AMC MCQ Neurology and Mental Health 5

Question 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?

Accepted Answer

Respiratory function (forced vital capacity)

Answer

Blood glucose level

Answer

Liver function tests

Answer

Visual acuity

Question 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?

Accepted Answer

Start high-dose corticosteroids immediately

Answer

Await temporal artery biopsy before treating

Answer

Prescribe simple analgesia only

Answer

Arrange routine outpatient review

Question 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?

Accepted Answer

Obsessive-compulsive disorder

Answer

Generalised anxiety disorder

Answer

Specific phobia

Answer

Schizophrenia

Question 4

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

Accepted Answer

Bell's palsy (lower motor neurone facial palsy)

Answer

Ischaemic stroke

Answer

Multiple sclerosis

Answer

Myasthenia gravis

Question 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?

Accepted Answer

Intravenous or buccal benzodiazepine

Answer

Oral phenytoin

Answer

Intravenous mannitol

Answer

Intramuscular haloperidol

Question 6

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

Accepted Answer

Lewy body dementia

Answer

Alzheimer's disease

Answer

Vascular dementia

Answer

Normal pressure hydrocephalus

Question 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?

Accepted Answer

Myasthenia gravis

Answer

Multiple sclerosis

Answer

Guillain-Barré syndrome

Answer

Motor neurone disease