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Multiple Choice Questions (MCQ)


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Category: Emergency Medicine--->Neurological and Neurosurgical Emergencies
Page: 6

Question 26# Print Question

Which ONE of the following features of pseudoseizures is LEAST helpful in differentiating it from a true seizure?

A. No high anion gap (AG) metabolic acidosis checked at 15 minutes from cessation of seizure activity
B. Clonic seizure movements of the limbs that are alternating and non-symmetrical
C. Abrupt onset or termination of seizure activity
D. Lack of postictal confusion


Question 27# Print Question

Regarding a first seizure in a 36-year-old man with human immunodeficiency virus (HIV) infection, all of the following statements are correct EXCEPT:

A. Cerebral lymphoma is a recognized cause
B. MRI is the first-line investigation and may avoid the need for lumbar puncture
C. Non-contrast head CT may miss a small lesion due to cerebral toxoplasmosis
D. The majority of patients don’t have an identifiable cause


Question 28# Print Question

Regarding the diagnosis of Guillain-Barré syndrome in a 10-year-old child, which ONE of the following statements is TRUE?

A. Distal muscular weakness in the limbs is more prevalent than proximal muscular weakness
B. Antibody testing for Campylobacter jejuni can confirm the diagnosis in a suspected case
C. Dyspnoea is a feature when the respiratory muscles are affected
D. CSF examination will typically show high protein content and more than 50 × 106 cells/l that are mainly mononuclear cells


Question 29# Print Question

A 10-year-old child with a ventriculoperitoneal shunt presents to the ED with increasing headache, nausea, vomiting and unsteady gait that has developed over the past 48 hours.

Which ONE of the following statements is correct regarding his initial management?

A. If the shunt chamber refills when compressed, shunt series X-rays are not indicated
B. The combination of shunt series X-rays and a head CT has a high sensitivity for detecting shunt malfunction
C. If there is no evidence of increased intracranial pressure on a head CT, lumbar puncture is indicated to rule out shunt infection
D. Absence of fever and meningism does not reliably exclude shunt infection


Question 30# Print Question

Regarding the diagnosis of botulism in infancy, which ONE of the following statements is TRUE?

A. An ascending paralysis may be seen in the infant
B. It is not associated with an altered level of consciousness
C. Fever is a significant clinical feature
D. Sucking and feeding is not usually affected in the infant




Category: Emergency Medicine--->Neurological and Neurosurgical Emergencies
Page: 6 of 6