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Neurology and Mental Health Flashcards

7 cards from real AMC MCQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Neurology and Mental Health flashcards as text

  1. A 25-year-old presents with ascending symmetrical limb weakness and absent reflexes two weeks after a diarrhoeal illness. What is the most appropriate immediate concern to monitor?

    Answer: Respiratory function (forced vital capacity)

    Guillain-Barré syndrome can cause respiratory muscle failure, so vital capacity must be monitored closely.

  2. A 70-year-old woman has a new headache, scalp tenderness, jaw claudication and a raised ESR. What is the most appropriate immediate management?

    Answer: Start high-dose corticosteroids immediately

    Suspected giant cell arteritis requires immediate corticosteroids to prevent irreversible blindness, without waiting for biopsy.

  3. A 16-year-old has recurrent intrusive thoughts of contamination and spends hours washing his hands, recognising the behaviour as excessive. What is the most likely diagnosis?

    Answer: Obsessive-compulsive disorder

    Intrusive obsessions and time-consuming compulsions that the person recognises as excessive define OCD.

  4. A 48-year-old presents with a unilateral facial droop affecting the forehead, with no limb weakness. What is the most likely diagnosis?

    Answer: Bell's palsy (lower motor neurone facial palsy)

    Forehead involvement indicates a lower motor neurone facial palsy, most commonly idiopathic Bell's palsy.

  5. A patient with a witnessed generalised tonic-clonic seizure has now been convulsing continuously for more than five minutes. What is the most appropriate first-line drug?

    Answer: Intravenous or buccal benzodiazepine

    Status epilepticus is treated first with a benzodiazepine to terminate the seizure.

  6. An elderly man develops fluctuating cognition, recurrent visual hallucinations and spontaneous parkinsonism. What is the most likely diagnosis?

    Answer: Lewy body dementia

    Fluctuating cognition, vivid visual hallucinations and parkinsonism are the core features of Lewy body dementia.

  7. A 40-year-old woman reports fatigable weakness with drooping eyelids and double vision that worsen through the day. What is the most likely diagnosis?

    Answer: Myasthenia gravis

    Fatigable ptosis and diplopia that worsen with activity are characteristic of myasthenia gravis.