Friday, December 17, 2010

Neurology mcq

 1. Which of the following conditions are associated with high CK level?
                a) Heart massage
                b) Heamolysed blood sample
                c) Muscular dystrophy
                d) IM injecting
                e) Severe exercises
2. In the manage ment of epilepsy,
                a) Multiple drug therapy is acceptable in rapid control of disease.
                b) Na valproate is the drug of choice in Pregnancy
                c) Carbamezepine used both in generalized tonic clonic and patial seizers.
                d) Carbamezepine impairs cognitive functions less than phenytoin.
               
3. Drug of treatment in parkinsonism,
                a) Large dose of L-dopa is metabolized in periphery.
                b) Benzoraside decreases daily requirement of L-dopa.
                c) Bromocryptine improves bradykinesia.
                d) Bromocryptine acts by inhibiting MAO.
                e) Selegilline conterrated  end dose of L-dopa.
4.management of migrane
                a) Propranol is used in treatment.
                B) Low dose aspirin is effective in prevention.
                c) Metaclopromide is useful to improve absorption of analgesic in acute attack.
                d) Ergotamine is given daily to control severe migraine
                e) Sumatriptane should not be used in patients with a history of IHD.
5. Benzodiazepine
                a) Act by decreasing GABA activity.
                b) Shortens the sleep latency.
                c) Impairs memory and reflex.
                d) Are indicated in tetani
                e) Can be stopped abruptly.
6. About opioids,
                a) Weak agonist
                b) Cause respiration depression in newborn when given to mother during labour.
                c) Promote vomiting stimulation.
                d) Indicate in management of bronchial Asthma.
                e) Effects of opioids is antagonized by doxapram.
7.  Regarding paracetamol,
                a) Inhibit prosterglandin pathway in brain
                b) Same efficacy as analgesic as aspirin in osteoarthritis.
                c)  Over dose is treated with pralidaxime.
                d)  Should not be given more than four times a day in children less than 12 years.
8. Regarding anesthesia,
                a) Repeated exposure to halothane is known to cause acute hepatic failure.
                b) Halothane produces smooth induction and rapid recovery.
                c) Thiopentone Na is an inhaler anesthetic.
                d) Suxumethonium  is the musle relaxant of choice of long duration surgey.
                e) Nutromuscular block cause by tubercuramine is reversed by neostigmine.
9.Tthe following therapeutic modalities are of value in myasthenia gravis,
                a) Anticholine estates
                b) Plasmapheresis.
                c) Non steroidal  anti inflammatory drugs.
                d) Thimectomy.
                c) Bone marrow transplantation.
10. Clinical indication for the use of neostigmine includes,
                a) Myasthenia gravis.
                b) Gulliain Barre syndrome.
                c) Reversal of the action of neuromuscular blocking agents in general anesthesia
                d) Organophosphate poisoning
                e) Cholinergic crisis.

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