Free Exam: RamCharanMRCPUKNeurology81
Number of Questions in Test: 81
Number of Questions in Preview: 5
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An 18-year-old woman presented with a 6-month history of blurred vision. Her past history included heart block, requiring a permanent pacemaker. She also had mild learning difficulties.
Examination showed a complete external ophthalmoplegia, with normal pupillary reactions. There was mild finger–nose ataxia and absent lower limb reflexes.
What is the most likely diagnosis?
Examination showed a complete external ophthalmoplegia, with normal pupillary reactions. There was mild finger–nose ataxia and absent lower limb reflexes.
What is the most likely diagnosis?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 2
A 30-year-old woman, with MELAS attended the outpatient clinic and asked whether any of her children would be affected by the condition.
Genetic analysis showed that she carried the mitochondrial DNA 3243 mutation.
What proportion of her children are likely to be affected?
Genetic analysis showed that she carried the mitochondrial DNA 3243 mutation.
What proportion of her children are likely to be affected?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 3
31-year-old man presented with vertigo and left-sided ataxia of sudden onset. He gave a history of pain and tingling in his limbs for many years during childhood and adolescence, for which no cause had been found. His mother’s brother had died at the age of 41 from renal failure.
On examination, urinalysis showed protein 1+.
[cmimg]0/6490444_FU0TN7CN.png[/cmimg]
What is the most likely unifying diagnosis
On examination, urinalysis showed protein 1+.
[cmimg]0/6490444_FU0TN7CN.png[/cmimg]
What is the most likely unifying diagnosis
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 4
A 27-year-old woman was referred following a liver biopsy for unexplained abnormal liver function tests. She had also become withdrawn and clumsy.
On examination, she was grimacing, drooling and dysarthric. Her Montreal cognitive assessment score was 24/30. She walked with dystonic posturing of her right arm and was ataxic.
Copper studies were performed.
What pattern of results is most likely to confirm the diagnosis?
[cmimg]0/6490444_0K38LYS4.png[/cmimg]
On examination, she was grimacing, drooling and dysarthric. Her Montreal cognitive assessment score was 24/30. She walked with dystonic posturing of her right arm and was ataxic.
Copper studies were performed.
What pattern of results is most likely to confirm the diagnosis?
[cmimg]0/6490444_0K38LYS4.png[/cmimg]
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |
Question 5
A 30-year-old man from Zimbabwe presented with a 1-year history of numbness on the left side of his body. He was HIV positive and was taking antiretroviral treatment.
Examination was normal.
Investigations:
[cmimg]0/6490444_DZD7EBS9.png[/cmimg]
What is the most likely diagnosis?
Examination was normal.
Investigations:
[cmimg]0/6490444_DZD7EBS9.png[/cmimg]
What is the most likely diagnosis?
| Type: | Multiple choice |
| Points: | 4 |
| Randomize answers: | No |