Question 110 pts
Which one of the following symptoms is typically associated with generalized tonic-clonic seizures?
Group of answer choices
Automatisms, like lip-smacking
Postictal confusion
Awareness/consciousness is maintained
Tingling sensations in the extremities
Question 210 pts
A 45-year-old patient presents with a headache that has been recurring for the past month. The headache is typically on one side of the head, throbbing, and accompanied by nausea and sensitivity to light and sound. The patient reports similar episodes in the past. What type of headache is most likely affecting this patient?
Group of answer choices
Hypertensive headache
Cluster headache
Tension-type headache
Migraine
Which of the following best distinguishes a transient ischemic attack (TIA) from a stroke in terms of clinical consequences?
Group of answer choices
Both TIA and stroke cause permanent brain tissue injury
Strokes solely manifest as sudden neurological symptoms
TIA symptoms resolve within hours, while stroke can lead to lasting deficits
TIA and stroke symptoms resolve typically within a day
Question 410 pts
Which one of the following statements is true about the type of headache produced by a brain tumor or mass?
Group of answer choices
Radiographic brain imaging must be done initially.
Each tumor has a classic headache syndrome.
The intracranial pressure is usually lowered.
The onset of the headache is usually sudden.
Question 510 pts
A 35-year-old healthy female visited the clinic to request a refill of her blood pressure medications. She discontinued taking them last month, believing she no longer required them after six months of treatment. Her blood pressure now is 180/120 mm Hg. She currently exhibits no symptoms, and her physical examination reveals no worrisome findings. What is the most suitable course of action for her treatment?
Group of answer choices
Recommend lifestyle changes and stress management techniques.
Monitor blood pressure and symptoms for the next 24 hours.
Perform further testing and restart her usual antihypertensive medications.
Rapidly reduce blood pressure to within normal limits.
Which of the following is best described as a monophasic disseminated CNS inflammatory disorder?
Group of answer choices
Optic neuritis
Acute disseminated encephalomyelitis (ADEM)
Multiple sclerosis
Transverse myelitis
Question 710 pts
A previously healthy toddler presents to the emergency department with a generalized tonic-clonic seizure that lasted 3 minutes. The child has a fever of 102°F earlier in the day, and the physical examination is otherwise unremarkable. Based on this presentation, which of the following is most accurate regarding the seizure?
Group of answer choices
The child has exhibited the early signs of childhood-onset epilepsy and should undergo EEG monitoring to determine seizure focus.
The child will most likely experience recurrent non-febrile seizures in the coming months
The seizure is likely due to a primary seizure disorder and requires long-term antiepileptic treatment
This is a classic presentation of a febrile seizure, and the prognosis is generally favorable with a low risk of developing epilepsy
Question 810 pts
An adult man complains of sudden, sharp, stabbing pain on the right side of his face that lasts for a few seconds but has occurred multiple times over the past month. The pain is triggered by shaving, talking, or even a light breeze. The most probable diagnosis for this patient’s condition is:
Group of answer choices
Temporomandibular joint disorder
Bell’s palsy
Hemifacial spasm
Trigeminal neuralgia
Question 910 pts
In the progression of Alzheimer disease, specific regions of the brain are preferentially affected. Which region is typically first impacted in the early stages of Alzheimer disease?
Group of answer choices
Occipital lobe
Temporal lobe
Frontal lobe
Medulla oblongata
Question 1010 pts
A 72-year-old woman presents to the emergency department with a severe, throbbing headache localized over her temples. She also mentions pain and discomfort while chewing food. On examination, there are no apparent temporal pulsations, and the patient feels discomfort upon palpation of the temporal arteries. She also mentions feeling generally unwell with a low-grade fever. What is the next best step in the management of this patient?
Group of answer choices
Start high-dose corticosteroids.
Perform watchful waiting.
Start antibiotics.
Perform temporal artery biopsy first before initiating medical treatment.
SOlution:
Question 110 pts
Which one of the following symptoms is typically associated with generalized tonic-clonic seizures?
Group of answer choices
Automatisms, like lip-smacking
Postictal confusion
Awareness/consciousness is maintained
Tingling sensations in the extremities
Question 210 pts
A 45-year-old patient presents with a headache that has been recurring for the past month. The headache is typically on one side of the head, throbbing, and accompanied by nausea and sensitivity to light and sound. The patient reports similar episodes in the past. What type of headache is most likely affecting this patient?
Group of answer choices
Hypertensive headache
Cluster headache
Tension-type headache
Migraine