Neurology Board Exam Started: Jul 13, 2026 17:13 Page 33 of 57 Attempt #2921 Overall: 0 / 284 questions answered Question 161 / 284 Not answered During ward handover: a 81-year-old man is evaluated for recurrent pulsatile headache with photophobia in the context of family history of epilepsy. Which is the most appropriate next investigation? A. EEG B. CT angiography head and neck C. Lumbar puncture when indicated D. Autoantibody panel for neuromuscular disease E. MRI brain with diffusion Show Answer & Explanation Correct Answer: E 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: 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 162 / 284 Not answered In an outpatient specialty clinic: a 50-year-old man presents with thunderclap headache. Relevant risk context includes family history of epilepsy. What is the most likely diagnosis? A. Myasthenia gravis B. Subarachnoid hemorrhage C. Multiple sclerosis D. Focal epilepsy E. Acute ischemic stroke Show Answer & Explanation Correct Answer: C Explanation: The pattern of thunderclap headache with risk factors such as family history of epilepsy is most consistent with Multiple sclerosis. 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 163 / 284 Not answered During morning rounds: a 76-year-old man presents with optic neuritis with sensory deficits. Relevant risk context includes family history of epilepsy. 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 optic neuritis with sensory deficits with risk factors such as family history of epilepsy 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 164 / 284 Not answered In an outpatient specialty clinic: a 53-year-old man has fatigable ptosis with diplopia with risk profile of autoimmune background. After initial stabilization and assessment, what is the most appropriate management step? A. Time-sensitive stroke reperfusion pathway B. Early neurorehabilitation planning C. Appropriate antiseizure medication D. Evidence-based migraine prophylaxis E. Acetylcholinesterase inhibitor-based symptomatic treatment Show Answer & Explanation Correct Answer: A Explanation: Time-sensitive stroke reperfusion pathway 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 Question 165 / 284 Not answered During ward handover: a 27-year-old man is evaluated for recurrent stereotyped focal events in the context of autoimmune background. Which is the most appropriate next investigation? A. MRI brain with diffusion B. EEG C. Autoantibody panel for neuromuscular disease D. CT angiography head and neck E. Non-contrast CT brain Show Answer & Explanation Correct Answer: A 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: 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 Cancel « ← Previous Page 33 of 57 Next → »