Neurology Board Exam Started: Jul 13, 2026 02:24 Page 10 of 57 Attempt #1654 Overall: 0 / 284 questions answered Question 46 / 284 Not answered During an emergency department assessment: A 25-year-old has optic neuritis and prior episode of limb numbness; MRI shows lesions disseminated in space and time. What is the diagnosis? A. Myasthenia gravis B. Amyotrophic lateral sclerosis C. Peripheral neuropathy from diabetes D. Bell palsy E. Multiple sclerosis Show Answer & Explanation Correct Answer: E Explanation: [Neurology] Typical attacks plus MRI dissemination in space and time support multiple sclerosis. Reference: McDonald Criteria for Multiple Sclerosis. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 47 / 284 Not answered During an emergency department assessment: A 74-year-old man has resting tremor, bradykinesia, rigidity, and shuffling gait. What is the most likely diagnosis? A. Essential tremor only B. Myasthenia gravis C. Guillain-Barre syndrome D. Parkinson disease E. Cerebellar stroke Show Answer & Explanation Correct Answer: D Explanation: [Neurology] Bradykinesia with rest tremor and rigidity suggests Parkinson disease. Reference: Movement Disorder Society Clinical Diagnostic Criteria. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 48 / 284 Not answered During an emergency department assessment: A 30-year-old woman has recurrent unilateral pulsating headache with photophobia and nausea, lasting 8 hours. Neurologic exam is normal. What is the likely diagnosis? A. Cluster headache B. Temporal arteritis C. Migraine without aura D. Meningitis E. Subarachnoid hemorrhage Show Answer & Explanation Correct Answer: C Explanation: [Neurology] Recurrent unilateral pulsating headache with nausea and photophobia lasting 4-72 hours fits migraine. Reference: International Classification of Headache Disorders, 3rd edition. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 49 / 284 Not answered During an emergency department assessment: A 69-year-old woman has sudden right-sided weakness and aphasia 60 minutes ago. Capillary glucose is normal. What is the immediate priority? A. Start warfarin before imaging B. Activate stroke pathway with urgent brain imaging and reperfusion assessment C. Discharge if symptoms improve D. Lumbar puncture first for all patients E. Delay imaging until next day Show Answer & Explanation Correct Answer: B Explanation: [Neurology] Acute focal neurologic deficit within reperfusion window requires urgent imaging and thrombolysis/thrombectomy eligibility assessment. Reference: AHA/ASA Acute Ischemic Stroke Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 50 / 284 Not answered A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 571) A. Second-generation H1 antihistamine B. IM epinephrine for every isolated wheal C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: A Explanation: [Neurology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 10 of 57 Next → »