MRCPUK | Membership of the Royal Colleges of Physicians of ...
CERTS® Poolbook
Pool - SCE Neurology Web Questions
76 items
Item I16095.2
1.
An 18-year-old woman presented with a 6-month history of blurred vision. Her 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?
A congenital myasthenia
B hypothyroidism
C Miller Fisher syndrome
D mitochondrial disease
E myotonic dystrophy
Metadata
Domain=SCE Items
Topic=B.Clinical science\5.Genetics\3.Mitochondrial DNA disorders
Objective=n/a
Item Status=Dataloaded
Keywords=17210
Custom Item Label=17210
Current Activity=n/a
Item Editor=Legacy Item Editor (J#)
Template=Multiple Choice
Comments
n/a
Dimensions
MRCPUK Proficiency Code=Code A
SCE Blueprints Neurology=Neurogenetics, neuro
SCE Topics Neurology=HX3
Specialty Code=NEUROLOGY
Type Code=SCE WEB
Relations
n/a
Item I16866.2
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?
A all
B all daughters
C all sons
D half
E not predictable
Metadata
Domain=SCE Items
Topic=B.Clinical science\5.Genetics\3.Mitochondrial DNA disorders
Objective=n/a
Item Status=Dataloaded
Keywords=3416
Custom Item Label=3416
Current Activity=n/a
Item Editor=Legacy Item Editor (J#)
Template=Multiple Choice
Comments
n/a
Dimensions
Groups=Genetics/Congenital
MRCPUK Proficiency Code=Code A
SCE Blueprints Neurology=Disorders of the per
SCE Topics Neurology=HU
Specialty Code=NEUROLOGY
Type Code=SCE WEB
Relations
n/a
Item I16888.2
3.
A 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+.
Investigations:
full blood count normal
erythrocyte sedimentation rate 13 mm/1st h (60)
What is the most appropriate drug treatment?
A amitriptyline
B ferrous sulfate
C pramipexole
D quinine
E temazepam
Metadata
Domain=SCE Items
Topic=H.Neurology\5.Movement disorders
Objective=n/a
Item Status=Dataloaded
Keywords=13394
Custom Item Label=13394
Current Activity=n/a
Item Editor=External Import
Template=Multiple Choice
Comments
JM: I have altered option B from ‘oral iron’ to ‘ferrous sulphate’. Specifying the route tended to draw attention to it.
[27/09/2012 16:47:23]
Dimensions
Groups=Chronic Management
Groups=Diagnosis
Groups=Geriatric
Groups=Symptoms and signs
MRCPUK Proficiency Code=Code C
SCE Blueprints Neurology=Parkinsonism and mov
SCE Topics Neurology=HM
Specialty Code=NEUROLOGY
Type Code=SCE BOF
Relations
n/a
Item I39944.1
76.
A 16-year-old boy presented with daily episodes of dizziness, unsteadiness and slurred speech lasting for approximately 2 minutes. The episodes had been occurring since he was 2 years old and were brought on by activities such as running, horse riding and trampolining.
Neurological examination was normal.
Investigations:
MR scan of brain normal
What type of episodic ataxia is the most likely diagnosis?
A 1
B 2
C 3
D 5
E 6
Metadata
Domain=SCE Items
Topic=H.Neurology\6.Dizziness\5.Cerebellar ataxia
Objective=n/a
Item Status=Create Item
Keywords=31228
Custom Item Label=31228
Current Activity=n/a
Item Editor=Legacy Item Editor (J#)
Template=Multiple Choice
Comments
n/a
Dimensions
Groups=Adolescent medicine
Groups=Diagnosis
Groups=Symptoms and signs
MRCPUK Proficiency Code=Code A
SCE Blueprints Neurology=Parkinsonism and mov
SCE Topics Neurology=HM
Specialty Code=NEUROLOGY
Type Code=SCE BOF
Relations
n/a
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