Neurologists Exam Neurologists Exam Neurodegenerative & Movement Disorders 2

Question 1

Which cognitive domain is characteristically impaired earliest in Alzheimer's disease?

Accepted Answer

Episodic memory (short-term recall)

Answer

Procedural memory

Answer

Visuospatial ability

Answer

Language fluency

Question 2

Frontotemporal dementia (FTD) is distinguished from Alzheimer's disease by which early clinical feature?

Accepted Answer

Prominent personality and behavioral changes

Answer

Early episodic memory loss

Answer

Visual hallucinations

Answer

Postural instability

Question 3

Progressive supranuclear palsy (PSP) is best characterized by which unique clinical finding?

Accepted Answer

Vertical gaze palsy (downgaze) and falls

Answer

Resting tremor and cogwheel rigidity

Answer

Early dementia with visual hallucinations

Answer

Chorea and psychiatric symptoms

Question 4

Cerebellar ataxia, polyneuropathy, and autonomic failure occurring together in a middle-aged adult most suggests which condition?

Accepted Answer

Multiple system atrophy (MSA-C)

Answer

Friedreich's ataxia

Answer

Hereditary spastic paraplegia

Answer

CADASIL

Question 5

Which treatment is FDA-approved specifically for chorea in Huntington's disease?

Accepted Answer

Tetrabenazine (or deutetrabenazine)

Answer

Levodopa

Answer

Donepezil

Answer

Riluzole

Question 6

Corticobasal syndrome (CBS) is characterized by asymmetric parkinsonism combined with which distinctive cortical sign?

Accepted Answer

Alien limb phenomenon

Answer

Resting tremor

Answer

Vertical gaze palsy

Answer

Visual hallucinations