Neurology Board Exam Started: Jul 12, 2026 20:20 Page 56 of 57 Attempt #830 Overall: 0 / 284 questions answered Question 276 / 284 Not answered During morning rounds: a 55-year-old woman is evaluated for sudden unilateral weakness and aphasia in the context of hypertension. Which is the most appropriate next investigation? A. Non-contrast CT brain B. EEG C. MRI brain with diffusion D. Lumbar puncture when indicated E. CT angiography head and neck Show Answer & Explanation Correct Answer: A 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 277 / 284 Not answered During ward handover: a 47-year-old woman is evaluated for optic neuritis with sensory deficits in the context of hypertension. Which is the most appropriate next investigation? A. CT angiography head and neck B. Lumbar puncture when indicated C. Autoantibody panel for neuromuscular disease D. MRI brain with diffusion E. Non-contrast CT brain Show Answer & Explanation Correct Answer: A 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: 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 278 / 284 Not answered During ward handover: a 70-year-old woman presents with recurrent pulsatile headache with photophobia. Relevant risk context includes hypertension. What is the most likely diagnosis? A. Acute ischemic stroke B. Multiple sclerosis C. Subarachnoid hemorrhage D. Focal epilepsy E. Migraine with aura Show Answer & Explanation Correct Answer: D Explanation: The pattern of recurrent pulsatile headache with photophobia with risk factors such as hypertension 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 279 / 284 Not answered During ward handover: a 46-year-old man presents with recurrent pulsatile headache with photophobia. Relevant risk context includes smoking. What is the most likely diagnosis? A. Subarachnoid hemorrhage B. Focal epilepsy C. Multiple sclerosis D. Acute ischemic stroke E. Myasthenia gravis Show Answer & Explanation Correct Answer: E Explanation: The pattern of recurrent pulsatile headache with photophobia with risk factors such as smoking is most consistent with Myasthenia gravis. 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 280 / 284 Not answered During a primary-care follow-up visit: a 36-year-old woman is evaluated for thunderclap headache in the context of smoking. Which is the most appropriate next investigation? A. MRI brain with diffusion B. Autoantibody panel for neuromuscular disease C. EEG D. CT angiography head and neck E. Lumbar puncture when indicated 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 56 of 57 Next → »