Arab final exam 2018

1. What is the most common causative organism for a brain abscess:

A. Stept

B. Staph

2. Most common location of growing skull fracture:

A. frontal

B. Parietal

C. Occipital

D. Sphenoidal

E. Temporal

3. All red flag for back pain excpet:

A. Age less than 20

B. Age above 50

C. DM ?

D. IV abuser

E. Preseistant pain more than 1 week ?

4. Central cause of vertigo except:

A. Labyrinthitis

5. A 10-year-old boy with cerebral palsy and spastic diplegia is referred for
treatment of spasticity. The patient can ambulate with assistance. What is the
most definitive procedure for improving this patient's lower extremity
spasticity?

A. Midline myelotomy

B. Selective dorsal rhizotomy

C. DREZ thermocoagulation
D. Selective peripheral neurectomy

E. Botox injections

6. What is the most common presentation of an adult patient with moyamoya

disease?

A. Seizure

B. Intracranial hemorrhage

C. Ischemic infarcts/transient ischemic attacks

D. Gait disturbances

E. Dystonia 


7. One is more common in infant and adult but less in children:

A. SHH

B. WNT a

C. WNT b

D. Group 3

E. Group 4

8. Adduct thigh by:

A. Gluteal medius

B. Obturator

9. Winging of scapula (Pic):

A. Injury to nerve origin at roots

10. Tarsal tunnel due to entrapment of:

A. Posterior tibial nerve

11. SRS except:

A. Basilar tip aneurysm less than 1 cm

12. AVM SRS:

A. Multiple doses given

13. Delay microsurgical treatment of aneurysm except:

A. Age more than 65

B. Giant aneurysm

14. Most common location of spondylolysis:

A. L4-5

B. L5-S1

15. Line from 2/3 away from vomer to foramen magnum contain:

A. Occipital condyle

B. Pharyngeal condyle

C. Pituitary gland

16. All high A-feto protein except:

A. Choriocarcinoma

17. ODG except:

A. temodal first line therapy

18. Originate form neural crest except:

A. Bipolar cells

B. Leptomeninges

19. apex of AVM:

A. Cortical

B. jaxta ventricular

20. All delay capsule formation except:

A. Traumatic ..

21. EDH except:

A. Lucide interval in 80%

22. Trigeminal neuralgia except:

A. V3 is MC affected in the face.

23. Werneke area:

A. 39 , 40 and posterior STG

24. All include in pterion except:

A. zygomatic arch

25. Functional hemispherctomy except:

A. Need to resect parietal and occipital lobe.

26. Temporal lobe resectin for epilepsy except:

A. Qaudrinopsis 2%

27. End-vascular treatment of aneurysm except:

A. 23% mortality for rupture and 1% for non rupture

28. DBS for VIM:

A. Essential Tremors

29: not recover after posterior fossa surgery except:

A. Folculondular injury

30. All in floor of 3rd ventricle except:

A. Anterior perforated substance

B. Optic tract

31. DNET except:

A. Abundnd mitosis but no necrosis

32. Pineal germ cell tumors except:

A. Peak age at 40s

33. About WHO 2016 classification except:

A. Diffuse pontine glioma grade V.

34. Mary-tooth except:

A. Chromosome 17

35. Spereate tegmentum from cerebral peduncle:

A. Lateral mesenceplaic vien

36. Mucococcuses (pic) except:

A. Found in soil

37. DWI differentiate all except:

A. herps encephalitis and lymphoma

38. All ture except:

A. Subfrontal translamina triminalis for Radical removal of colloid cyst

39. All cuada acuina except:

A. Babinski sign is positive

40. Poor prognosis except:

A. sever arterial compression

B. Compression by vein

41. Young patient , compression fracture and disrupt disco-ligamental

complex and neurological intact, SILCS:

A. 2

B. 3

C. 4

42. All measure to reduce ICP except:

A. Decrease PCO2 to 20 mmgh

43. Peak of mannitol:

A. 120

B. 90
C. 60

D. 45

E. 15

44. All result due to contact injury except:

A. DAI

45 all true about TB spine except:

A. Hypo in T1 and T2

46. All true regarding air venous embolism except:

A. Precordial Doppler detect before EtCo2 changes

47. All included in epilepsy team except:

A. Neurosurgeon

B. Neurologist

C. Pediatric neurologist

D. Neurophysiologist

E. Endocrinologist

48. Female patient ask about personal relationship , best action:

A. Refuse to see her

B. Refer to another doctor

C. Ask open ended question

D. Call the nurse

49. Research start by:

A. Hypothesis

B. Data collection

C. Observation

D. Literature review
50. Not a localized sign:

A. Paresthesia

51. MRS except:

A. Decrease choline in all high grade glioma

52. Most common complication of ENT infection:

A. Brain abbess

B. Meningitis

C. Subdural empeyma

D. Extradural abscess

53. All can be approach by supracerebellar infratentorial except:

A. Petroclival lesion

54. Diffuse pontine glioma (pic):

A. No current chemotherapy

55. Cervical rib (pic)

A. Rianoud phenomena

B. Unlar parasthesia

56. All true for treatment of multiloculated HCP except:

A. EVT

57. CCP must be maintain at:

A. 50 - 80 mmgh

58. Poorest union with external immobilization:

A. Odontoid type 1

B. Odontoid type 2

C. odontoid type 3

D. Jefferson Fracture
E. Hangmans fracture

59. Basilar invagination except:

A. Asymptomatic treated conservatively

60. What cranial nerve is most susceptible to radiation injury after
radiosurgery?

A. I

B. II

C. III

D. IV

61. Spinal lipoma all true except:

A. Cervical spine most common location

B. Very adherent to medulla

62. Tectal beaking found in:

A. Chiari malformation

63. All true regarding intracranial aneurysm except:

A. Acomm is the most common 34%

B. MCA 20%

C. Pcomm 23%

D. ICA bifurcation 12%

E. Basilar apex is most common posterior circulation 5%

64. All true about AVM except:

A. Ligate draining veins first

65. All true about arterial supply of spinal cord except:

A. Anterior spinal artery supply gracile and cuneate nucleus

66. Arterial supply to facial nucleus:

A. AICA

67. Origin of posterior thalamoperforate:

A. P1

B. P2

C. P1 and PCM

D. P1 and P2

68. The line joining the back of the hard palate to the opisthion (posterior lip
of foramen magnum) is:

A. Wackenheim line.

B. Chamberlain line.

C. McRae line.

D. McGregor line.

E. Anthropologic basal line.

69. All true regarding conductive aphasia except

A. Normal repetition

70. Fetal defects associated with maternal Diabetes Mellitus may include
each of the following except:

A. Sacral agenesis

B. Anencephaly.

C. Spina bifida.

D. Cretinism.

E. Heart defects

71. Which of the following drugs taken by a pregnant can cause Mental
deficiency, Hypoplasia of the nose, and short digits ?

A. Aminopterin (antineoplstic

B. Phenytoin

C. Tetracyclines

D. Valproic acid

E. Warfarin

72. In a new born infant unilateral miosis may be caused by:

A. Maternal opiate abuse

B. Asphyxia

C. Brachial P. injury

D. Subdural hematoma.

E. Extensive intraventricular hemorrhage.

73. Straight sinus formed by:

A. VOG + ISS

74. All ture except:

A. Third of cases with parietal encephalocele associated with chairi

malformation

75. Least cognitive dysfunction and seizures:

A. Anterior encephalocele

B. Frontal encephalocele

C. Parietal encephalocele

D. Basal encephalocele

E. Occipital encephalocele

76. Descent to spinal subarachnoid space:

A. Medulloblastoma

B. Pilocytic astrocytoma

C. ependymoma

77. Most common site of distant metastasis of medulloblastoma:

A. Lung

B. LN

C. Bone

78. All true except:

A. Better prognosis in medulloblastoma with age less than 3 years.

79. Innervation of mastoid air cell:

A. V

B. VII

C. C2,3

D. IX

E. X

80. TSC all true except:

A. Adenoma sebaceum at birth

81. With humerus fractures, nerve injury include:

A. Axillary and radial

B. Ulnar , Median and radial

82. Most Common complication of open treatment of CTS:

A. Incomplete release of the ligament

83. House brackmann scale is used for grading:

A. Facial nerve

84. Ashwaort score:

A. Muscle power

B. Muscle tone

85. All true regarding sturge weber syndrome except:

A. Autosomal Dominant mutation at chromosome 9.

86. Mid-thigh sciatic nerve injury:

A. Foot drop and no eversion

B. Impair inversion

C. Flail foot

87. All true about AVM except:

A. Percent of patient presented with seizure without hemorrhage is

50%.

88.