MCQOPTIONS
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MCQOPTIONS
This section includes 62 Mcqs, each offering curated multiple-choice questions to sharpen your Biology knowledge and support exam preparation. Choose a topic below to get started.
| 51. |
A CSF shows opening pressure of 30 cm H2O , protein of 0.1, glucose of 2.0, WCC of 100, and no organisms on gram stain. Which type of meningitis does this fit with? |
| A. | Acute bacterial. |
| B. | Viral meningitis. |
| C. | Normal result. |
| D. | TB meningitis |
| E. | TB meningitis or partly treated bacterial meningitis. |
| Answer» F. | |
| 52. |
Which statement is false regarding Bells Palsy? |
| A. | The use of steroids is well proven to decrease duration of illness |
| B. | Steroids are definitely not of use if the presentation is one week post symptom onset |
| C. | The feature that excludes it from an upper motor nerve lesion is the inability to furrow the forehead |
| D. | Other cranial nerves are always normal |
| E. | It involves the 7th cranial nerve |
| Answer» B. Steroids are definitely not of use if the presentation is one week post symptom onset | |
| 53. |
What is NOT true of Guillian Barre Syndrome? |
| A. | frequently patients report an antecedent viral illness |
| B. | classical motor weakness is greater and earliest in the legs |
| C. | there is a lack of deep tendon reflexes |
| D. | there is peripheral sensory loss greater in the arms than the legs |
| E. | There may be autonomic disturbances |
| Answer» E. There may be autonomic disturbances | |
| 54. |
Which of the drugs below is not known to cause an exacerbation of myasthenia gravis? |
| A. | prednisolone |
| B. | lignocaine |
| C. | chlorpromazine |
| D. | lithium |
| E. | penicillin |
| Answer» F. | |
| 55. |
Which is not a feature of myasthenia gravis? |
| A. | motor weakness is usually of proximal extremities and bulbar |
| B. | there is usually no sensory loss |
| C. | there is usually no reflex loss |
| D. | symptoms are often worse as the day progresses |
| E. | it is due to anitibodies formed against acetylcholineesterase |
| Answer» F. | |
| 56. |
Which statement is FALSE about MS? |
| A. | 30% of patients will initially present with optic neuritis |
| B. | CSF protein and gammaglobulin levels are reduced in MS |
| C. | nearly all patients will demonstrate some abnormality on MRI |
| D. | the overall life expectancy is not usually reduced with MS |
| E. | MS symptoms will often worsen with fever and exercise |
| Answer» C. nearly all patients will demonstrate some abnormality on MRI | |
| 57. |
A patient presents with right sided arm weakeness and a R facial droop with aphasia. Which artery distribution is the likely to be the cause of her stoke? |
| A. | right MCA |
| B. | left MCA |
| C. | right anterior cerebral artery |
| D. | left anterior cerebral artery |
| E. | left vertebrobasilar system |
| Answer» C. right anterior cerebral artery | |
| 58. |
Which is true regarding treatment of meningitis? |
| A. | Empiric treatment in adults consists of ceftriaxone 2g IV. |
| B. | There is no evidence to support dexamethasone in infants with meningitis especially with Hib meningitis. |
| C. | Strep pneumoniae is becoming increasingly resistant to ceftriaxone in Australia as well as penicillin. |
| D. | Neisseria meningitis has high rates of resistance to benzylpen, so ceftriaxone is the first treatment of choice now. |
| E. | There is no parental treatment available for cryptocccocal meningitis. |
| Answer» D. Neisseria meningitis has high rates of resistance to benzylpen, so ceftriaxone is the first treatment of choice now. | |
| 59. |
Which is incorrect regarding the pharmacological treatment of migraine? |
| A. | chlorpromazine is a first line agent |
| B. | sumotriptan is a first line agent |
| C. | dihydroergotamine should not be given if sumotriptan has already been taken |
| D. | pethidine is not as effective in treatment and has a higher rebound c.f other agents |
| E. | dexamethasone has been proven to decrease rate of recurrence |
| Answer» F. | |
| 60. |
Which of the signs or symptoms below would concern you that the cause of a patients vertigo was central? |
| A. | associated vomiting |
| B. | worsens with position change |
| C. | associated tinnitus |
| D. | vertical nystagmus |
| E. | sudden onset |
| Answer» E. sudden onset | |
| 61. |
Which CSF finding is incorrect? |
| A. | antigenic studies are useful where partial treatment with antibiotics renders the CSF sterile on culture |
| B. | antigenic studies are more sensitive when urine and serum are used as opposed to CSF |
| C. | in viral meningitis the main white cells usually seen are monocytes |
| D. | you would expect to see a raised CSF pressure in bacterial meningitis |
| E. | in viral meningitis you would expect to see a low glucose and a high protein |
| Answer» F. | |
| 62. |
Which is INCORRECT regarding the treatment of multiple sclerosis? |
| A. | Interferon and glatiramer have bee shown to reduce number of relapses in relapsingremitting MS. |
| B. | IV immunoglobulin monthly for 2 years has shown to reduce annual exacerbations in relapsing-remitting MS. |
| C. | No treatment currently exists for primary progressive MS to modify the disease. |
| D. | Exacerbations of MS are treated with methlypred IV as studies have shown this to be superior to other glucocorticoids. |
| E. | Symptomatic treatment of muscle spasticity is usually best achieved with baclofen. |
| Answer» E. Symptomatic treatment of muscle spasticity is usually best achieved with baclofen. | |