1. When evaluating a spinal cord lesion near a bone, the best imaging choice would be which of the following?
A. Computed tomography (CT)
B. Computed tomography angiography (CTA)
C. Magnetic resonance imaging (MRI)
D. Single-photon emission computed tomography (SPECT)
2. Lumbar puncture is most useful in the diagnosis of which of the following?
3. Which of the following is a component of the neurologic examination?
4. You are presented with the following cerebrospinal fluid (CSF) results: red blood cells = 400/mm3 (400 × 106/L), white blood cells = 0/mm3 (0 × 106/L), protein = 200 mg/dL (2.0 g/L), and xanthochromia. Which of the following is the best interpretation?
D. Subarachnoid hemorrhage
5. A patient presents with bilateral leg weakness, difficulty urinating, and numbness from the waist down. Which of the following is the best imaging technique to localize the lesion?
A. Functional MRI of the spine
D. SPECT scan of the head
6. Elements of the pediatric neurologic history may include which of the following:
A. Electroencephalography (EEG)
B. Evaluation of developmental milestones
C. Evaluation of respiratory signs
D. Measurement of waist girth
7. When obtaining a history on an adult patient with recent numbness and tingling in her left arm, which of the following should be asked?
A. What exacerbates the symptoms?
B. Do you have shortness of breath that causes the symptom to occur?
C. Were there any anomalies when you were born?
D. When was your last menstrual period?
8. For which of the following patients could a lumbar puncture (LP) be performed?
A. A patient with a coagulopathy
B. A patient with symptoms of meningitis
C. A patient with a space-occupying lesion with mass effect
D. A patient with papilledema
9. A patient presents with headache and fever. CSF is obtained with the following results: red blood cells = 0/mm3 (0 × 106/L), white blood cells = 215/mm3 (215 × 106/L), protein = 200 mg/dL (2.0 g/L), and glucose 15 mg/dL (0.8 mmol/L). Which of the following is the best interpretation?
D. Subarachnoid hemorrhage
10. Which of the following neurologic examination techniques is most useful to diagnose a patient with myasthenia gravis?
D. Cranial nerve examination
11. A patient presents with decreased strength, reflex changes, and cranial nerve findings. Which of the following diagnoses should be considered?
C. Amyotrophic lateral sclerosis
12. You are asked to evaluate the pharmacotherapy of a patient with Parkinson’s disease. Which of the following neurologic examination techniques will you use to assess the effects of the therapy?
A. Cranial nerve evaluation
C. Motor function evaluation
13. You are participating in a study of a new agent for cerebellar degeneration. Which of the following tests should be performed at study visits?
D. Finger-to-nose testing
14. You watch a neurologist perform the following tests: tandem walking, walking on tiptoe, Romberg testing. Which of the following is he/she likely assessing?
15. A patient presents with a suspected small vessel vasculitic stroke. Which of the following tests provides the best images of the small vessels?
A. Conventional dye angiography
C. Magnetic resonance angiography
D. Transcranial Doppler ultrasonography