Neurology Board Exam Started: Jul 12, 2026 21:49 Page 5 of 57 Attempt #1051 Overall: 0 / 284 questions answered Question 21 / 284 Not answered At a preventive-care consultation: 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. Myasthenia gravis B. Amyotrophic lateral sclerosis C. Peripheral neuropathy from diabetes D. Multiple sclerosis E. Bell palsy Show Answer & Explanation Correct Answer: D 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 22 / 284 Not answered At a preventive-care consultation: A patient has fluctuating ptosis and diplopia worsening through the day. What antibody-mediated disorder is most likely? A. Lambert-Eaton syndrome only B. Duchenne muscular dystrophy C. Multiple sclerosis D. Subarachnoid hemorrhage E. Myasthenia gravis Show Answer & Explanation Correct Answer: E 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 Question 23 / 284 Not answered In a rural clinic with limited resources: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 632) A. Subcutaneous injection into forearm B. Intramuscular injection into the mid-anterolateral thigh C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: B Explanation: [Neurology] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. 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 24 / 284 Not answered In a rural clinic with limited resources: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 633) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C Explanation: [Neurology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 25 / 284 Not answered In a rural clinic with limited resources: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 634) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Neurology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 5 of 57 Next → »