DOOS Neuro Practice Test

Which of the following is incorrect?

All of the following are true about essential tremors EXCEPT

A 63 y/o male presents to clinic. He is expressionless when you introduce yourself and consistently is rubbing the fingers of his right hand together. He has difficulty speaking when he explains the reason for his visit. Instead of walking, he shuffles. Which of the following is the BEST initial treatment for the disorder his man has?

A 37 y/o woman presents to clinic. During the interview, you notice she keeps crossing and uncrossing her legs, has difficulty speaking, is poorly coordinated when you check her active ROM, and is unstable when walking. She says her sister had similar problems and was diagnosed 5 years ago with a genetic disease, but she can't remember the name. This genetic disease is most likely

A 70 y/o woman presents in clinic with her son. The son tells you that she hasn't been remembering things lately and often forgets specific words when speaking. It has been getting worse over the last 6 months. Patient had a stroke one and a half years ago. You perform a clock drawing test and the patient can't successfully complete it. What would be another form of evaluation to help identify the reason for memory loss?

Which of the following is wrong about Alzheimer's Disease?

A 60 y/o prior alcoholic comes to clinic with the complaint of right shoulder pain x 2 weeks. His right arm is has adequate ROM and DTRs. Following the drop arm test and Hawkin's sign, you rule out a torn rotator cuff. You need to do more testing, but have a hunch this pain is....

Which of the following is true about Ketorolac in the treatment of pain?

A 42 y/o women presents with a disproportionately large right calf compared to her left calf. You saw her 3 months ago for a broken right 5th digit. She is in a lot of pain and you notice her calf is swollen, pinkish-red, and hairless. She has difficulty moving her ankle and you notice a tremor in digit 1. What is the most likely cause?

Which of the following is not true about EEGs?

What is an EEG that is left on for 24-72 hours?

Which of the following has the highest radiation risk?

What is unique about infant CT of the head?

What is the tracer used in PET scans?

All of the following are limitations of the PET scan EXCEPT?

A medicated epileptic patient should have what type of level drawn following a seizure?

What is the difference between F-wave study and H-reflex study?

Which of the following is NOT a common cause for neuropathic pain?

Opiate analgesics are an effective treatment for what types of pain?

Which of the following pairings is incorrect regarding the treatment option and it's use in treating pain?

A patient has been taking opiates for chronic low back pain x 2 months. He says the drugs weren't helping his pain so he began buying them off the street to get a higher dose. This behavior resembles...

What is a common symptom of CRPS?

A 45 y/o patient comes into clinic. He has a history of asthma, testicular cancer, bee allergy, appendectomy, and essential tremor. He is seeking treatment for his essential tremor as it has worsened in the last year. What treatment option for ET is contraindicated in this patient?

What is a main motor symptom of Parkinsonism?

A Parkinson's patient is fascinated with the inner workings of household appliances. The patient's current medications include Levodopa, Albuterol, and a multivitamin. His wife brings him to clinic because she is sick of him disassembling her kitchen. What is this behavior called?

What is neuroleptic malignant-like syndrome?

A child of a Huntington's Chorea patient has tested positive for the gene. What will be the dominant symptom he shows when the disease presents?

A 46 y/o woman wanders into the clinic, rambling incoherently. When questioned, she has some difficulty remembering what she was asked. She exhibits some hallucinations and is not oriented to time. Which of the following is the most likely diagnosis?

What test is possibly the best way to distinguish AD from multi-infart dementia?

An obese female is screaming as she is brought into the ER. She describes having the worse headache of his life. She requests the lights to be turned off and a basin in case she vomits from the nausea she is experiencing. You do a LP and find elevated protein and traces of blood in all vials. What is he most likely experiencing?

Where do microaneurysms not occur?

A patient is brought in follow a MVA. She has a bruised head from where she hit the steering wheel. Her right eye is fixed and dilated and there is weakness of her left arm. You do a CT and find a lens-shaped area of blood and a small fracture of the skull. What is the most likely diagnosis?

A patient who opens his eyes in response to pain, makes no verbal response, but withdraws from pain has a Glasgow Coma Score of...

A 68 y/o male smoker is brought to the emergency room by his wife and presents with a multitude of symptoms. He is unable to speak, but his wife explains that prior to bringing him here, he was confused, walking strange, having poor coordination, and vomiting. What is the first thing you should do for this patient?

What imaging test can be useful for diagnosis of MS?

A 30 y/o patient presents to clinic complaining of double vision that is hindering her at work. She is oriented to person, place, and event but not time. Although she was only in to have her eyes looked at, you do a complete neuro exam and find she has decreased feeling and weakness in her left arm. She has to go to the bathroom twice during the appointment. What might this patient have?

You’re evaluating a 4-month-old infant who presents with a fever of 39.4°C (103°F) and tonic-clonic seizure. There’s no prior history of seizures or epilepsy. A lumbar puncture is unrevealing. Which one of the following is the likely cause of this infant’s seizures?

A 10 y/o is brought to clinic following several seizures over 6 months. The mother says they last about 30 seconds and are rhythmic jerking of the face. She says the child is drowsy afterwards. You order an EEG that comes out normal. You rule out pseudoseizure, self stimulation, and DM and come to the conclusion the child has epilepsy. What should you prescribe?

A patient presents because he has been have weakness of his hands and feet over the last 2 months. The weakness has been slowly getting worse in his UE because he has weakness from the shoulders to the hands. He has absent DTRs and no fever. LP shows increased protein, but normal cell count. NCS shows prolonged distal latencies. What treatment should you start?

You are examining patient. This patient has a droopy left eyelid. He has a hard time counting to ten without tiring out. When asked to look up at the ceiling for 30 seconds, he left eye begins to drop, while his right eye stays looking up. What is the correct diagnosis and treatment pair?

A patient presents to the ER with a headache. He is in so much pain he repeatedly asks to be killed. You notice his right eyelid is drooping and his left eye is injected and tearing. He is sweaty and flushed. You find a pack of cigarettes in his pocket. What will not be a correct treatment for this type of headache?