Neurology Board Exam Started: Jul 13, 2026 11:17 Page 39 of 57 Attempt #2658 Overall: 0 / 284 questions answered Question 191 / 284 Not answered In an outpatient specialty clinic: a 78-year-old woman presents with optic neuritis with sensory deficits. Relevant risk context includes hypertension. What is the most likely diagnosis? A. Subarachnoid hemorrhage B. Acute ischemic stroke C. Migraine with aura D. Myasthenia gravis E. Multiple sclerosis Show Answer & Explanation Correct Answer: B Explanation: The pattern of optic neuritis with sensory deficits with risk factors such as hypertension is most consistent with Acute ischemic stroke. 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 192 / 284 Not answered During a primary-care follow-up visit: a 61-year-old woman is evaluated for thunderclap headache in the context of family history of epilepsy. Which is the most appropriate next investigation? A. Autoantibody panel for neuromuscular disease B. Non-contrast CT brain C. MRI brain with diffusion D. CT angiography head and neck E. EEG Show Answer & Explanation Correct Answer: B Explanation: Non-contrast CT brain 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 193 / 284 Not answered At a multidisciplinary case conference: a 68-year-old woman presents with optic neuritis with sensory deficits. Relevant risk context includes family history of epilepsy. What is the most likely diagnosis? A. Myasthenia gravis B. Focal epilepsy C. Subarachnoid hemorrhage D. Multiple sclerosis E. Migraine with aura Show Answer & Explanation Correct Answer: D Explanation: The pattern of optic neuritis with sensory deficits 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 194 / 284 Not answered In an outpatient specialty clinic: a 75-year-old man presents with optic neuritis with sensory deficits. Relevant risk context includes smoking. What is the most likely diagnosis? A. Multiple sclerosis B. Migraine with aura C. Acute ischemic stroke D. Focal epilepsy E. Myasthenia gravis Show Answer & Explanation Correct Answer: A Explanation: The pattern of optic neuritis with sensory deficits with risk factors such as smoking is most consistent with Multiple sclerosis. 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 Question 195 / 284 Not answered During a primary-care follow-up visit: a 81-year-old woman is evaluated for fatigable ptosis with diplopia in the context of smoking. Which is the most appropriate next investigation? A. Autoantibody panel for neuromuscular disease B. EEG C. MRI brain with diffusion D. Non-contrast CT brain E. CT angiography head and neck Show Answer & Explanation Correct Answer: E Explanation: CT angiography head and neck 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 Cancel « ← Previous Page 39 of 57 Next → »