Test Your Neurology Knowledge Quiz

Reviewed by Editorial Team
The ProProfs editorial team is comprised of experienced subject matter experts. They've collectively created over 10,000 quizzes and lessons, serving over 100 million users. Our team includes in-house content moderators and subject matter experts, as well as a global network of rigorously trained contributors. All adhere to our comprehensive editorial guidelines, ensuring the delivery of high-quality content.
Learn about Our Editorial Process
| By Drbishop
D
Drbishop
Community Contributor
Quizzes Created: 4 | Total Attempts: 14,824
| Attempts: 11,477
Quiz Flashcard
SettingsSettings
Please wait...
  • 1/7 Questions
    A 13 year old boy presents with facial weakness. On examination he has paralysis of his facial muscles on the left hand side, including the left side of his forehead. He has a mild ptosis of his left eye. What is the likely diagnosis? - ProProfs

    A 13 year old boy presents with facial weakness. On examination he has paralysis of his facial muscles on the left hand side, including the left side of his forehead. He has a mild ptosis of his left eye. What is the likely diagnosis?

    • Todd's paresis
    • Bell's palsy
    • Ischaemic stroke
    • Intracerebral haemorrhage
    • Space-occupying lesion
Please wait...
About This Quiz

Explore your understanding of neurological conditions through this engaging quiz. Assess clinical signs, diagnose symptoms, and identify risk factors related to neurology, enhancing your medical expertise and readiness.

Test Your Neurology Knowledge Quiz - Quiz

Quiz Preview

  • 2. 

    A 27 year old woman presents to her GP with a history of severe headache. She reports that these headaches have occurred 4 times in the last 3 months and have been predominantly left -sided and associated with visual disturbance and vomiting. They last several hours at a time and are so severe she has been unable to go to work. She reports that she is able to predict when she will get one of these headaches as the day before she is off her food, nauseated and the visual disturbances, which are flashing lights across her field of vision, begin. What is the likely diagnosis?

    • Epilepsy

    • Temporal arteritis

    • Space occupying lesion

    • Migraine

    • Cluster headache

    Correct Answer
    A. Migraine
    Explanation
    The likely diagnosis for this patient is migraine. Migraine headaches are often characterized by severe pain, typically on one side of the head, along with other symptoms such as visual disturbances (flashing lights), nausea, and vomiting. The fact that the patient is able to predict when she will get a headache based on premonitory symptoms (loss of appetite, nausea, visual disturbances) is also consistent with migraine. Epilepsy, temporal arteritis, space occupying lesion, and cluster headache are less likely based on the given information.

    Rate this question:

  • 3. 
    A 68 year old woman presents with double vision. On examination she has a ptosis of her left eye and when her eyelid is raised the eye is pointing inferiorly and laterally. On assessing her eye movements, these were normal in the right eye, but her left eye was unable to look right or upwards. Her left pupil was dilated. What is the likely diagnosis? - ProProfs

    A 68 year old woman presents with double vision. On examination she has a ptosis of her left eye and when her eyelid is raised the eye is pointing inferiorly and laterally. On assessing her eye movements, these were normal in the right eye, but her left eye was unable to look right or upwards. Her left pupil was dilated. What is the likely diagnosis?

    • Horner's syndrome

    • Left 3rd nerve palsy

    • Left 4th nerve palsy

    • Left 6th nerve palsy

    Correct Answer
    A. Left 3rd nerve palsy
    Explanation
    http://en.wikipedia.org/wiki/Oculomotor_nerve_palsy

    Rate this question:

  • 4. 

    A 32 year old gentleman is brought into A&E by ambulance following a car accident. He has multiple injuries, and is unresponsive. After his airway, breathing and circulation are assessed and stabilised, the doctor goes to assess his level of consciousness using the Glasgow Coma Scale (GCS). He does not open his eyes at any stage, but tries to withdraw his arm and groans in response to painful stimuli. What is his GCS?

    Correct Answer
    7, seven
    Explanation
    The Glasgow Coma Scale (GCS) was initially designed to assess level of consciousness following head injury, but is now more widely used and applied to all acute medical and trauma patients. It consists of 3 components; Eye response (1-4 points), Verbal response (1-5 points) and Motor response (1-6 points), giving a total out of 15, where 3 is the minimum score and 15 the maximum score.

    The scale is as follows:

    Eye - 1 = Does not open
    2 = opens in response to painful stimuli
    3 = opens in response to voice
    4 = opens eyes spontaneously

    Verbal 1 = Makes no sounds I
    2 = incomprehensible sounds
    3 = Utters inappropriate words
    4 = Confused, disoriented
    5 = Oriented, converses normally

    Motor response 1 = Makes no movements
    2 = Extension to painful stimuli (decerebrate response)
    3 = Abnormal flexion to painful stimuli (decorticate response)
    4 = Flexion / Withdrawal to painful stimuli
    5 = Localizes painful stimuli
    6 = Obeys commands

    From this it is apparent that an alert patient would have a GCS of 15.
    In the above scenario, the patient's score can be calculated thus:
    E = 1, V = 2, M = 4 = total 7/15

    As a general rule, patients with a GCS < 8 are unable to protect their own airway and would need intubation and monitoring on intensive care if this was deemed appropriate.

    Rate this question:

  • 5. 

    Which of the following are risk factors for stroke?

    • Hypotension

    • Atrial fibrillation

    • Diabetes mellitus

    • Hypocholesterolaemia

    • Family history of stroke

    Correct Answer(s)
    A. Atrial fibrillation
    A. Diabetes mellitus
    A. Family history of stroke
    Explanation
    Atrial fibrillation: This heart condition increases the risk of stroke because it can cause blood clots to form in the heart, which can then travel to the brain.
    Diabetes mellitus: High blood sugar levels can damage blood vessels and increase the risk of stroke.
    Family history of stroke: Genetics can play a role in an individual's susceptibility to stroke.
    Hypotension (low blood pressure) and hypocholesterolaemia (low cholesterol levels) are not typically considered major risk factors for stroke. In fact, high blood pressure (hypertension) and high cholesterol levels (hypercholesterolemia) are more commonly associated with an increased risk of stroke.

    Rate this question:

  • 6. 

    Which of the following are clinical signs of an upper motor neurone problem?

    • Fasiculations

    • Reduced tone

    • Increased tone

    • Diminished reflexes

    • Brisk reflexes

    • Positive Babinski's sign

    Correct Answer(s)
    A. Increased tone
    A. Brisk reflexes
    A. Positive Babinski's sign
    Explanation
    Clinical signs of an upper motor neurone problem include increased tone, brisk reflexes, and a positive Babinski's sign. Increased tone refers to hypertonia or spasticity, which is an abnormal increase in muscle tone. Brisk reflexes indicate hyperreflexia, where the reflexes are more exaggerated than normal. A positive Babinski's sign is when the big toe extends upward and the other toes fan out when the sole of the foot is stimulated, suggesting an abnormal response from the central nervous system.

    Rate this question:

  • 7. 

    A 44 year old gentleman presents to A&E with a severe headache. He said it came on quickly, within 30 seconds, and is at the back of his head. He reports feeling nauseated and 'unsteady'. On examination he has mild neck stiffness, nystagmus on left and right gaze and is walking with a very unsteady, broad-based gate, wobbling from side-to-side. What is the likely diagnosis?

    • Subarachnoid Haemorrhage

    • Migraine

    • Cerebellar infarction

    • Cluster headache

    • Meningitis

    Correct Answer
    A. Subarachnoid Haemorrhage
    Explanation
    The sudden onset occipital headache is 'classical' of a subarachnoid haemorrhage (although it doesn't always present this way). The neck stiffness may be due to meningeal irritation from bleeding, and the cerebellar signs (see below) are due to the extrinsic pressure from blood around the cerebellum. An infarction is typically painless.

    Cerebellar signs = DANISH

    Dysdiadochokinesis
    Ataxia
    Nystagmus
    Intention tremor
    Slurred speech
    Hypotonia

    Rate this question:

Quiz Review Timeline (Updated): Jul 4, 2024 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Jul 04, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 26, 2011
    Quiz Created by
    Drbishop
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.