Neurology Board Exam Started: Jul 12, 2026 23:35 Page 7 of 57 Attempt #1297 Overall: 0 / 284 questions answered Question 31 / 284 Not answered In a rural clinic with limited resources: A patient has fluctuating ptosis and diplopia worsening through the day. What antibody-mediated disorder is most likely? A. Myasthenia gravis B. Lambert-Eaton syndrome only C. Duchenne muscular dystrophy D. Multiple sclerosis E. Subarachnoid hemorrhage Show Answer & Explanation Correct Answer: A 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 32 / 284 Not answered In a rural clinic with limited resources: 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. Bell palsy E. Multiple sclerosis Show Answer & Explanation Correct Answer: E 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 33 / 284 Not answered At a preventive-care consultation: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 621) A. Intramuscular injection into the mid-anterolateral thigh B. Subcutaneous injection into forearm C. Oral tablet D. Nebulized only E. Topical application Show Answer & Explanation Correct Answer: A 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 34 / 284 Not answered At a preventive-care consultation: 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 622) A. Ignore allergy and give full dose unsupervised B. Aspirin desensitization if benefits outweigh risks C. Avoid all antiplatelets forever D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: B 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 35 / 284 Not answered At a preventive-care consultation: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 623) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Life-threatening asthma requiring urgent escalation D. Pneumonia excluded E. No oxygen required Show Answer & Explanation Correct Answer: C 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 7 of 57 Next → »