5 Sample Questions for Neurology

1. A 4-year-old female who lives at the homeless shelter with her mother displays
developmentally inappropriate social relatedness. For example, she displays indiscriminate
sociability by being reluctant to get to know her caregivers at the daycare and displays
excessive resistance to comforting. After getting the patients social history, you determine
that the child's basic emotional needs for comfort, stimulation, and affection have not been
met by her primary caregiver. What would your diagnosis be?

A. Autism
B. Reactive Attachment disorder of Infancy or Early Childhood
C. Expressive Language disorder
D. Asperger's Disorder

2. What IQ score on the Stanford Binet Intelligence Scale would someone with severe mental
retardation have?
A. 52-67
B. 36-51
C. 20-35
D. Less than 20

3. A 21 y/o professional female basketball player was adviced by her coach to go to see her
physician. She could not perform so well lately, she often did not notice the ball coming from
the back and she had constant headaches. She said it was probably due to her emotional
state, because she broke up with her boyfriend a few months ago. Even her period became
very irregular the last few months. The coach wanted the doctor to prescribe some calming
pills for her, but the doctor became suspicious that there were some other problems, since
he found visual field loss on both temporal sides. His suspicion was confirmed later by MRI.
Which of the following is most possible based on the symptoms?",

A. Meningioma in the optic canal leading to compression of the optic nerve

B. Pituitary adenoma, causing compression of the optic chiasma and leading to
hormonal deficiencies.
C. Carotid aneurysm leading to compression of the optic chiasma and constant
headaches.
D. Multiple sclerosis, causing degeneration of the optic radiation leading to bitemporal
hemianopia.

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 5 Sample Questions for Neurology

4. A 45-year-old male patient was diagnosed with lung cancer on the apical part of the right
lung, extending from the middle posterior mediastinal region into the supraclavicular region
of the neck. He also had ptosis on the right side. What could be the relationship between the
ptosis and the cancer?

A. The tumor is compressing the vagal nerve in the mediastinum, causing loss of
parasympathetic innervation of the eyelid.
B. The tumor is compressing the sympathetic trunk on the neck, leading to the loss of
sympathetic innervations of the tarsal muscle, thus leading to ptosis.
C. There is metastasis in the mesencephalon, leading to trochlear nerve palsy, thereby
causing ptosis.
D. The tumor is compressing cranial nerve X on the neck, and this leads to sympathetic
overstimulation of the eye muscles.

5. Shown is a drawing of a portion of the iris of the eye. What is the function of the structure
located at the tip of the arrow?

A. Pupil dilation.
B. Movement of the lens.
C. Supplies oxygen and nutrients to the iris.
D. Pupil constriction.

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 5 Sample Questions for Neurology

Answers
1. B. Reactive Attachment disorder of Infancy or Early Childhood.

2. C. 20-35.

3. B. Pituitary adenoma, causing compression of the optic chiasma and leading to

hormonal deficiencies.

4. B. The tumor is compressing the sympathetic trunk on the neck, leading to the loss of
sympathetic innervations of the tarsal muscle, thus leading to ptosis.

5. A. Pupil dilation.

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