Neurology Board Exam Started: Jul 13, 2026 10:03 Page 18 of 57 Attempt #2533 Overall: 0 / 284 questions answered Question 86 / 284 Not answered A 65-year-old with tremor rigidity and bradykinesia diagnosed with Parkinson's disease. Most appropriate initial therapy: A. Carbidopa-levodopa B. Dopamine agonist C. Anticholinergic agents D. MAO-B inhibitor E. Observation Show Answer & Explanation Correct Answer: A Explanation: Carbidopa-levodopa provides the most effective symptomatic relief for Parkinson's disease but should be started only when symptoms interfere with function. Reference: American Academy of Neurology 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 87 / 284 Not answered During a primary-care follow-up visit: a 66-year-old man has fatigable ptosis with diplopia with risk profile of hypertension. After initial stabilization and assessment, what is the most appropriate management step? A. Appropriate antiseizure medication B. Evidence-based migraine prophylaxis C. Acetylcholinesterase inhibitor-based symptomatic treatment D. Time-sensitive stroke reperfusion pathway E. Early neurorehabilitation planning Show Answer & Explanation Correct Answer: B Explanation: Evidence-based migraine prophylaxis is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Neurology. Reference: McDonald Criteria for Multiple Sclerosis 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 88 / 284 Not answered A 75-year-old with progressive memory loss and cognitive decline has MRI showing hippocampal atrophy. Most likely diagnosis: A. Normal aging B. Alzheimer's disease C. Vascular dementia D. Lewy body dementia E. Frontotemporal dementia Show Answer & Explanation Correct Answer: B Explanation: Hippocampal atrophy is typical of Alzheimer's disease which is the most common cause of dementia. Reference: American Academy of Neurology 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 89 / 284 Not answered During a primary-care follow-up visit: a 41-year-old man presents with sudden unilateral weakness and aphasia. Relevant risk context includes smoking. What is the most likely diagnosis? A. Multiple sclerosis B. Focal epilepsy C. Subarachnoid hemorrhage D. Acute ischemic stroke E. Myasthenia gravis Show Answer & Explanation Correct Answer: D Explanation: The pattern of sudden unilateral weakness and aphasia with risk factors such as smoking is most consistent with Acute ischemic stroke. This answer best matches the expected diagnostic framework for Neurology. Reference: AHA/ASA Stroke Guidelines 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 90 / 284 Not answered During ward handover: a 55-year-old woman has thunderclap headache with risk profile of atrial fibrillation. After initial stabilization and assessment, what is the most appropriate management step? A. Evidence-based migraine prophylaxis B. Disease-modifying therapy for relapsing MS C. Early neurorehabilitation planning D. Acetylcholinesterase inhibitor-based symptomatic treatment E. Appropriate antiseizure medication Show Answer & Explanation Correct Answer: B Explanation: Disease-modifying therapy for relapsing MS is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Neurology. Reference: ILAE Epilepsy Guidance; Neurology topic-specific current guideline update 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 18 of 57 Next → »