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Question: 1


Which of the following vascular anomalies is characterized by an abnormal connection between arteries and veins in the brain?


  1. Aneurysm

  2. Arteriovenous fistula


    arotid stenosis


    wer: C


    anation: An arteriovenous malformation (AVM) is characterized by a rmal connection between arteries and veins in the brain. In an AVM, mal capillary network is absent, resulting in a direct shunting of blood f ies to veins. This abnormal connection can lead to a variety of neurolo

    ptoms depending on the location and size of the AVM.


    stion: 2


    ch of the following conditions is characterized by the sudden rupture o vessel in the brain, leading to bleeding into the surrounding tissues?


    chemic stroke ubarachnoid hemorrhage

    Arteriovenous malformation (AVM)

  3. C


Ans


Expl n

abno the

nor rom

arter gical

sym


Que


Whi f a

blood


  1. Is

  2. S

  3. Intracerebral hemorrhage

  4. Transient ischemic attack (TIA) Answer: B

Explanation: A subarachnoid hemorrhage is characterized by the sudden rupture of a blood vessel in the brain, leading to bleeding into the subarachnoid

space surrounding the brain. This type of hemorrhage is commonly caused by the rupture of an intracranial aneurysm. Subarachnoid hemorrhage presents with symptoms such as a sudden and severe headache, neck stiffness, and altered level of consciousness.


Question: 3


ptoms that resemble a stroke but resolve completely within 24 hours?


ransient ischemic attack (TIA) chemic stroke

emorrhagic stroke acunar stroke


wer: A


anation: A transient ischemic attack (TIA) is characterized by tempor ological symptoms that resemble a stroke but resolve completely withi

s. A TIA is often referred to as a "mini-stroke" and is caused by a orary interruption of blood flow to a specific part of the brain. While ptoms of a TIA are transient, it is considered a warning sign of an nding ischemic stroke and should be taken seriously.


stion: 4

Which of the following conditions is characterized by temporary neurological sym


  1. T

  2. Is

  3. H

  4. L


Ans


Expl ary

neur n 24

hour

temp the

sym impe


Que


Which of the following conditions is characterized by demyelination of the central nervous system?


  1. Amyotrophic Lateral Sclerosis (ALS)

  2. Guillain-Barré Syndrome (GBS)

  3. Myasthenia Gravis

  4. Multiple Sclerosis (MS) Answer: D

ting in a wide range of symptoms depending on the location and exte emyelination.

otrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that arily affects motor neurons in the brain and spinal cord, but it is not acterized by demyelination.

sthenia Gravis is an autoimmune disorder that affects the neuromuscul ion, causing muscle weakness and fatigue. It does not involve yelination of thecentral nervous system.

ain-Barré Syndrome (GBS) is an acute inflammatory demyelinatin neuropathy that primarily affects the peripheral nervous system, not th al nervous system.


stion: 5


ch of the following is a characteristic feature of an intracerebral orrhage?

Explanation: Multiple Sclerosis (MS) is characterized by demyelination of the central nervous system. MS is an autoimmune disease in which the immune system mistakenly attacks the protective myelin sheath that covers nerve fibers in the central nervous system. This leads to disruption of nerve signals,

resul nt of

the d Amy prim char

Mya ar

junct dem

Guill g

poly e

centr


Que


Whi hem


  1. Sudden onset of severe headache

  2. Thunderclap headache

  3. Focal neurological deficits

  4. Gradual onset of confusion and memory loss


Answer: C

Explanation: A characteristic feature of an intracerebral hemorrhage is the presence of focal neurological deficits. Intracerebral hemorrhage refers to bleeding within the brain tissue, which can cause localized damage to specific regions of the brain. The bleeding results in the compression and injury of surrounding brain structures, leading to focal neurological deficits such as weakness, sensory loss, or speech difficulties.


ch of the following terms is used to describe the transformation of an mic stroke into a hemorrhagic stroke?


chemic conversion therosclerotic plaque rupture hromboembolic event emorrhagic transformation


wer: D


anation: The term used to describe the transformation of an ischemic e into a hemorrhagic stroke is hemorrhagic transformation. Hemorrha formation occurs when the area of ischemic brain tissue becomes dam tarts bleeding. This transformation can be caused by various factors, ding reperfusion injury, disruption of the blood-brain barrier, or kdown of ischemic tissue.

Question: 6


Whi ische


  1. Is

  2. A

  3. T

  4. H

Ans Expl

strok gic

trans aged

and s inclu brea


Question: 7


Which of the following is a characteristic feature of Bell's Palsy?


  1. Gradual onset of symptoms over weeks to months

  2. Absence of taste sensation on the affected side of the tongue

  3. Bilateral facial weakness and paralysis

  4. Involuntary muscle contractions and spasms Answer: B

pression of the facial nerve (cranial nerve VII). In addition to facial kness, individuals with Bell's Palsy may experience loss of taste sensat e anterior two-thirds of the tongue on the affected side.

ual onset of symptoms over weeks to months is not typical for Bell's y, as it is usually a sudden onset condition.

luntary muscle contractions and spasms are not characteristic of Bell's

y. Instead, it is characterized by weakness or paralysis of facial muscle Palsy typically affects only one side of the face (unilateral involvem ilateral facial weakness and paralysis are not characteristic of this ition.


stion: 8


ch of the following conditions is characterized by a chronic progressiv odegenerative disease that affects the motor neurons in the brain and s

Explanation: A characteristic feature of Bell's Palsy is the absence of taste sensation on the affected side of the tongue. Bell's Palsy is a condition characterized by sudden, unilateral facial paralysis or weakness, typically affecting the muscles on one side of the face. It is caused by inflammation or com

wea ion

on th Grad Pals Invo

Pals s.

Bell's ent),

and b cond


Que


Whi e

neur pinal

cord?


  1. Guillain-Barré syndrome

  2. Bell's palsy

  3. Demyelinating polyneuropathy

  4. Amyotrophic lateral sclerosis Answer: D

Explanation: Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease, is characterized by a chronic progressive neurodegenerative process that primarily affects the motor neurons in the brain and spinal cord. This leads to muscle weakness, paralysis, and ultimately respiratory failure.


Question: 9


ch of the following conditions is characterized by the formation of blo within the cerebral venous sinuses?


mbolic stroke chemic stroke hrombotic stroke

erebral venous sinus thrombosis wer: D

anation: Cerebral venous sinus thrombosis is characterized by the ation of blood clots within the cerebral venous sinuses, which are onsible for draining deoxygenated blood from the brain. The formatio

clots within these sinuses can impede proper blood drainage, leadin ty of neurological symptoms.


stion: 10

Whi od

clots


  1. E

  2. Is

  3. T

  4. C

Ans Expl

form

resp n of

blood g to a

varie


Que


Which of the following conditions is characterized by bleeding into the ventricles of the brain?


  1. Ischemic stroke

  2. Intraventricular hemorrhage

  3. Subarachnoid hemorrhage

  4. Intracerebral hemorrhage

Answer: B


ological complications.


stion: 11


ch of the following conditions is characterized by the inflammation of nges, the protective membranes surrounding the brain and spinal cord


myotrophic Lateral Sclerosis (ALS) yasthenia Gravis

ultiple Sclerosis (MS) eningitis


wer: D


anation: Meningitis is characterized by the inflammation of the menin rotective membranes surrounding the brain and spinal cord. Meningiti e caused by various infectious agents, such as bacteria, viruses, or fu ead to symptoms such as severe headache, fever, neck stiffness, and

Explanation: Intraventricular hemorrhage is characterized by bleeding into the ventricles of the brain. It often occurs in conjunction with other types of brain hemorrhages, such as intracerebral hemorrhage or subarachnoid hemorrhage. The bleeding into the ventricles can disrupt the normal flow and absorption of cerebrospinal fluid, leading to increased intracranial pressure and potential neur


Que


Whi the

meni ?


  1. A

  2. M

  3. M

  4. M


Ans


Expl ges,

the p s

can b ngi. It

can l

altered mental status.

Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that primarily affects motor neurons in the brain and spinal cord, but it does not involve inflammation of the meninges.

Multiple Sclerosis (MS) is an autoimmune disease characterized by demyelination of the central nervous system, but it does not specifically involve inflammation of the meninges.

Myasthenia Gravis is an autoimmune disorder that affects the neuromuscular junction, causing muscle weakness and fatigue. It does not involve inflammation of the meninges.


Question: 12


Which of the following is a common symptom of Moya Moya disease?


emory loss and cognitive impairment uscle weakness and paralysis

isual disturbances eizures


wer: D


anation: A common symptom of Moya Moya disease is seizures. Moy disease is a rare, progressive cerebrovascular disorder characterized arrowing and occlusion of the internal carotid arteries, leading to the

ation of fragile blood vessels called "moya moya" vessels as a pensatory mechanism. Seizures can occur as a result of the altered blo and decreased oxygen supply to the brain.

e muscle weakness and paralysis can occur in Moya Moya disease, res are a more common and distinctive symptom.

al disturbances, such as blurred vision or visual field defects, can occu mpromised blood flow in Moya Moya disease.

mory loss and cognitive impairment may be present in some cases of M

  • M

  • M

  • V

  • S


    • Ans


    Expl a

    Moya by

    the n form

    com od

    flow Whil seizu

    Visu r due

    to co

    Me oya

    Moya disease, but they are not as common or specific as seizures.


    Question: 13


    Which of the following is a characteristic feature of an arteriovenous malformation (AVM)?

    1. Slowly progressive symptoms over months to years

    2. Frequent occurrence in the elderly population

    3. Focal neurological deficits corresponding to a specific vascular territory

    4. Presence of microhemorrhages on neuroimaging



    anation: A characteristic feature of an arteriovenous malformation (A presence of focal neurological deficits corresponding to a specific ular territory. AVM is an abnormal tangle of blood vessels in the brai al cord, which disrupts the normal blood flow. As a result, blood can ss normal brain tissue and flow directly from arteries to veins, causin

    neurological deficits that correspond to the affected area of the brain. ly progressive symptoms over months to years are more suggestive o nerative conditions rather than AVM.

    Ms can occur in individuals of any age and are not limited to the elderl lation, so frequent occurrence in the elderly population is not a acteristic feature of AVM.

    resence of microhemorrhages on neuroimaging is more commonly ciated with cerebral amyloid angiopathy and not specific to AVM.


    stion: 14

    Answer: C


    Expl VM)

    is the

    vasc n or

    spin

    bypa g

    focal

    Slow f

    dege

    AV y

    popu char The p asso


    Que


    Which of the following is the primary cause of an intracerebral hemorrhage?


    1. Hypertension

    2. Ischemic stroke

    3. Cerebral venous sinus thrombosis

    4. Rupture of an aneurysm

    Answer: A


    Explanation: The primary cause of an intracerebral hemorrhage is hypertension. Hypertension, or high blood pressure, can cause weakening and rupture of small blood vessels within the brain, leading to bleeding and the formation of a hematoma within the brain tissue.

    emic stroke refers to a blockage of blood flow in a cerebral artery, lea sue damage due to lack of oxygen and nutrients. It is not the primary tracerebral hemorrhage.

    bral venous sinus thrombosis is a condition characterized by the form ood clots in the cerebral veins and sinuses. While it can lead to orrhagic complications, it is not the primary cause of intracerebral orrhage.


    stion: 15


    tient presents with sudden onset weakness and numbness in the right a eg, along with difficulty speaking. The symptoms resolve completely n a few minutes. Which of the following is the MOST likely diagnosi


    chemic stroke emorrhagic stroke

    ransient ischemic attack (TIA)

    Rupture of an aneurysm is a common cause of subarachnoid hemorrhage, not intracerebral hemorrhage.

    Isch ding

    to tis cause

    of in

    Cere ation

    of bl hem hem


    Que


    A pa rm

    and l

    withi s?


    1. Is

    2. H

    3. T

    4. Migraine with aura


    Answer: C


    Explanation: The most likely diagnosis for a patient presenting with sudden onset weakness and numbness in the right arm and leg, along with difficulty

    speaking that resolves completely within a few minutes, is a transient ischemic attack (TIA). A TIA is a temporary interruption of blood flow to a specific part of the brain, resulting in transient neurological symptoms. TIAs are often considered warning signs of an impending ischemic stroke and should be taken seriously.


    Question: 16


    ch of the following conditions is characterized by the abnormal feration of neuroepithelial tissue?


    lzheimer's disease strocytoma yasthenia Gravis ell's Palsy


    wer: B


    anation: Astrocytoma is a condition characterized by the abnormal feration of neuroepithelial tissue. Astrocytomas are tumors that arise f cytes, a type of glial cell in the central nervous system. These tumors

    in various locations in the brain and spinal cord and are classified ba eir grade (I-IV) and histological characteristics.

    eimer's disease is a neurodegenerative disorder characterized by the ence of amyloid plaques and neurofibrillary tangles in the brain, but it

    Whi proli


    1. A

    2. A

    3. M

    4. B


    Ans Expl

    proli rom

    astro can

    occur sed

    on th Alzh

    pres does

    not involve the abnormal proliferation of neuroepithelial tissue.

    Myasthenia Gravis is an autoimmune disorder that affects the neuromuscular junction, causing muscle weakness and fatigue. It is not characterized by the abnormal proliferation of neuroepithelial tissue.

    Bell's Palsy is a condition characterized by sudden, unilateral facial paralysis or weakness, typically due to inflammation or compression of the facial nerve (cranial nerve VII). It does not involve the abnormal proliferation of

    neuroepithelial tissue.