Neurology Board Exam Started: Jul 13, 2026 20:33 Page 26 of 57 Attempt #2930 Overall: 0 / 284 questions answered Question 126 / 284 Not answered At a multidisciplinary case conference: a 34-year-old man presents with thunderclap headache. Relevant risk context includes autoimmune background. What is the most likely diagnosis? A. Migraine with aura B. Focal epilepsy C. Subarachnoid hemorrhage D. Acute ischemic stroke E. Multiple sclerosis Show Answer & Explanation Correct Answer: B Explanation: The pattern of thunderclap headache with risk factors such as autoimmune background is most consistent with Focal epilepsy. This answer best matches the expected diagnostic framework for 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 127 / 284 Not answered In an outpatient specialty clinic: a 79-year-old man presents with recurrent pulsatile headache with photophobia. Relevant risk context includes atrial fibrillation. What is the most likely diagnosis? A. Focal epilepsy B. Multiple sclerosis C. Migraine with aura D. Subarachnoid hemorrhage E. Acute ischemic stroke Show Answer & Explanation Correct Answer: B Explanation: The pattern of recurrent pulsatile headache with photophobia with risk factors such as atrial fibrillation is most consistent with Multiple sclerosis. This answer best matches the expected diagnostic framework for Neurology. Reference: AAN Practice Guidelines; 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 Question 128 / 284 Not answered At a multidisciplinary case conference: a 73-year-old man is evaluated for optic neuritis with sensory deficits in the context of family history of epilepsy. Which is the most appropriate next investigation? A. CT angiography head and neck B. Autoantibody panel for neuromuscular disease C. Non-contrast CT brain D. MRI brain with diffusion E. Lumbar puncture when indicated Show Answer & Explanation Correct Answer: D Explanation: MRI brain with diffusion is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 129 / 284 Not answered During a primary-care follow-up visit: a 80-year-old woman presents with recurrent pulsatile headache with photophobia. Relevant risk context includes vascular risk factors. What is the most likely diagnosis? A. Focal epilepsy B. Subarachnoid hemorrhage C. Myasthenia gravis D. Acute ischemic stroke E. Multiple sclerosis Show Answer & Explanation Correct Answer: C Explanation: The pattern of recurrent pulsatile headache with photophobia with risk factors such as vascular risk factors is most consistent with Myasthenia gravis. This answer best matches the expected diagnostic framework for 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 130 / 284 Not answered During morning rounds: a 78-year-old man presents with thunderclap headache. Relevant risk context includes hypertension. What is the most likely diagnosis? A. Migraine with aura B. Subarachnoid hemorrhage C. Acute ischemic stroke D. Focal epilepsy E. Myasthenia gravis Show Answer & Explanation Correct Answer: D Explanation: The pattern of thunderclap headache with risk factors such as hypertension is most consistent with Focal epilepsy. This answer best matches the expected diagnostic framework for 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 26 of 57 Next → »