1What cranial nerve is affected in Trigeminal Neuralgia? A) CN III B) CN V C) CN VII D) CN X
2What is another name for Trigeminal Neuralgia? A) Paralysis Agitans B) Disseminated Sclerosis C) Tic Douloureux D) Acute Polyneuritis
C) Tic Douloureux
3What type of pain is characteristic of Trigeminal Neuralgia? A) Dull ache B) Burning pain C) Sudden severe shooting pain D) Cramping pain
C) Sudden severe shooting pain
4What is the drug of choice for Trigeminal Neuralgia? A) Riluzole B) Carbamazepine C) Pyridostigmine D) Levodopa
B) Carbamazepine
5What serious adverse effect is associated with Carbamazepine? A) Bradycardia B) Agranulocytosis C) Hypertension D) Hyperglycemia
B) Agranulocytosis
6Which symptoms may indicate agranulocytosis? A) Nausea and vomiting B) Headache and dizziness C) Sore throat and fever D) Blurred vision and tinnitus
C) Sore throat and fever
7What laboratory test should be monitored during Carbamazepine therapy? A) ABG B) CBC C) ECG D) Urinalysis
B) CBC
8What surgery is the surgery of choice for Trigeminal Neuralgia? A) Thymectomy B) Craniotomy C) Deep Brain Stimulation D) Retrogasserian Rhizotomy
D) Retrogasserian Rhizotomy
9Which function is controlled by CN V? A) Hearing B) Facial sensation C) Smell D) Vision
B) Facial sensation
10Which population is most commonly affected by Trigeminal Neuralgia? A) Elderly women B) Children C) Young men D) Newborns
A) Elderly women
11What cranial nerve is affected in Bell's Palsy? A) CN III B) CN V C) CN VII D) CN XII
C) CN VII
12Bell's Palsy causes what condition? A) Permanent paralysis B) Temporary facial paralysis C) Lower limb paralysis D) Spastic paralysis
B) Temporary facial paralysis
13What is the average recovery time for Bell's Palsy? A) 1–2 days B) 1 year C) 3–5 weeks D) 6 months
C) 3–5 weeks
14What assessment finding is characteristic of Bell's Palsy? A) Facial asymmetry B) Muscle rigidity C) Resting tremor D) Ataxia
A) Facial asymmetry
15What is the leading risk factor for Bell's Palsy? A) Trauma B) Autoimmune disorder C) Diabetes D) Smoking
B) Autoimmune disorder
16What eye complication commonly occurs in Bell's Palsy? A) Cataract B) Corneal dryness C) Glaucoma D) Retinal detachment
B) Corneal dryness
17What reflex is often lost in Bell's Palsy? A) Gag reflex B) Corneal reflex C) Blink reflex D) Babinski reflex
C) Blink reflex
18Loss of taste occurs in what part of the tongue in Bell's Palsy? A) Posterior 1/3 B) Entire tongue C) Anterior 2/3 D) Tongue tip only
C) Anterior 2/3
19What medication class is commonly prescribed for Bell's Palsy? A) Anticoagulants B) Corticosteroids C) Beta blockers D) Antipsychotics
B) Corticosteroids
20Why are artificial tears used in Bell's Palsy? A) Improve vision B) Prevent corneal drying C) Reduce eye pressure D) Dilate pupils
B) Prevent corneal drying
21What neurotransmitter receptor is damaged in Myasthenia Gravis? A) Dopamine receptor B) Serotonin receptor C) Acetylcholine receptor D) GABA receptor
C) Acetylcholine receptor
22What is the leading cause of Myasthenia Gravis? A) Trauma B) Autoimmune destruction of ACh receptors C) Infection D) Genetics
B) Autoimmune destruction of ACh receptors
23What pattern of weakness occurs in Myasthenia Gravis? A) Ascending B) Descending C) Alternating D) Unilateral
B) Descending
24What is the best diagnostic test for Myasthenia Gravis? A) MRI B) EMG C) Tensilon Test D) CBC
C) Tensilon Test
25What drug is used during the Tensilon Test? A) Atropine B) Endrophonium C) Levodopa D) Riluzole
B) Endrophonium
26What is usually the earliest manifestation of Myasthenia Gravis? A) Ptosis B) Tremor C) Paralysis D) Rigidity
A) Ptosis
27What visual symptom is common in Myasthenia Gravis? A) Blindness B) Diplopia C) Scotoma D) Nystagmus
B) Diplopia
28What is the priority complication of Myasthenia Gravis? A) Constipation B) Respiratory failure C) Urinary retention D) Seizure
B) Respiratory failure
29What procedure removes excess antibodies in Myasthenia Gravis? A) Dialysis B) Bronchoscopy C) Plasmapheresis D) Endoscopy
C) Plasmapheresis
30What is the surgery of choice for Myasthenia Gravis? A) Lobectomy B) Rhizotomy C) Thymectomy D) Craniectomy
C) Thymectomy
31What is the leading cause of Myasthenic Crisis? A) Overdose of stigmine B) Underdose of stigmine C) Viral infection D) Trauma
B) Underdose of stigmine
32What is the leading cause of Cholinergic Crisis? A) Autoimmune disease B) Underdose of stigmine C) Overdose of stigmine D) Genetics
C) Overdose of stigmine
33What medication is used to treat Cholinergic Crisis? A) Atropine Sulfate B) Carbamazepine C) Levodopa D) Riluzole
A) Atropine Sulfate
34What happens when Tensilon is given during Cholinergic Crisis? A) Symptoms improve B) Symptoms disappear C) Symptoms worsen D) No effect
C) Symptoms worsen
35What medication is used as emergency treatment for Myasthenic Crisis? A) Endrophonium (Tensilon) B) Levodopa C) Riluzole D) Baclofen
A) Endrophonium (Tensilon)
36What is another name for ALS? A) Disseminated Sclerosis B) Lou Gehrig's Disease C) Paralysis Agitans D) Tic Douloureux
B) Lou Gehrig's Disease
37ALS is classified as what type of disorder? A) PNS B) Musculoskeletal C) CNS D) Endocrine
C) CNS
38What pattern of weakness occurs in ALS? A) Descending B) Ascending C) Unilateral D) Flaccid
B) Ascending
39Is ALS curable? A) Yes B) Usually C) No D) Sometimes
C) No
40What neurotransmitter becomes neurotoxic when elevated in ALS? A) Dopamine B) Serotonin C) GABA D) Glutamate
D) Glutamate
41What involuntary muscle movement is common in ALS? A) Tremor B) Fasciculation C) Spasticity D) Rigidity
B) Fasciculation
42What is the priority complication of ALS? A) Pneumonia B) Respiratory failure C) Stroke D) Renal failure
B) Respiratory failure
43What is the drug of choice for ALS? A) Pyridostigmine B) Carbamazepine C) Riluzole D) Levodopa
C) Riluzole
44What is the hallmark pathology of Multiple Sclerosis? A) Demyelination B) Muscle atrophy C) Bone degeneration D) Hemorrhage
A) Demyelination
45Multiple Sclerosis affects which system? A) PNS B) CNS C) Cardiovascular D) Endocrine
B) CNS
46What is the leading cause of Multiple Sclerosis? A) Autoimmune disease B) Trauma C) Diabetes D) Smoking
A) Autoimmune disease
47Which finding is part of Charcot's Triad? A) Ptosis B) Nystagmus C) Pill-rolling tremor D) Drooling
B) Nystagmus
48Which finding is part of Charcot's Triad? A) Intentional tremor B) Rigidity C) Fasciculation D) Bradykinesia
A) Intentional tremor
49What is the confirmatory test for Multiple Sclerosis? A) CT Scan B) PET Scan C) MRI D) X-ray
C) MRI
50What is the drug of choice during acute exacerbations of Multiple Sclerosis? A) Corticosteroids B) Levodopa C) Pyridostigmine D) Atropine
A) Corticosteroids
51Which medication delays progression of Multiple Sclerosis? A) Avonex B) Carbamazepine C) Baclofen D) Riluzole
A) Avonex
52What is another name for Guillain-Barré Syndrome? A) Paralysis Agitans B) Acute Polyneuritis C) Tic Douloureux D) Lou Gehrig's Disease
B) Acute Polyneuritis
53Guillain-Barré Syndrome affects which system? A) CNS B) PNS C) Endocrine D) Musculoskeletal
B) PNS
54What pattern of paralysis occurs in Guillain-Barré Syndrome? A) Descending B) Ascending C) Intermittent D) Unilateral
B) Ascending
55What is usually the first symptom of Guillain-Barré Syndrome? A) Paresthesia of lower extremities B) Tremor C) Ptosis D) Seizure
A) Paresthesia of lower extremities
56What happens to deep tendon reflexes in Guillain-Barré Syndrome? A) Increase B) Become hyperactive C) Decrease or disappear D) Remain normal
C) Decrease or disappear
57What is the priority complication of Guillain-Barré Syndrome? A) Respiratory failure B) Seizure C) Stroke D) Renal failure
A) Respiratory failure
58What is the best diagnostic test for Guillain-Barré Syndrome? A) MRI B) ECG C) EEG D) ABG
A) MRI
59What treatment removes antibodies in Guillain-Barré Syndrome? A) Hemodialysis B) Plasmapheresis C) Thoracentesis D) Paracentesis
B) Plasmapheresis
60What is the old name of Parkinson's Disease? A) Lou Gehrig's Disease B) Paralysis Agitans C) Acute Polyneuritis D) Tic Douloureux
B) Paralysis Agitans
61What neurotransmitter deficiency occurs in Parkinson's Disease? A) Acetylcholine B) Serotonin C) Dopamine D) GABA
C) Dopamine
62What is the earliest manifestation of Parkinson's Disease? A) Rigidity B) Resting pill-rolling tremor C) Dementia D) Drooling
B) Resting pill-rolling tremor
63What term means slow movement? A) Akinesia B) Bradykinesia C) Ataxia D) Dysphagia
B) Bradykinesia
64What gait is characteristic of Parkinson's Disease? A) Scissoring gait B) Ataxic gait C) Shuffling gait D) Steppage gait
C) Shuffling gait
65What posture is characteristic of Parkinson's Disease? A) Lordotic B) Kyphotic C) Stooped posture D) Upright posture
C) Stooped posture
66What laboratory finding supports Parkinson's Disease? A) High dopamine level B) Low dopamine level C) High ESR D) Low WBC
B) Low dopamine level
67What is the drug of choice for Parkinson's Disease? A) Carbamazepine B) Levodopa-Carbidopa C) Pyridostigmine D) Riluzole
B) Levodopa-Carbidopa
68What is the surgery of choice for advanced Parkinson's Disease? A) Thymectomy B) Rhizotomy C) Deep Brain Stimulation D) Lobectomy
C) Deep Brain Stimulation