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Pediatric _Neurology

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 Neurology Part 1




Neurology Part 2




Neurology Part 3




Neurology Part 4




Neurology Part 5




MCQ

1-IQ between 50-70 indicates

 1 Mild  mental retardation

 2 Moderate retardation

 3 Severe retardation

 4 profound retardation

2- Continuous prophylactic anticonvulsant therapy is not needed in a child with febrile convulsion with:

 1 Developmental delay

 2 the family history of Epilepsy

 3 Typical simple febrile fits

 4 Persistent neurological deficit

3- Hypsarrhythmia in EEG are characteristic of:

 1 Infantile spasms

 2 febrile seizures

 3 Myoclonic epilepsy

 4 Absence seizures

4-Cerebral palsy is defined as;

 1 A nonprogressive neuromuscular disorder of cerebral origin

 2  Progressive neuromuscular disorder of cerebral origin

 3 Progressive neuromuscular disorder of cerebral origin

 4 nonprogressive neuromuscular disorder of peripheral origin

5-The first drug  of choice for infantile spasm

 1 sodium valproate

 2 Phenobarbitone

 3 ACTH

 4 Clonazepam

6- A child presented with mental retardation and spastic limbs with h/o perinatal distress. Diagnosis:

 1 Cerebral palsy

 2 HIE

 3 Down’s syndrome

 4 Edwards syndrome

7-The most common type of cerebral palsy

 1 Spastic

 2 Atomic

 3 Extrapyramidal

 4 Mixed

8-Type of cerebral palsy is which upper limb is less spastic  than lower limbs;

 1 Spastic diplegia

 2 Spastic paraplegia

 3 Spasitc quadriplegia

 4 Spastic hemiplegia

9-The most common cause of convulsions in a 9 months old infant with fever:

 1 Septicemia

 2 Febrile seizures

 3 Brain tumor

 4 Phenylketonuria

10-The small posterior fossa is seen in;

 1 Chiari II malformation

 2 Dandy-Walker malformation

 3 medulloblastoma

 4 Schizencephaly

11-true about non- obstructive hydrocephalus

 1 Also known as communicating hydrocephalus

 2 Due to the obliteration of subarachnoid cisterna or malfunction of arachnoid villi

 3 Dilatation of all the ventricles

 4 all of the above

 12-Investigation of choice for the diagnosis of hydrocephalus in neonates

 1 CT scan

 2 Ultrasound

 3 MRI

 4 X-ray of skull

13-Which of the following is true about Dandy-Walker syndrome

 1 mostly have hydrocephalus

 2 cystic expansion of 4th ventricle

 3 mid cerebellar hypoplasia

 4 all the above

14-The clinical feature of eye-opening, best verbal response and best motor response in Glasgow coma scale of 7 will best fit as:

 1 Eye opening to pain, making incomprehensive sounds and has flexion as the best motor response

 2 Spontaneous eye opening, confused and localizes pain 

 3 Eye opening to pain, confused and localizes pain

 4 No response, incomprehensive sound and extension as the best motor response

15-Drooping eyelids in an evening in boy can be seen in:

 1 Myasthenia gravis

 2 Oculomotor nerve palsy

 3 Botulism toxin

 4 All of the above

16-. The range of IQ in mild mental retardation is?

 1 < 50

 2 50-70

 3 70-100

 4 > 100

17-. In CSF examination,albuminocytologic dissociation  occurs in cases of:

 1 TB meningitis

 2 Motor neuron disease

 3 Guillain-Barre syndrome 

 4 Demyelinating disorder


18-Treatment of Guillain -Barre syndrome (GBS) in a child includes;

 1 IV Ig

 2 Ventilation

 3 Plasmapheresis

 4 All of the above

19-9 years old girl has difficulty combing hairs and climbing upstairs for 6 months. she has Gower’s sign positive and maculopapular rash over metacarpophalangeal joints. what should be the next appropriate investigation to be done?

 1 ESR

 2 RA  factor

 3 Creatine kinase

 4 Electromyography


20-A 6 years old boy presents with progressive weakness in muscles and difficulty in walking on his toes and has a wadding gain: Hypertrophy of calf muscles in noted. His CPK, levels are 10,000IU. which of the following is the most appropriate diagnosis:

 1 Duchenne muscular dystrophy

 2 Polymyositis

 3 Congenital myopathy

 4 Myotonia congenital

21-Duchenne’s muscular dystrophy

 1 X-linked dominant

 2 X-linked  recessive

 3 Autosomal dominant

 4 Autosomal recessive

22-Which of the following is a preventable cause of mental retardation 

 1 Hypothyroidism

 2 Down syndrome

 3 Cerebral palsy

 4 All of the above

23-. All are features of absence seizure EXCEPT

 1 Usually seen in childhood

 2 3-Hz spike wave in EEG

 3 Post ictal confusion

 4 Precipitation by hyperventilation

24-What percentage of children with autistic disorders are mentally retarded

a- 100 % 

b- 40 to 50% 

c- 80 to 90% 

d- 1 to 5 %

25-- The sunset sign, a staring expression with sclera visible above the cornea, is often an indication of

a- craniosynostosis

b- hydrocephalus

c- meningitis

d- cataracts


26-- The following are important causes of cerebral palsy EXCEPT:

a- birth trauma

b- medulloblastoma

c- hyperbilirubinemia

d- intrauterine infection


27-AFP Transverse myleitis involves mostly

 1. Thoracic

 2. Lumbar

 3. Lumbosacral

Cervical -

28-What type of spastic CP only affects a single leg or arm?

a. Monoplegia

b. Hemiplegia

c. Triplegia

d. Quadriplegia

29-. A three-year-old child presented with fever and a history of recurrent seizures in past.which of the following steps should be taken to prevent recurrence of seizures:

 1 Paracetamol 6 hourly

 2 Phenobarbitone

 3 Paracetamol 6 hourly and diazepam 12 hourly

 4 Continue diazepam infusion

30-Not a recognized sign and syndrome of raised ICT in a 9-month-old infant:

 1 Papilledema

 2 Diplopia

 3 Increase in head size

 4 Bulging fontanel


Answer
1-1
2-3
3-1
4-1
5-3
6-1
7-1
8-1
9-2
10-1
11-4
12-2
13-4
14-1
15-4
16-2
17-3
18-4
19-4
20-1
21-2
22-1
23-3
24-B
25-B
26-B
27-1
28-A
29-3
30-1

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