Neurology Board Exam Started: Jul 12, 2026 22:40 Page 6 of 57 Attempt #1187 Overall: 0 / 284 questions answered Question 26 / 284 Not answered In a rural clinic with limited resources: A patient with suspected stroke has hypoglycemia on capillary testing. What should be done? (Variant 635) A. Give thrombolysis without glucose correction B. Start warfarin C. Discharge without treatment D. Delay glucose correction until CT E. Treat hypoglycemia immediately and reassess neurologic deficit Show Answer & Explanation Correct Answer: E Explanation: [Neurology] Hypoglycemia can mimic stroke and should be corrected immediately while continuing appropriate assessment. Reference: AHA/ASA Stroke Guideline. 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 27 / 284 Not answered In a rural clinic with limited resources: A pregnant patient needs influenza prevention. Which vaccine type is appropriate? (Variant 636) A. Inactivated influenza vaccine B. Live intranasal influenza vaccine C. BCG vaccine D. Varicella vaccine E. No vaccine in pregnancy ever Show Answer & Explanation Correct Answer: A Explanation: [Neurology] Inactivated influenza vaccine is recommended in pregnancy; live attenuated intranasal vaccine is avoided. Reference: CDC/ACIP Immunization in Pregnancy 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 28 / 284 Not answered In a rural clinic with limited resources: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 637) A. IM epinephrine for every isolated wheal B. Second-generation H1 antihistamine C. Long-term oral steroid for all D. Antibiotic E. Warfarin Show Answer & Explanation Correct Answer: B Explanation: [Neurology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria Guideline. 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 29 / 284 Not answered During morning rounds: A 69-year-old woman has sudden right-sided weakness and aphasia 60 minutes ago. Capillary glucose is normal. What is the immediate priority? A. Start warfarin before imaging B. Discharge if symptoms improve C. Activate stroke pathway with urgent brain imaging and reperfusion assessment D. Lumbar puncture first for all patients E. Delay imaging until next day Show Answer & Explanation Correct Answer: C Explanation: [Neurology] Acute focal neurologic deficit within reperfusion window requires urgent imaging and thrombolysis/thrombectomy eligibility assessment. Reference: AHA/ASA Acute Ischemic Stroke Guideline. 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 30 / 284 Not answered During morning rounds: A 30-year-old woman has recurrent unilateral pulsating headache with photophobia and nausea, lasting 8 hours. Neurologic exam is normal. What is the likely diagnosis? A. Cluster headache B. Temporal arteritis C. Meningitis D. Migraine without aura E. Subarachnoid hemorrhage Show Answer & Explanation Correct Answer: D Explanation: [Neurology] Recurrent unilateral pulsating headache with nausea and photophobia lasting 4-72 hours fits migraine. Reference: International Classification of Headache Disorders, 3rd edition. 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 6 of 57 Next → »