Neurology Board Exam Started: Jul 13, 2026 08:02 Page 16 of 57 Attempt #2329 Overall: 0 / 284 questions answered Question 76 / 284 Not answered At a primary-care follow-up visit: 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. Discharge if symptoms improve C. Activate stroke pathway with urgent brain imaging and reperfusion assessment D. Lumbar puncture first for all patients E. Delay imaging until next day Show Answer & Explanation Correct Answer: C 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 77 / 284 Not answered At a primary-care follow-up visit: 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. Meningitis D. Migraine without aura E. Subarachnoid hemorrhage Show Answer & Explanation Correct Answer: D 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 78 / 284 Not answered At a primary-care follow-up visit: 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. Cerebellar stroke E. Parkinson disease Show Answer & Explanation Correct Answer: E 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 79 / 284 Not answered At a primary-care follow-up visit: 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. Multiple sclerosis B. Myasthenia gravis C. Amyotrophic lateral sclerosis D. Peripheral neuropathy from diabetes E. Bell palsy Show Answer & Explanation Correct Answer: A 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 80 / 284 Not answered At a primary-care follow-up visit: A patient has fluctuating ptosis and diplopia worsening through the day. What antibody-mediated disorder is most likely? A. Lambert-Eaton syndrome only B. Myasthenia gravis C. Duchenne muscular dystrophy D. Multiple sclerosis E. Subarachnoid hemorrhage Show Answer & Explanation Correct Answer: B Explanation: [Neurology] Fatigable ocular weakness is classic for myasthenia gravis, often due to acetylcholine receptor antibodies. Reference: International Consensus Guidance for Myasthenia Gravis. 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 16 of 57 Next → »