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Neurology Free Online Medical Mock Test 219

Author: RxPG, Posted on Friday, November 04 @ 00:00:00 IST by RxPG  

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Multiple Choice Test

Multiple Choice Test

1) A 14-year-old boy with recent onset of spinal cord injury at T2 begins to experience lethargy, anorexia, nausea, low mood and polydipsia. The most likely diagnosis is:

One answer only.
   1. Syndrome of inappropriate antidiuretic hormone
   2. Diabetes insipidus
   3. Depression
   4. Urinary tract calculus
   5. Immobilization hypercalcemia

2) Hemisection of the spinal cord produces motor loss on the same side of the body as the lesion. Where does the sensory loss occur?

One answer only.
   1. Ipsilateral body
   2. Contralateral body
   3. Upper limbs only
   4. No sensory loss occurs
   5. Same side face, opposite side trunk

3) A C-4 quadriplegic complains of a pounding headache, piloerection, and a sense of impending doom. In your astute clinical fashion, you suspect autonomic hyperreflexia and ask the nurse to assist you with:

One answer only.
   1. administration of IV hydralazine
   2. administration of sublingual nifedipine
   3. assessment of patient's present bladder drainage program
   4. arrange for transfer to the intensive care unit

4) Regarding the transverse anatomy of the spinal cord, voluntary movement is carried in the:

One answer only.
   1. ascending dorsal columns
   2. descending lateral cortical spinal track
   3. ascending spinal thalamic tracks
   4. descending central canal

5) Management of the neurogenic bowel during the first several days following spinal cord injury should include:

One answer only.
   1. Digital rectal stimulation
   2. Digital evacuation of feces
   3. Use of oral laxatives
   4. Use of enemas
   5. No therapeutic measures

6) Which of the following statements is true about the neurogenic bowel?

One answer only.
   1. The peristaltic action of the colon depends upon somatic innervation
   2. The internal anal sphincter is innervated by pelvic parasympathetics originating from S2-4
   3. Spinal cord injuries above the level of the conus medullaris result in a patulous, atonic anal sphincter
   4. Valsalva is an effective means of emptying bowel contents in complete spinal cord injuries above the level of T6
   5. Bowel programs should be conducted in the morning

7) Overstretching of the urinary bladder may result in a(n):

One answer only.
   1. hyperreflexic bladder
   2. areflexic bladder
   3. smaller bladder capacity with normal function
   4. all of the above

8) Magnetic resonance imaging (MRI) can be useful in the evaluation of the cervical spinal cord because:

One answer only.
   1. gives excellent detail of bony structures
   2. gives excellent detail of soft tissue structures such as the spinal cord, roots, and meninges
   3. is a very simple, fast, straightforward test
   4. all of the above

9) Surgical stabilization of the fractured vertebral column has resulted in all of the below except:

One answer only.
   1. improved neurologic recovery
   2. earlier initiation of rehabilitation efforts
   3. shorter length of hospital stay
   4. less skeletal and cosmetic deformities

10) A patient sustains a complete spinal cord injury at the T12 level. What type of neurologic deficit would you expect 4 months after injury?

One answer only.
   1. Spastic paraplegia with spastic bladder
   2. Spastic paraplegia with overflow incontinence
   3. Flaccid paraplegia with spastic bladder
   4. Paraplegia with normal bladder dysfunction
   5. Flaccid paraplegia with hyperactive bladder sphincter

4 (Excellent) 3(Good) 2(Good) 1(Bad)   

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