Daily Exam 1,Week 8,Femur
À§§à¥¤ Non dominant parietal lobe lesion causes  all except
Constructional apraxia 
Receptive aphasia 
Asteriognosis 
Agraphaesthesia
À§¨à¥¤Lymphatic predominance in CSF found in all except
Viral meningitis
Fungal meningitis 
Meningococcal meningitis 
 Tubercular meningitis
À§©à¥¤ The characteristics of UMNL are all except
Spasticity 
 Muscle atrophy 
Incoordination of movement 
Extensor planter response
À§ªà¥¤Features of Horner’s syndrome -
Partial ptosis 
Dilated pupil
Impairment of lateral movement of eye ball 
Nystagmus
À§«à¥¤ Following diseases are due to chanellopathy except:
Hyperkalemic periodic paralysis
Myasthenia gravis 
Lambert-eaton syndrome
Renal tubular acidosis
À§¬à¥¤ Features of Wallenberg syndrome
medial medullary lesion
contralateral 5,9 and 10th nerve palsy 
ipsilateral cerebral sign
 vertical gaze palsy 
À§à¥¤ cause of absent ankle jerk with extensor plantar  includes all except:
 Friedreich's ataxia 
subacute combined degeneration of the spinal cord
Cauda equine syndrome 
Motor neuron disease 
À§®à¥¤ Causes of the small pupil are all excpt:
Extreme age 
Sleep 
Optic atrophy 
Pontine hemorrhage 
À§¯à¥¤ GCS score include all except
Extensor planter reflex 
Eye opening 
 Motor response 
Verbal response
À§§à§¦à¥¤ Modifiable risk factors of stroke is-
Polycythemia
Previous Myocardial infarction
Heredity
High fibrinogen
À§§à§§à¥¤ Complications of acute stroke includes all excpt:
Painful shoulder
Diarrhea
Pulmonary embolism
Seizures
À§§à§¨à¥¤ Neonatal cause of meningitis:
Streptococcus agalactiae
Neisseria meningitides
Streptococcus pneumonia
Haemophilus influenzae
À§§à§©à¥¤ Trigger factors for seizures includes all except:
Alcohol withdrawl
Computer screens
Obesity 
Amphetamine
À§§à§ªà¥¤ :Clinical features of kerosene poisoning includes all except:
Pain in the abdomen
Convulsion.
Pneumonitis
Hypoglycemia
À§§à§«à¥¤ Antidote of methanol poisoning :
N- acetyl cysteine
Fomepizole 
Atropine 
Physostigmine
À§§à§¬à¥¤ Motor  signs of Datura poisoning includes all except:
Miosis
Fever
Hallucination 
Tachycardia 
À§§à§à¥¤ PARACETAMOL POISONINg Fatal dose is:
67.8 gm
30gm
750 mg
15 gm
১৮।Short acting benzodiazepine is:
Lorazepam.
Oxazepam
Temazepam.
Flurazepam
À§§à§¯à¥¤Nicotinic manifestations of OPC POISONING is :
Mydriasis.
Urinary incontinence.
Lacrimation.
Sweating
À§¨à§¦à¥¤ A 79-year-old man is admitted with left hemiparesis. CT reveals a middle cerebral artery infarct. What is his most significant risk factor for stroke?
Smoking
Hypertension
Family history
Diabetes
À§¨à§§à¥¤ A 78 year old right-handed male collapses and is brought into accident and emergency. He seems to follow clear one-step commands but he gets very frustrated as he cannot answer questions. He is unable to lift his right hand or leg. He has an irregularly irregular pulse and his blood pressure is 149/87. He takes only aspirin and frusemide. What is the most likely diagnosis?
Left cortical infarct
Right internal capsule infarct
 Left internal capsule haemorrhage
 Brainstem haemorrhage
À§¨à§¨à¥¤A 60-year-old man presents with visual problems and dizziness. The dizziness started suddenly, he sees the room spinning around and he has noticed he keeps bumping into things on his right. His blood pressure is 159/91, heart rate 72. On examination, there is nystagmus and dysdiadochokinesia. Where is his stroke?
Temporal lobe
Left parietal lobe
Anterior circulation
Posterior circulation
À§¨à§©à¥¤A 33-year-old woman attends her six-month follow-up appointment for headache. They are migrainous in nature but whereas she used to have them every few months, over the last three months she has experienced a chronic daily headache which varies in location and can be anywhere from 3–7/10 severity. Her last migraine with aura was two months ago. She takes co-codamol qds and ibuprofen tds. What is the best medical management?
Start paracetamol
. Start sumatriptan
 Stop all medication
Start propranolol
À§¨à§ªà¥¤ A 23-year-old woman is seen in clinic for recurrent funny turns. She is not aware of them, but her family and friends have noticed them. They say she looks around blankly, then starts picking at her clothes and sometimes yawns, then she comes back after a minute. She can get drowsy after these episodes. What seizure type does this patient describe?
Complex partial
Simple partial
. Tonic clonic
 Absence
À§¨à§«à¥¤ A patient is unable to move his right arm or leg. When asked to smile, the left side of his mouth droops. Where is the lesion?
 Left motor cortex
Right motor cortex
Right brainstem
 Left brainstem
À§¨à§¬à¥¤ In TIA symptoms resolve within-
6hrs
12hrs
24hrs
7 days
À§¨à§à¥¤ which one is the most significant cause of cerebral infarction ?
Atherosclerosis in major extracranial arteries
Embolism from heart
Lacunar infarctions
Cerebral venous disease
.২৮। Lateral medullary syndrome results from occlusion of-
Anterior inferior cerebellar artery
Posterior inferior cerebellar artery
Middle cerebral artery
Posterior cerebral artery
À§¨à§¯à¥¤  Deficiency of Which is not a cause of polyneuropathy?
Thiamine
Ascorbic acid
Vit E
Vit B12
À§©à§¦à¥¤ Which is not true for OPC poisoning ?
Urinary retention
Hypotension
Muscle paralysis
Areflexia
À§©à§§à¥¤ Intermediate acting BDZ-
Alprazolam
Midazolam
Clonazepam 
Diazepam
À§©à§¨à¥¤ Right homonymous hemianopia usually results from damage to the-
Optic chiasma
Left optic nerve
Right lateral geniculate body
Left optic tract
À§©à§©à¥¤ which is not present in cauda equina syndrome ?
Difficulty in micturation
Saddle anesthesia
Gait disturbance
Exaggerated deep tendon reflex of both lower limbs
À§©à§ªà¥¤ GCS scale scoring doesn't have -
Verbal response
Extensor plantar reflex
Motor response
Eye opening
À§©à§«à¥¤ not a clinical sign of LMN lesion-
Loss of reflexes of muscles supplied
Flaccid type
Muscular fibrillations
Lengthening of the affected muscles
À§©à§¬à¥¤ frontal lobe lesion does not cause-
Contralateral hemiplegia
Versive seizure
Expressive dysphasia
Apraxia
À§©à§à¥¤ Effects of parietal lobe lesions not -
Constructional apraxia
Contralateral hemisensory loss
Astereogenesis
Visual loss
À§©à§®à¥¤ Dominant temporal lobe lesion MAY present as-
Dyslexia
Expressive aphasia
Apraxia 
Agnosia
À§©à§¯à¥¤ UMNL is associated with-
Flaccid paralysis
Loss of deep reflex
Loss of superficial reflex
Muscle wasting
40. Ankle jerk may be absent in-
Stroke
Epilepsy
Vit B12 deficiency
Spinal cord lesion
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