved?

Accepted Answer

Left middle cerebral artery

Answer

Right posterior cerebral artery

Answer

Right anterior cerebral artery

Answer

Basilar artery tip

Question 2

Which bedside test best assesses cerebellar function of the upper limbs?

Accepted Answer

Finger-to-nose testing

Answer

Deep tendon reflexes

Answer

Two-point discrimination

Answer

Grip strength

Question 3

A patient has ptosis, miosis, and anhidrosis on one side of the face. This triad is called:

Accepted Answer

Horner syndrome

Answer

Bell's palsy

Answer

Cushing's triad

Answer

Weber syndrome

Question 4

Nuchal rigidity, fever, and photophobia in an acutely ill patient most strongly suggest:

Accepted Answer

Meningitis

Answer

Migraine

Answer

Tension headache

Answer

Bell's palsy

Question 5

Which grade on the Medical Research Council (MRC) scale indicates movement with gravity eliminated but not against gravity?

Accepted Answer

Grade 2

Answer

Grade 1

Answer

Grade 3

Answer

Grade 4

Question 6

A tuning fork placed on the mastoid then near the ear canal (Rinne test) normally shows:

Accepted Answer

Air conduction louder than bone

Answer

Bone conduction louder than air

Answer

No sound in either position

Answer

Equal loudness in both

Question 7

A patient's tongue deviates to the left when protruded. This suggests a lesion of which cranial nerve on which side?

Accepted Answer

Left hypoglossal (CN XII)

Answer

Right hypoglossal (CN XII)

Answer

Left facial (CN VII)

Answer

Right vagus (CN X)